Enhanced Coordinated Specialty Care for Early Psychosis

Cluster Randomized Trial of Enhanced Coordinated Specialty Care (CSC 2.0) for Early Psychosis

The goal of this clinical trial is to compare engagement in treatment in coordinated specialty care (CSC) to five extra care elements (CSC 2.0) in first-episode psychosis. The main question it aims to answer is:

• Does the addition of certain elements of care increase the number of visits in treatment for first-episode psychosis?

Participants will either:

• Receive care as usual (CSC) or

• Receive care as usual (CSC) plus five additional care elements (CSC 2.0):

  1. Individual peer support
  2. Digital outreach
  3. Care coordination
  4. Multi-family group therapy
  5. Cognitive remediation

Researchers will compare the standard of care (CSC) to CSC 2.0 to see if participants receiving CSC 2.0 have more visits to their clinic in their first year.

Inclusion Criteria:

• People undergoing an intake evaluation to CSC for first-episode psychosis in one of the following outpatient clinics:
• McLean Hospital OnTrack (OnTrack Clinic)
• Massachusetts General Hospital (FEPP Clinic)
• Boston Medical Center (WRAP Clinic)
• Cambridge Health Alliance (RISE Clinic)
• UMass Memorial Health Care (STEP Clinic)
• ServiceNet (PREP West)

Exclusion Criteria:

• None