Summary

Eligibility
for people ages 15-35 (full criteria)
Location
at Sylmar, California and other locations
Dates
study started
completion around

Description

Summary

This study will compare a 12-session behavioral activation (BA) intervention modified for first-episode psychosis (FEP) to usual community mental health care (i.e., treatment-as-usual; TAU) delivered over 6 months with a sample of Latinos with FEP and their families. Comparable family group sessions will also be delivered to participants in both conditions. It is expected that BA participants will show better engagement than TAU participants.

Official Title

Optimizing Engagement in Services for First-Episode Psychosis (FEP) in the Community Mental Health Setting

Details

After an initial pre-screen, screening, and pre-intervention assessment, enrolled participants will be randomized to either BA or TAU. The study intervention phase will last up to 6 months, during which time BA participants will receive up to 12 one-on-one BA sessions and TAU participants will receive the usual care (e.g., medication management and any other service [e.g., group counseling]). Participants will be assessed at post-intervention, 1-month-post-intervention, and 6-month-post-intervention. The primary objective of aim 1 is to examine whether BA for FEP improves engagement in services better than TAU among Latinos with FEP and their families. Secondary objectives of aim 1 are to examine whether BA participants show greater improvements in quality of life, symptoms (e.g., psychosis, depression), functioning, and recovery compared to TAU participants, and whether BA participants have greater remission rates than the TAU group at 1- and 6-month post-intervention. Additionally, the association between potential BA mediators and engagement will be examined to identify mechanisms of engagement. Potential predictors of engagement will also be examined.

Keywords

Engagement, Patient, First Episode Psychosis, Behavioral Activation, Engagement, Latinx, Psychotic Disorders, Mental Disorders, Behavioral Activation for First Episode Psychosis

Eligibility

You can join if…

Open to people ages 15-35

  • Self-identification as Latino
  • Age 15 to 35
  • Diagnostic & Statistical Manual of Mental Disorders-5 diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, other specified schizophrenia spectrum, affective psychosis, and other psychotic disorder criteria
  • Ability to speak English or Spanish
  • Caregiver willing to consent to participate in the study and care
  • Ability to provide fully informed consent

You CAN'T join if...

  • Diagnosis of psychotic disorder due to another medical condition or substance/medication-induced psychotic disorder
  • Presence of a serious medical condition
  • 3≤ years after the onset

Locations

  • Olive View - UCLA Medical Center accepting new patients
    Sylmar California 91342 United States
  • San Fernando Mental Health Center accepting new patients
    Granada Hills California 91344 United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
California State University, San Bernardino
ID
NCT05310838
Study Type
Interventional
Participants
Expecting 58 study participants
Last Updated