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Leaving the OnTrackNY Program Early

Leaving the OnTrackNY Program Early

Publication & project summaries

Predictors of early discharge from early intervention services for psychosis in New York state

View PDF version   |   Read the full study
 


Amplify OnTrackNY publication summaries summarize peer-reviewed publications focused on quality improvement or research conducted to help us learn & improve the program.


Study snapshot

Some people leave the program before the end date. It is important for OnTrackNY teams, families, and participants to know why this happens. This study explores why participants may leave the OnTrackNY program before their expected end date.1  

This study asks:

What are the factors associated with leaving the OnTrackNY program, which is typically 2 years long, within the first 12 months after enrollment?


Data comes from team reports on participant background characteristics, medication use, drug or alcohol use, social support systems, and housing. The average age of individuals was 21 years old. Males made up 73% of the sample.

 

Figure 1: Who participated in this study?

Pie chart showing racial breakout of study participants
This study was based on data from 1349 diverse OnTrackNY participants enrolled over a five year period (from October 2013 to October 2018).


Study findings

Finding 1. Participants who did not take their medication as prescribed, did not have health insurance, used cannabis, resided alone or with non- parental family, and those with greater ability to perform work and school-related tasks, were at higher risk of leaving OnTrackNY within the first 12 months.

Finding 2. Those with a greater ability to maintain personal relationships were at lower risk of leaving the program earlier than expected.

 

Figure 2: Percent of people who left the OnTrackNY program before 2 years & characteristics associated with leaving the program early
Bar graph showing percent of people who left the OnTrackNY program before 2 years & characteristics associated with leaving the program early


Final thoughts

This study can help teams and families be more aware of what may influence people to leave the OnTrackNY program. Future studies should seek new ways for participants to remain engaged and complete the OnTrackNY program.


References

1. Mascay ano F, van der Ven E, Martinez-Ales G, Basaraba C, Jones N, Lee R, Bello I, Nossel I, Smith S, Smith TE, Wall M, Susser E, Dixon LB. Predictors of Early Discharge From Early Intervention Services for Psychosis in New York State. Psychiatric Services. 2020 Nov 1;71(11):1151-1157. doi: 10.1176/appi.ps.202000025. PMID: 32933413; PMCID: PMC8237377.
 

 

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OnTrackNY would not be possible without the support of our partners:

New York State Psychiatric Institute
New York State Office of Mental Health
Research Foundation for Mental Hygiene, Inc.
Center for Practice Innovations
Columbia University Department of Psychiatry