Reducing the Time to Start Treatment for First Episode Psychosis through Screenings and Clearer Information
Official title: Early Stage Identification and Engagement to Reduce the Duration of Untreated Psychosis: Evaluating the Impact of Screening and Systematic Communication
Run by Icahn School of Medicine at Mount Sinai · NCT05509998 · Data updated 2026-11-12
This study tests whether a systematic screening approach plus a clear communication model (ComPsych) can shorten the time from onset to specialty care for people at high risk or experiencing first episode psychosis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 12 Years to 30 Years |
| Sex | All |
| Enrollment | 912 (estimated) |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | May 1, 2023 |
| Main results expected | April 30, 2027 |
| Study ends | April 30, 2027 |
| Registry record updated | September 18, 2026 |
| Trial ID | NCT05509998 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are youths aged 12–30 who are help-seeking, English or Spanish speaking, and without a prior diagnosis of schizophrenia-spectrum disorders.
✕Probably not a fit
Individuals already engaged in ongoing specialized services or those with long-standing diagnosed psychosis may see limited or no direct benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial uses a stepped-wedge cluster randomized design to compare two approaches: a systematic screening method (SM) and a systematic screening method enhanced with a communication model (SCM). The goal is to see if SCM helps more patients start specialty services sooner and reduces the duration of untreated psychosis (DUP) in youth and young adults at risk or experiencing first episode psychosis. Participants aged 12–30 are screened in clinical settings, with those who screen positive undergo further assessment and potential rapid referral to Coordinated Specialty Care. The study adapts a Dutch screening approach to a U.S. setting within Mount Sinai Health System, and includes qualitative work to understand barriers and facilitators to timely engagement.
Why it matters
Potential benefit: If successful, SCM could shorten DUP and speed access to specialized care, potentially improving functional outcomes for youth with FEP or CHR.
How similar studies have gone: Prior Netherlands work showed screening improves identification of CHR and FEP; this U.S. adaptation aims to replicate and extend those findings.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * age 12- 30 * ability to participate in assessments in English or Spanish * ability to provide informed consent (assent for those under age 18) Exclusion Criteria: * previous diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, or delusional disorder.
Where it's running
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Icahn School of Medicine at Mount Sinai
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Yulia Landa, PsyD, MS — Icahn School of Medicine at Mount Sinai
- Study coordinator: Yulia Landa, PsyD, MS
- Email: yulia.landa@mssm.edu
- Phone: 212-585-4658
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.