Recent violence and legal involvement among young adults with early psychosis enrolled in Coordinated Specialty Care

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

Study snapshot

This study explores the demographic factors associated with reports of violent behavior and legal involvement among OnTrackNY participants.¹  

This study asks:

1. How common are recent thoughts of violence or violent behavior before starting treatment? What factors are associated with these behaviors?
2. How common is recent legal involvement, before starting treatment? What factors are associated with legal involvement?

All data collected are from team member reports collected at admission to the program and every three months after. This study is based on 373 diverse OnTrackNY participants, enrolled between October 2013 and August 2016. The average age of these individuals was 21 years and 73% identify as male. 54% had completed at least some college, 28% completed less than high school, and 18% had a high school education or GED.

Figure 1: Who participated in this study?

This study is based on 373 diverse OnTrackNY participants.

Study findings

Finding 1. Most young adults first entering treatment at OnTrackNY are not at risk of violence.

Finding 2. About 25% of participants had either recent violent thoughts or behavior at program enrollment. These participants had less formal education, were less likely to be working, and were more likely to report cannabis use.

Finding 3. Nearly 10% of individuals had recent legal involvement. These participants were more likely to be male and more likely to report alcohol, cannabis, or other drug use.

Final thoughts

OnTrackNY participants have a small risk of being violent or having legal involvement. Still, interventions are needed to help reduce the risk of violent thoughts or behaviors among participants. Future studies should seek to use standardized tools to identify and assess violence risk and violent behavior in order to intervene and support these young people.

References

1. Rolin S.A., Marino L.A., Pope L.G., Compton M.T., Lee R.J., Rosenfeld B, Rotter M, Nossel I, Dixon L. Recent violence and legal involvement among young adults with early psychosis enrolled in Coordinated Specialty Care. Early Intervention in Psychiatry. 2019 Aug;13(4):832-840. doi: 10.1111/eip.12675. Epub 2018 May 9. PMID: 29740953; PMCID: PMC6226380.
 

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