Disengagement in CSC: Identifying Those at Risk and Addressing Their Needs
- Conditions
- First Episode Psychosis
- Interventions
- Other: CSC Step-down interventionOther: Usual Care
- Registration Number
- NCT04005378
- Lead Sponsor
- Northwell Health
- 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.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 300
- Enrolled into a CSC program
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description CSC Step-down intervention CSC Step-down intervention Web-based telemedicine and a smartphone app, to decrease disengagement likelihood Usual Care Usual Care Usual care provided by CSC center
- Primary Outcome Measures
Name Time Method Disengagement rate Minimum of 6 months Rate of disengagement from CSC program
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
InterAct of Michigan
🇺🇸Kalamazoo, Michigan, United States
Henderson Behavioral Health
🇺🇸Lauderdale Lakes, Florida, United States