Coordinated Specialty Care for Psychosis

(AC-EPINET Trial)

This trial explores two methods of delivering Coordinated Specialty Care (CSC) for individuals with psychosis. One group receives care in a clinic, while the other receives care through telehealth (online or phone-based services). The trial aims to determine which method better engages patients and improves their health outcomes over 12 months. Individuals who have experienced a non-affective or affective psychotic disorder (such as schizophrenia or bipolar disorder with psychotic features) within the last five years and can attend one of six specific clinical programs may be suitable candidates. As an unphased trial, this study provides a unique opportunity to contribute to innovative care methods for psychosis.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research shows that Coordinated Specialty Care (CSC) is a safe and effective early treatment for individuals experiencing their first episode of psychosis. Studies have found that CSC reduces hospital visits and enhances success in school and work. It also alleviates symptoms and improves overall well-being.

This trial tests a telehealth version of CSC, which gained popularity during the pandemic. Research on telehealth CSC suggests it can be effective and implemented successfully. Although specific safety details for the telehealth version are not highlighted, the traditional CSC model is known for its safety, indicating the telehealth version is likely safe as well.

Researchers are excited about the Coordinated Specialty Care (CSC) approaches for psychosis because they offer innovative ways to deliver mental health treatment. Unlike traditional in-person methods, the CSC-TH arm utilizes telehealth to provide care, making it more accessible for people who might struggle to get to a clinic. This could be a game-changer for those in remote areas or with transportation challenges. Both CSC models aim to offer a comprehensive treatment plan that integrates various services, potentially leading to more effective management of psychosis symptoms compared to conventional options.

Studies have shown that Coordinated Specialty Care (CSC) effectively supports individuals experiencing their first episode of psychosis. Research indicates that CSC can reduce hospital visits, improve job and school success, and decrease symptoms. In this trial, participants will receive either the standard clinic-based CSC model (CSC-SD) or the telehealth-based CSC model (CSC-TH). CSC-TH, the online version, offers the same benefits but is delivered over the internet, making access to care more convenient. Both standard CSC and CSC-TH aim to help individuals live healthier, more stable lives.¹³⁶⁷⁸