Summary

for people ages 12-30 (full criteria)
at Sacramento, California
study started
estimated completion

Description

Summary

Reducing Duration of Untreated Psychosis (DUP) is a primary goal for improving long-term outcomes in young people with a first episode of psychosis (FEP). The "standard of FEP care" within the US focuses on targeted provider education regarding signs and symptoms of early psychosis to motivate patient referrals to FEP services, followed by initiation of services within largely clinic-based settings Experience at the Early Diagnosis and Preventive Treatment (EDAPT) FEP specialty program at U.C. Davis in Sacramento has identified two important bottlenecks to reducing DUP, consistent with reports in the literature from other FEP clinics. These are 1) delays in the identification of psychotic symptoms by referral sources, and 2) delays or disruptions of patient engagement in specialty FEP care. Building upon a comprehensive and established referral network of 20 sites across the Sacramento area (schools/universities, ER/inpatient hospitals, outpatient mental health, primary care), the investigators will address delays in patient identification and engagement using a two-phase, cluster randomized design. The investigators will consecutively test the impact of two interventions to reduce DUP, defined in this RFA as time from first onset of psychotic symptoms to engagement in FEP specialty care. To address identification delays, the investigators will examine the use of standard targeted provider education plus novel technology-enhanced screening compared to standard targeted provider education alone, testing the hypothesis that the education plus technology-enhanced screening will identify more patients, earlier in their illness. To address engagement delays, the investigators will compare the use of a mobile community-based, telepsychiatry-enhanced engagement team to standard clinic-based procedures for intake, engagement and initiation of treatment, to test the hypothesis that the mobile approach facilitates earlier and more stable engagement, thereby reducing DUP. The proposed work will provide new specific evidence-based practices for reducing DUP and improving outcomes through specialty care of individuals with a first episode of psychosis.

Official Title

Reducing Duration of Untreated Psychosis Through Rapid Identification and Engagement

Keywords

Psychotic Disorders Mental Disorders Electronic Screen + Education (Phase 1) Targeted Provider Education (Phase 1) Community Mobile Engagement (Phase 2) Clinic based Engagement (Phase 2)

Eligibility

You can join if…

Open to people ages 12-30

Meet DSM-IV criteria for a diagnosis of affective or nonaffective psychosis.

You CAN'T join if...

  1. Duration of psychosis > 2 years
  2. Current substance dependence
  3. Neurological illness or injury leading to psychotic symptoms
  4. Only substance induced psychotic symptoms
  5. Documented IQ < 70
  6. Lack of English fluency

Location

  • University of California Davis Early Diagnosis and Preventative Treatment (EDAPT) Clinic accepting new patients
    Sacramento California 95817 United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, Davis
Links
UC Davis Early Psychosis Programs
Sign up for this study
ID
NCT02841956
Study Type
Interventional
Last Updated