First Episode Psychosis
Conditions
Brief summary
Maintaining treatment engagement is critical for first episode psychosis patients to experience gains possible with coordinated specialty care (CSC). This study is designed to identify CSC participants still receiving care but at high risk for disengagement and to intervene to prevent/delay disengagement.
Detailed description
In Phase 1 of the project, we will confirm a model predicting factors associated with later disengagement from CSC treatment. In Phase 2, we will compare disengagement among high-risk individuals with a CSC Step-down intervention to that with standard CSC care. The Step-down intervention will use web-based telemedicine and a smartphone app, to decrease disengagement likelihood. High-risk participants identified by predictors found in Phase 1 will be offered the intervention.
Interventions
OTHERCSC Step-down intervention
Web-based telemedicine and a smartphone app, to decrease disengagement likelihood
OTHERUsual Care
Usual Care provided by CSC center
Sponsors
National Institute of Mental Health (NIMH)
Northwell Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Assigned to either treatment as usual or to the disengagement treatment
Eligibility
Sex/Gender
ALL
Age
15 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Enrolled into a CSC program
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disengagement rate | Minimum of 6 months | Rate of disengagement from CSC program |
Countries
United States
Contacts
Primary ContactPatricia Marcy, BSN
Backup ContactCristina Gonzalez, MS
Outcome results
None listed