The State-wide Roll Out and Initial Positive Outcomes of New York State’s FEP Program: OnTrackNY
Poster A76, Thursday, October 20, 11:30 am - 1:00 pm, Le Baron
Lisa Dixon1,2, Leslie Marino1,2, Liza Watkins1, Lloyd Sederer3, Iruma Bello1,2, Susan Essock1,2, Thomas Smith2, Rufina Lee4, Jennifer Scodes5, Melanie Wall6,7, Michael Birnbaum8; 1New York State Psychiatric Institute, 2Columbia University College of Physcians and Surgeons, 3New York State Office of Mental Health, 4Silberman School of Social Work, 5Departments of Biostatistics and Psychiatry at Columbia University, 6Division of Biostatistics, New York State Psychiatric Institute, 7Division of Biostatistics, Research Foundation of Mental Hygiene, 8Zucker Hillside Hospital, Northwell Health
Purpose: This presentation describes early outcomes for clients participating in OnTrackNY, a Coordinated Specialty Care intervention for young adults experiencing early psychosis being scaled up in New York. Materials and Methods: OnTrackNY sites report service and outcome data quarterly for all enrolled clients. These analyses included the first 101 (of 321) individuals admitted to OnTrackNY who had baseline and follow-up assessments at 3 and 6 months. Using longitudinal multivariable models, we examined demographic and baseline clinical predictors of outcomes including work or school participation, psychiatric hospitalization, and MIRECC GAF occupational functioning, social functioning, and symptoms scores. Results: Each outcome improved significantly from baseline to six months (p<.01). Being female (29%) was associated with greater improvement in GAF social (p<.01) and occupational (p<.01) scores and greater likelihood of being employed or enrolled in school (p<.01). Violent ideation or behavior at baseline (27%) was associated with worsening GAF social (p<.05) and occupational (p<.05) functioning and symptom scores (p<.01) and higher odds of hospitalization (p<.05) over time. In contrast, suicidality at baseline (23%) predicted improvement in GAF social (p<.01) and occupation (p<.01) functioning and being employed or in school (p<.05). Conclusions: OnTrackNY appears to be successful in improving outcomes for young individuals with early non-affective psychosis in the US and provides an example of how to disseminate early intervention services in the complex US service environment. Identification of risk and protective factors for improved outcomes will help shape intervention strategies. Baseline suicidality may be a proxy for factors associated with better prognosis.
Topic Area: First Episode Psychosis