Evidence map›Paper›PMID 40103366›Full record

ArticlePsychiatric services (Washington, D.C.)2025

Qualitative Analysis of Telephone Logs: Client Engagement and Barriers to Completing an Initial Early Psychosis Assessment.

Adi Rosenthal, Monet S Meyer, Khalima Bolden-Thompson, Sarah Gobrial, Ruth Shim, Tyler A Lesh, J Daniel Ragland, Rachel Loewy, Mark Savill, Cameron S Carter and 1 more

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In one paragraph

Article in Psychiatric services (Washington, D.C.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Adi RosenthalDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Monet S MeyerDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Khalima Bolden-ThompsonDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Sarah GobrialDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Ruth ShimDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).ORCID 0000-0002-4509-590X
Tyler A LeshDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).ORCID 0000-0002-6160-3927
J Daniel RaglandDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Rachel LoewyDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Mark SavillDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).ORCID 0000-0002-4785-4885
Cameron S CarterDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).
Tara A NiendamDepartment of Psychology, University of Denver, Denver (Rosenthal); Department of Psychiatry and Behavioral Sciences, University of California (UC) Davis, Sacramento (Meyer, Bolden-Thompson, Gobrial, Shim, Lesh, Ragland, Savill, Carter, Niendam); Department of Psychology, UC San Francisco, San Francisco (Loewy).

Funding

Reducing Duration of Untreated Psychosis through Rapid Identification and EngagementR01MH104235 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CARTER, CAMERON S. · 2014 to 2017
$3.8M
NIMH NIH HHS R01 MH104235
6 · The paper itself

Abstract

objectiveTime between the onset of psychosis and the start of treatment significantly influences outcomes. Rapid access to care is essential, yet barriers such as stigma, difficulties with navigating the mental health system, and financial constraints prolong this process. This mixed-methods study aimed to assess how these barriers affect participation in early psychosis services.

methodsA directed content analysis of telephone log data was conducted from intake assessments at an early psychosis clinic. Stepwise logistic regression and analyses of variance were used to evaluate the impact of barriers on assessment completion and time from referral to assessment.

resultsOf 1,048 individuals screened for early psychosis services, 201 completed a telephone assessment. Individuals who dropped out had a higher proportion of barriers overall than did those who completed the assessment (p<0.01). Greater than 50% of interactions included at least one barrier, with logistical issues being the most common. Increased barriers were correlated with longer assessments and lower completion rates. Adults and Hispanic participants reported more barriers, compared with adolescents and non-Hispanic individuals, respectively. Significant contributors to nonengagement included unknown gender, public insurance, and various barriers.

conclusionsIdentifiable barriers to intake assessment were frequently reported by clients and were associated with higher intake noncompletion and a longer assessment process. Efforts to address logistical barriers may represent an essential step in improving the linkage process and reducing the duration of untreated psychosis.

Indexed as

Health Services AccessibilityMental Health ServicesPatient Acceptance of Health CarePatient ParticipationPsychotic DisordersAdolescentAdultFemaleHumansMaleMiddle AgedQualitative ResearchTelephoneYoung Adultcoordinated specialty careearly psychosismental health pipelinepsychosesservice delivery systemsservice engagement

Identifiers

PMID40103366
PMCPMC12240482

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.