Disengagement in CSC: Identifying Those at Risk and Addressing Their Needs
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- First Episode Psychosis
- Sponsor
- Northwell Health
- Enrollment
- 300
- Locations
- 2
- Primary Endpoint
- Disengagement rate
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Enrolled into a CSC program
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Disengagement rate
Time Frame: Minimum of 6 months
Rate of disengagement from CSC program