Predictors of Service Engagement and Disengagement in Community-Based Coordinated Specialty Care for Early Psychosis in Texas
Bibliographic Data
| ID | 8909213 |
|---|---|
| Authors | Molly Lopez (0000-0001-9691-2810, corresponding author), Samantha J Reznik (0000-0001-9897-9234, The University of Texas at Austin), James Custer (0000-0001-7196-5297, DELL (United States)), Paul J Rathouz (0000-0001-8380-4300, DELL (United States)) |
| Year | 2025 |
| Volume | 61 |
| Issue | 7 |
| Pages | 1209-1224 |
| Publication date | 2025-05-07 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-025-01468-7 |
| PMID | 40332646 |
| OpenAlex | W4410177211 |
| Language | EN |
| References cited | 62 |
Coordinated specialty care (CSC) is an evidence-based, early intervention approach for individuals with a recent onset of psychosis. This study identifies program and individual characteristics that predict (1) initial engagement in care; (2) the use of peer and family partner services; and (3) time to disengagement. Administrative data representing CSC encounters at 22 community mental health programs were analyzed. Logistic regressions were used to model initial CSC engagement, as well as the use of peer or family partner services, given initial engagement. Cox proportional hazards regression was used to quantify program disengagement, with possible time-varying effects of peer service use. Identified predictors of initial engagement included: race/ethnicity, age, diagnosis, program urbanicity, and program maturity. Identified predictors of disengagement in the first year included: diagnosis, program urbanicity, and program maturity. Peer and family partner services did not significantly predict disengagement. These results suggest equity issues for some individuals, while also highlighting the importance of program characteristics on pathways to care. Future research should include program factors as key predictors for engagement, explore both person-centered and program-centered strategies to maximize engagement, and optimize and examine the role of individual and family peer services in engagement. Such a shift would align with the call to understand pathways to care from a community-level rather than individual lens
Disengagement theory · Health psychology · Psychiatry · Psychosis · Public health · Service (business · Specialty · Child and Adolescent Psychosocial and Emotional Development · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Schizophrenia research and treatment · Gerontology
Modeling Survival Data
Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016
Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis
A simulation study of the number of events per variable in logistic regression analysis
Years of potential life lost and life expectancy in schizophrenia
Peer Support in Mental Health
Reorienting the focus from an individual to a community-level lens to improve the pathways through care for early psychosis in the United States
Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States
Implementing Coordinated Specialty Care for First Episode Psychosis
Ethnoracial Differences in Family Members’ Early Contact with Formal and Informal Resources on the Pathway to Care during the Early Stages of Psychosis
Factors Contributing to Engagement During the Initial Stages of Treatment for Psychosis
| Citation velocity | historical |
|---|---|
| Highly cited | No |