ArticlePsychiatric services (Washington, D.C.)2026
Discharge From Coordinated Specialty Care: Timing, Reasons, and Predictors in a National Early Psychosis Network.
Article in Psychiatric services (Washington, D.C.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
objectiveRetention in coordinated specialty care (CSC) is critical for optimizing outcomes of first-episode psychosis, yet discharge from CSC is heterogeneous and poorly characterized. This study aimed to examine the timing of, reasons for, and predictors of discharge in a large early psychosis intervention network.
methodsData were drawn from the Academic-Community Early Psychosis Intervention Network. Participants (N=701) were followed for up to 36 months after CSC admission. Discharges were classified as positive, ambiguous, or adverse. Kaplan-Meier and competing-risk Cox models were used to examine time to discharge and baseline predictors, respectively.
resultsOver 36 months, 44% of participants were discharged. Ambiguous discharges were most common (55% of discharges), followed by adverse (28%) and positive (17%) discharges. Twenty-five percent of participants were discharged by 10 months. Positive discharge was associated with commercial insurance (hazard ratio [HR]=3.48, p=0.001) and weekly family contact (HR=3.96, p=0.02). A longer duration of untreated psychosis (HR=1.18, p=0.002), prior hospitalization (HR=1.66, p=0.03), and cannabis use (HR=1.81, p=0.005) increased the risk for ambiguous discharge, whereas living with family (HR=0.51, p=0.03) and older age (HR=0.93, p=0.008) were protective. Legal involvement increased the risk for adverse discharge (HR=2.40, p=0.02), whereas antipsychotic use at admission was protective (HR=0.55, p=0.02).
conclusionsDischarge from CSC programs reflects distinct clinical and structural pathways. Findings from this study highlight the need for early engagement strategies, improved discharge documentation, and strong transition supports to promote continuity of care in early psychosis services.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.