A coordinated specialty care program reduced hospitalizations and improved rates of education and employment for individuals with first episode psychosis.

Background

Although the number of coordinated specialty care programs has grown in recent years, evaluations of these programs at the state level are limited. Individuals with first episode psychosis who engage in coordinated specialty care, a form of early intervention and treatment, are more likely to have a better quality of life, along with reductions in hospitalizations and substance use. This study measured outcomes of OnTrackNY, New York State’s coordinated specialty care program, on symptoms of psychosis, engagement in school or work, and hospitalizations, among other outcomes.

Findings

Over 300 individuals referred to OnTrackNY by themselves, family members, or behavioral health providers were assessed before and during the first year of treatment. Participation in work or school increased from 40% to 80% within the first six months of treatment, and hospitalization decreased from 70% to 10% in the first three months. Other improvements observed included social functioning and symptom management.

Program/Policy Takeaways

A statewide coordinated specialty care program was associated with improved clinical and functional outcomes for individuals with first episode psychosis. Findings from this study can help support state behavioral health systems considering similar evaluations or program investments, including those supported through Community Mental Health Block Grant funds.