PMID- 29759055 OWN - NLM STAT- MEDLINE DCOM- 20190916 LR - 20191210 IS - 1557-9700 (Electronic) IS - 1075-2730 (Linking) VI - 69 IP - 8 DP - 2018 Aug 1 TI - Results of a Coordinated Specialty Care Program for Early Psychosis and Predictors of Outcomes. PG - 863-870 LID - 10.1176/appi.ps.201700436 [doi] AB - OBJECTIVE: This study prospectively evaluated outcomes of OnTrackNY, a statewide coordinated specialty care (CSC) program for treatment of early psychosis in community settings, as well as predictors of outcomes. METHODS: The sample included 325 individuals ages 16-30 with recent-onset nonaffective psychosis who were enrolled in OnTrackNY and who had at least one three-month follow-up. Clinicians provided data at baseline and quarterly up to one year. Domains assessed included demographic and clinical characteristics, social and occupational functioning, medications, suicidality and violence, hospitalization, and time to intervention. Primary outcomes included the symptoms, occupational functioning, and social functioning scales of the Global Assessment of Functioning (GAF), as adapted by the U.S. Department of Veterans Affairs Mental Illness Research, Education and Clinical Center; education and employment status; and psychiatric hospitalization rate. RESULTS: Education and employment rates increased from 40% to 80% by six months, hospitalization rates decreased from 70% to 10% by three months, and improvement in GAF scores continued for 12 months. Female gender, non-Hispanic white race-ethnicity, and more education at baseline predicted better education and employment status at follow-up. CONCLUSIONS: Individuals with early psychosis receiving CSC achieved significant improvements in education and employment and experienced a decrease in hospitalization rate. Demographic variables and baseline education predicted education and employment outcomes. CSC teams should make particular effort to support the occupational goals of individuals at increased risk of not engaging in work or school, including male participants and participants from racial and ethnic minority groups. FAU - Nossel, Ilana AU - Nossel I AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Wall, Melanie M AU - Wall MM AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Scodes, Jennifer AU - Scodes J AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Marino, Leslie A AU - Marino LA AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Zilkha, Sacha AU - Zilkha S AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Bello, Iruma AU - Bello I AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Malinovsky, Igor AU - Malinovsky I AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Lee, Rufina AU - Lee R AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Radigan, Marleen AU - Radigan M AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Smith, Thomas E AU - Smith TE AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Sederer, Lloyd AU - Sederer L AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Gu, Gyojeong AU - Gu G AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. FAU - Dixon, Lisa AU - Dixon L AD - Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Marino, Dr. Zilkha, Dr. Bello, Dr. Malinovsky, and Dr. Dixon are with the New York State Psychiatric Institute, New York. Dr. Nossel, Dr. Wall, Ms. Scodes, Dr. Bello, Dr. Malinovsky, Dr. Smith, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York. Dr. Smith is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Dr. Sederer, and Mr. Gu are affiliated. Dr. Lee is with the Silberman School of Social Work, Hunter College, New York. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20180515 PL - United States TA - Psychiatr Serv JT - Psychiatric services (Washington, D.C.) JID - 9502838 SB - IM CIN - Psychiatr Serv. 2018 Aug 1;69(8):841. PMID: 30066613 MH - Adolescent MH - Adult MH - Early Medical Intervention/*methods MH - Educational Status MH - Employment MH - Evidence-Based Medicine/*methods MH - Female MH - Hospitalization/*statistics & numerical data MH - Humans MH - Male MH - New York MH - Program Development MH - Program Evaluation MH - Prospective Studies MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*therapy MH - Severity of Illness Index MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Community mental health services OT - Schizophrenia OT - Young adults with CMI EDAT- 2018/05/16 06:00 MHDA- 2019/09/17 06:00 CRDT- 2018/05/16 06:00 PHST- 2018/05/16 06:00 [pubmed] PHST- 2019/09/17 06:00 [medline] PHST- 2018/05/16 06:00 [entrez] AID - 10.1176/appi.ps.201700436 [doi] PST - ppublish SO - Psychiatr Serv. 2018 Aug 1;69(8):863-870. doi: 10.1176/appi.ps.201700436. Epub 2018 May 15.