Disengagement in CSC: Identifying Those at Risk and Addressing Their Needs

Northwell Health

Status and phase: Enrolling; Phase 4

Conditions: First Episode Psychosis

Treatments: Other: CSC Step-down intervention; Other: Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04005378

19-0307 -B

Details and patient eligibility

About

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.

Full 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.

Enrollment: 300 estimated patients

Sex: All

Ages: 15 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Enrolled into a CSC program

Exclusion criteria

• None

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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300 participants in 2 patient groups

CSC Step-down intervention

Other group

Description:

Web-based telemedicine and a smartphone app, to decrease disengagement likelihood

Treatment:

Other: CSC Step-down intervention

Usual Care

Other group

Description:

Usual care provided by CSC center

Treatment:

Other: Usual Care