Hub-Based Engagement Navigator Service to Reduce CSC Disengagement

Conditions

• Disengagement

Eligibility Criteria

Sex

ALL

Age

13 Years - 35 Years

Healthy Volunteers

Not accepted

Interventions

• Engagement Navigator Service (ENS) — OTHER
  ENS will be a centralized service, staffed by dedicated professional to (1) receive and organize referrals, (2) complete ongoing specialized training in engagement science and evidence-based strategies, (3) provide unbiased support when participants' and/or families' relationships with a CSC program are poor, (4) re-engage participants in CSC or actively connect them with other services if preferred, and (5) continue contact with those who refuse treatment in case they reconsider.

Study Details

This project will develop a hub-based engagement navigator service for participants and families at high risk for disengagement. The investigators will use robust Participatory Research methods to ensure integration of Coordinated Specialty Care (CSC) program staff, participants, and family members in developing all aspects of and materials for the service, conduct feasibility/acceptability testing in three CSC programs, and use this information to guide refinements. This will be followed by a mixed methods hub wide evaluation using a hybrid type I open cohort stepped wedge design to examine feasibility, acceptability, and effectiveness to improve disengagement outcomes and address target mechanisms.

Key Dates

Start date

Feb 2, 2026

Status verified

May 2026

Primary completion

Jul 31, 2029

Completion

Jul 31, 2029

Study Design

Enrollment

555 participants (estimated)

Allocation

RANDOMIZED

Intervention model

SEQUENTIAL

Primary purpose

PREVENTION

Arms

• Experimental: Engagement Navigator Service (ENS)
  ENS will be a centralized service, staffed by dedicated professional to (1) receive and organize referrals, (2) complete ongoing specialized training in engagement science and evidence-based strategies, (3) provide unbiased support when participants' and/or families' relationships with a CSC program are poor, (4) re-engage participants in CSC or actively connect them with other services if preferred, and (5) continue contact with those who refuse treatment in case they reconsider.
• No Intervention: No ENS
  Those who do not participate in ENS will comprise the no intervention arm.

Primary Outcome Measure

Rate of discharge [ Time Frame: From enrollment to end of treatment at 2 years ]

Central Contacts

• Melanie Bennett
  4107060892
  [email protected]
• Brian Brandler
  [email protected]

Locations (1)

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