Disengagement in CSC: Identifying Those at Risk and Addressing Their Needs
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: CSC Step-down intervention, Usual Care.
- Who it may be relevant to
- Registry conditions: First Episode Psychosis. Basic parameters: 15 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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.
Interventions
- 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
Primary outcome measures
- Disengagement rate [Time frame: Minimum of 6 months]
Eligibility criteria
Inclusion criteria
- Enrolled into a CSC program
Exclusion criteria
- None
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Other
Study locations
United States · 3 centers
- Henderson Behavioral Health — Lauderdale Lakes
- InterAct of Michigan — Grand Rapids
- InterAct of Michigan — Kalamazoo
Identifiers
NCT: NCT04005378 · 19-0307 -B