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Characteristics Associated with Engagement in the Early Detection Cascade of Care for Psychosis at a College Counseling Center
Journal article   Open access   Peer reviewed

Characteristics Associated with Engagement in the Early Detection Cascade of Care for Psychosis at a College Counseling Center

Sam A Barans, Justine L. Saavedra, David T. Lardier, Mauricio Tohen, Rhoshel K. Lenroot, Juan Bustillo, Dawn Halperin, Bess Friedman, Rachel Loewy, Cristina Murray-Krezan, …
Community mental health journal
05 Jan 2025
PMID: 39757309
Featured in Collection :   Research Supported by Drexel Libraries' OA Programs
url
https://doi.org/10.1007/s10597-024-01430-zView
Published, Version of Record (VoR)Open Access via Drexel Libraries Read and Publish Program 2024CC BY V4.0 Open

Abstract

Cascade College Early Detection Engagement College Students Psychology Psychosis
Using the Cascade of Care framework, we explored the demographic and clinical characteristics of students at six stages in an early psychosis detection program at a college counseling center, with a focus on the transition between stages with the highest disengagement. We detailed and compared the demographic and clinical characteristics of those who (1) completed the Prodromal Questionnaire-Brief (PQ-B, N = 1588); (2) met the PQ-B cutoff score (n = 486); (3) were referred for secondary phone screening (n = 404); (4) completed secondary phone screening (n = 198); (5) completed a Coordinated Specialty Care (CSC) eligibility assessment (n = 51); and (6) were enrolled in CSC (n = 21). Education level and gender identity were associated with engagement at multiple stages of the early detection cascade. Graduate education level, transgender or gender diverse gender identity, alcohol use, and depressive symptoms predicted student follow-through with referral to secondary phone screenings.

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Policy & Services
Psychiatry
Public, Environmental & Occupational Health
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