Evidence map›Paper›PMID 32933413›Full record

ArticlePsychiatric services (Washington, D.C.)2020

Predictors of Early Discharge From Early Intervention Services for Psychosis in New York State.

Franco Mascayano, Els van der Ven, Gonzalo Martinez-Ales, Cale Basaraba, Nev Jones, Rufina Lee, Iruma Bello, Ilana Nossel, Stephen Smith, Thomas E Smith and 3 more

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Franco MascayanoDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Els van der VenDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Gonzalo Martinez-AlesDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Cale BasarabaDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Nev JonesDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Rufina LeeDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Iruma BelloDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Ilana NosselDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Stephen SmithDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Thomas E SmithDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Melanie WallDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Ezra SusserDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Lisa B DixonDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York (Mascayano, van der Ven, Martinez-Ales, Susser); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York (Mascayano, Basaraba, Bello, Nossel, S. Smith, T. Smith, Wall, Susser, Dixon); School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands (van der Ven); Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa (Jones); Silberman School of Social Work, Hunter College, City University of New York, New York (Lee). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
New York State Office of Mental Health · US

Funding

OnTrackNY's LearningHealthcareSystemR01MH120597 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BELLO, IRUMA, DIXON, LISA B. · 2019 to 2022
$7.0M
NIMH NIH HHS R01 MH120597
6 · The paper itself

Abstract

objectiveAlthough specialized early intervention services (EISs) for psychosis promote engagement in care, a substantial number of individuals who receive these services are discharged from care earlier than expected. The main goal of this study was to examine predictors of early discharge in a large sample of individuals enrolled in an EIS program in the United States.

methodsThis cohort study (N=1,349) used programmatic data from OnTrackNY, an EIS program that delivers evidence-based interventions to youths across New York State experiencing a first episode of nonaffective psychosis. The main outcome was "early discharge," which was operationalized as discharge prior to completing 12 months of treatment. Cox proportional hazard regression models were used to assess the association between sociodemographic, clinical, and support system predictors and early discharge.

resultsThe estimated probability of discharge before 1 year was 32%. Participants who at baseline had poor medication adherence, had no health insurance, were living alone or with nonparental family, or were using cannabis were at higher risk of leaving services within the first 12 months after enrollment. Individuals with higher social functioning were at lower risk of being discharged early from OnTrackNY, but those with higher occupational functioning were at a higher risk.

conclusionsPredictors of early discharge from EISs largely overlapped with previously identified predictors of poor prognosis in early psychosis. However, the association between early discharge and high occupational functioning indicates that trajectories leading up to discharge are heterogeneous.

Indexed as

Patient DischargePsychotic DisordersAdolescentCohort StudiesEarly Medical InterventionHumansNew YorkEarly dischargeEarly interventions servicesPredictorsPsychosesPsychosisRecovery

Identifiers

PMID32933413
PMCPMC8237377
OpenAlexW3087484635

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.