Disengagement in CSC: Identifying Those at Risk and Addressing Their Needs
Northwell Health
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.
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.
Eligibility
- Age range
- 15–40 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Enrolled into a CSC program Exclusion Criteria: * None
Interventions
- OtherCSC Step-down intervention
Web-based telemedicine and a smartphone app, to decrease disengagement likelihood
- OtherUsual Care
Usual Care provided by CSC center
Locations (3)
- Henderson Behavioral HealthLauderdale Lakes, Florida
- InterAct of MichiganGrand Rapids, Michigan
- InterAct of MichiganKalamazoo, Michigan