ArticlePsychiatric services (Washington, D.C.)2020
Predictors of Early Discharge From Early Intervention Services for Psychosis in New York State.
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.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Impact of a brief intervention to improve engagement in a recovery program for young adults with serious mental illness.Schizophrenia research · 2022Trial
- Discharge From Coordinated Specialty Care: Timing, Reasons, and Predictors in a National Early Psychosis Network.Psychiatric services (Washington, D.C.) · 2026Article
- Implementing a rapid-learning health system in early intervention services for psychosis: qualitative evaluation of its feasibility and acceptability.Health research policy and systems · 2025Article
- Perspectives on the implementation and collaborative facilitation of an intervention to engage young adults in psychiatric rehabilitation.Psychiatric rehabilitation journal · 2024Article
- Predictors of relapse and engagement in care one year after ending services in an urban safety net coordinated specialty care program for first episode psychosis.Schizophrenia research · 2024Article
- Developing a spectrum model of engagement in services for first episode psychosis: beyond attendance.Frontiers in psychiatry · 2024Article
- Neglecting the care of people with schizophrenia: here we go again.Psychological medicine · 2023Review
- Disengagement from early psychosis intervention services: an observational study informed by a survey of patient and family perspectives.Schizophrenia (Heidelberg, Germany) · 2022Article
- Don't blame psychosis, blame the lack of services: a message for early intervention from the Greek standard care model.BMC psychiatry · 2022Article
- Treatment decision-making needs among emerging adults with early psychosis.Early intervention in psychiatry · 2022Article
- Adapting coordinated specialty care in the post-COVID-19 era: study protocol for an integrative mixed-methods study.Implementation science communications · 2021Article
- Adapting Coordinated Specialty Care in the Post-COVID-19 Era: Study Protocol for an Integrative Mixed-methods Study.Research square · 2021Article
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
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.
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