NCT04005378

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

• Status: Recruiting
• Phase: Phase 4
• Study type: Interventional
• Enrollment: 300 (estimated)
• Sponsor: Northwell Health · Academic / Other
• Sex: All
• Age: 15 Years – 40 Years
• Healthy volunteers: Accepted

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.

Conditions

• First Episode Psychosis

Interventions

Type	Name	Description
OTHER	CSC Step-down intervention	Web-based telemedicine and a smartphone app, to decrease disengagement likelihood
OTHER	Usual Care	Usual Care provided by CSC center

Timeline

• Start date: 2020-07-01
• Primary completion: 2024-11-30
• Completion: 2024-11-30
• First posted: 2019-07-02
• Last updated: 2024-09-19

Locations

3 sites across 1 country: United States