Clinical Interviews With Detainees With Early Psychosis

NCT03962348 | Completed Results DMC

• 2 other identifiers: NYSPI 7771 - 251051R34MH117766
• Study Type: interventional
• Target: 8
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators are studying a jail-based intervention to reduce the duration of untreated psychosis (DUP) among young adults with previously undetected first-episode psychosis who are detained in jail. Longer DUP (or treatment delay) is linked to poorer outcomes in first-episode psychosis and there is evidence that justice-involved young adults with first-episode psychosis have an alarmingly long DUP. Thus, despite the expansion of Coordinated Specialty Care (CSC) programs that improve outcomes through early, multi-component care, there is a need to establish early detection services in the criminal justice system and create pathways from justice involvement to CSC. This intervention offers a novel and potentially high impact approach for reducing DUP in jail settings: a jail-based Specialized Early Engagement Support Service that receives referrals, engages detainees, and serves as a bridge to community-based CSC. The study team will design and implement the intervention, thoroughly study its feasibility and acceptability, and prepare an intervention manual for broader use in diverse jails and future formal research.

Conditions

First-Episode Psychosis

Keywords

Detainees; Early Psychosis

Outcome Measures

Primary Outcomes (2)

• Number of Referrals to Correctional Health Services (CHS)

  This primary measure reports the numbers of referrals of detainees with early psychosis from the Rikers project.

  2 Years

• Number of Referrals to Coordinated Specialty Care (CSC)

  Number individuals found to have first-episode psychosis enrolled in CSC upon release from jail.

  2 years

Study Arms (1)

Specialized Early Engagement Support Service

EXPERIMENTAL

The investigators will implement a Specialized Early Engagement Support Service (SEESS) in the same three jails. The SEESS will increase the likelihood that referred individuals found to have first-episode psychosis enroll in Coordinated Specialty Care upon release.

Behavioral: Specialized Early Engagement Support Service

Interventions

Specialized Early Engagement Support Service BEHAVIORAL

The Specialized Early Engagement Support Service (SEESS - a Social Worker and Peer Specialist) will link detainees with first-episode psychosis (FEP), using tenets of person-centered treatment and shared decision-making, and the Critical Time Intervention model, to community-based Coordinated Specialty Care (CSC).

Specialized Early Engagement Support Service

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Detainees that have been referred by Correctional Health Services as experiencing early-course or first-episode psychosis
• between the ages of 18 and 30 years
• have a Mini-Mental State Examination (MMSE) score of \>23
• have the capacity to provide informed consent for the study
• able to understand and speak English

You may not qualify if:

• children under the age of 18 years

Sponsors & Collaborators

• Columbia University: lead
• Vera Institute of Justice: collaborator
• University of Illinois at Chicago: collaborator
• University of South Florida: collaborator
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

Rikers Island Jails (Anna M. Kross Center, Rose M. Singer Center, and Robert N. Davoren Complex)

East Elmhurst, New York, 11370, United States

Location

MeSH Terms

Conditions

Psychotic Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Limitations and Caveats

This was a very small study, and statistical analyses were therefore not conducted.

Results Point of Contact

• Title: Dr. Michael Compton
• Organization: Columbia University Irving Medical Center

mtc2176@cumc.columbia.edu

646-774-8476

Study Officials

• Michael T Compton, MD, MPH

  Columbia University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Psychiatry

Model Details: Feasibility and Acceptability Study

Study Record Dates

• First Submitted: May 19, 2019
• First Posted: May 24, 2019
• Study Start: January 8, 2020
• Primary Completion: March 2, 2022
• Study Completion: March 2, 2023
• Last Updated: June 22, 2023
• Results First Posted: June 22, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share
• Time Frame: To be determined
• Access Criteria: To be determined

Locations

US (1)