Full Program »
111. Factors Associated with Engagement in Group Treatment at an Early Psychosis Coordinated Specialty Care Clinic
Group treatment is an integral component of coordinated specialty care (CSC) for individuals with first episode psychosis (FEP) or at clinical high risk for psychosis (CHR). Group engagement research in early psychosis is limited, with more focus given to medication and therapy adherence. Understanding factors that influence group engagement could help us address barriers to this vital component of CSC.
Data included clinician-rated baseline measures for clients in CSC including demographics, symptoms, functioning, and insight (N=42; 35.7% Caucasian; 47.6% male; mean age 18.29±4.82). Group engagement in first year of treatment was gathered through retrospective chart review (engaged clients=6+ groups attended; not engaged=0-5 groups attended).
We hypothesized that older age, better insight, lower functioning, higher positive symptoms, and lower negative symptoms at baseline would relate to greater group engagement in the first year of treatment.
Preliminary results indicate older age (p=0.001) and lower role functioning (p=0.015) relate to greater engagement. FEP were more engaged than CHR (p=0.038). No effect was found for positive or negative symptoms, social functioning, or insight (p>0.05). This could suggest that older FEP individuals, and those not working, may be more available to attend groups.
Future analyses will examine elements related to engagement in other CSC components.