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N/A N=120 Randomized Treatment

Specialized Treatment Early in Psychosis (STEP)

Schizophrenia and Disorders With Psychotic Features

Enrolled (actual)
120
Serious AEs
0.0%
Results posted
Oct 2016
Primary outcome: Primary: Number of Patients Hospitalized — 25; 14 participants — p=0.018

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Cognitive Behavioral Group Therapy (Behavioral); Cognitive remediation (Behavioral); Medications (Drug); MFG (Behavioral); Assertive case management (Behavioral); Treatment as Usual in the community (Other)
Age
Pediatric, Adult · 16+ yrs
Sex
All
Sponsor
Yale University
Primary completion
Aug 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Patients Hospitalized
25; 14 0.018 sig
SECONDARY
Relapse
SECONDARY
Overall Functioning- Global Assessment of Functioning
34.42; 36.22; 20.38; 22.22
SECONDARY
Quality of Life- Heinrich's Quality of Life Scale
59.45; 59.87; -.80; 9.81
SECONDARY
Vocationally Engaged
26; 44 0.002 sig
SECONDARY
Treatment Satisfaction
SECONDARY
Adherence- in Contact With Mental Health Services
33; 39
SECONDARY
Substance Use
SECONDARY
Subjects Who Committed Self-harm and Violence
0; 0
SECONDARY
Medication (Including Metabolic) Side Effects
SECONDARY
Economic Measures Including Service Use, Cost of Care and Forensic Data.
12157.46; 7625.22

Summary

The purpose of this study is to understand the effectiveness of a specialized package of phase-specific treatments for individuals in the midst of their first episode of psychosis. The pharmacologic and psychosocial treatments will be delivered within a state public mental health center.

Eligibility Criteria

Inclusion Criteria

  • Age 16-45
  • Meets DSM-IV schizophrenia spectrum psychosis or affective psychosis according to the SCID
  • ≤8 weeks of received antipsychotic treatment lifetime at time of referral
  • Willing to be treated in New Haven

Exclusion Criteria

  • Psychosis believed due to substance use (based on the SCID)
  • Unable or unwilling to give informed consent
  • MR as indicated by receipt of services from Dept of Mental Retardation
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00309452). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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