{"id":"https://openalex.org/W3028069033","doi":"https://doi.org/10.1093/schbul/sbaa031.307","title":"S241. FACTORS ASSOCIATED WITH EARLY RISK OF DISENGAGEMENT FROM EARLY PSYCHOSIS INTERVENTION SERVICES","display_name":"S241. FACTORS ASSOCIATED WITH EARLY RISK OF DISENGAGEMENT FROM EARLY PSYCHOSIS INTERVENTION SERVICES","publication_year":2020,"publication_date":"2020-04-01","ids":{"openalex":"https://openalex.org/W3028069033","doi":"https://doi.org/10.1093/schbul/sbaa031.307","mag":"3028069033"},"language":"en","primary_location":{"id":"doi:10.1093/schbul/sbaa031.307","doi":"https://doi.org/10.1093/schbul/sbaa031.307","is_oa":true,"landing_page_url":"https://doi.org/10.1093/schbul/sbaa031.307","pdf_url":"https://academic.oup.com/schizophreniabulletin/article-pdf/46/Supplement_1/S130/33288987/sbaa031.307.pdf","source":{"id":"https://openalex.org/S117485531","display_name":"Schizophrenia Bulletin","issn_l":"0586-7614","issn":["0586-7614","1745-1701","1745-1707"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophrenia Bulletin","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/schizophreniabulletin/article-pdf/46/Supplement_1/S130/33288987/sbaa031.307.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051102154","display_name":"Nicole Kozloff","orcid":"https://orcid.org/0000-0003-1389-1351","observed_orcids":["https://orcid.org/0000-0003-1389-1351"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Nicole Kozloff","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082357914","display_name":"Aristotle N. Voineskos","orcid":"https://orcid.org/0000-0003-0156-0395","observed_orcids":["https://orcid.org/0000-0003-0156-0395"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Aristotle Voineskos","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052767093","display_name":"George Foussias","orcid":"https://orcid.org/0000-0001-6220-519X","observed_orcids":["https://orcid.org/0000-0001-6220-519X"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"George Foussias","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009130323","display_name":"Alexia Polillo","orcid":"https://orcid.org/0000-0003-0329-350X","observed_orcids":["https://orcid.org/0000-0003-0329-350X"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Alexia Polillo","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045192255","display_name":"Sean A. Kidd","orcid":"https://orcid.org/0000-0002-2435-786X","observed_orcids":["https://orcid.org/0000-0002-2435-786X"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Sean Kidd","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088068936","display_name":"Sarah Bromley","orcid":"https://orcid.org/0000-0002-7950-2008","observed_orcids":["https://orcid.org/0000-0002-7950-2008"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Sarah Bromley","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081108814","display_name":"Sophie Soklaridis","orcid":"https://orcid.org/0000-0001-5119-8473","observed_orcids":["https://orcid.org/0000-0001-5119-8473"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Sophie Soklaridis","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029561619","display_name":"Vicky Stergiopoulos","orcid":"https://orcid.org/0000-0003-3941-9434","observed_orcids":["https://orcid.org/0000-0003-3941-9434"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Vicky Stergiopoulos","raw_affiliation_strings":["Centre for Addiction and Mental Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health","institution_ids":["https://openalex.org/I1338135719"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1338135719"],"apc_list":{"value":4981,"currency":"USD","value_usd":4981},"apc_paid":{"value":4981,"currency":"USD","value_usd":4981},"fwci":0.1601,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.49427725,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"46","issue":"Supplement_1","first_page":"S130","last_page":"S131"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.8237000107765198,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.8237000107765198,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.08579999953508377,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.06440000236034393,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/early-intervention-in-psychosis","display_name":"early intervention in psychosis","score":0.9789999723434448},{"id":"https://openalex.org/keywords/service-disengagement","display_name":"service disengagement","score":0.8840000033378601}],"concepts":[{"id":"https://openalex.org/C25740722","wikidata":"https://www.wikidata.org/wiki/Q3044915","display_name":"Disengagement theory","level":2,"score":0.8873281478881836},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.7093267440795898},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5769570469856262},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5620147585868835},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.49919819831848145},{"id":"https://openalex.org/C2779727114","wikidata":"https://www.wikidata.org/wiki/Q170082","display_name":"Psychosis","level":2,"score":0.4773978292942047},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.4541459083557129},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4481564462184906},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.40188974142074585},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.29680392146110535},{"id":"https://openalex.org/C19165224","wikidata":"https://www.wikidata.org/wiki/Q23404","display_name":"Anthropology","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/schbul/sbaa031.307","doi":"https://doi.org/10.1093/schbul/sbaa031.307","is_oa":true,"landing_page_url":"https://doi.org/10.1093/schbul/sbaa031.307","pdf_url":"https://academic.oup.com/schizophreniabulletin/article-pdf/46/Supplement_1/S130/33288987/sbaa031.307.pdf","source":{"id":"https://openalex.org/S117485531","display_name":"Schizophrenia Bulletin","issn_l":"0586-7614","issn":["0586-7614","1745-1701","1745-1707"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophrenia Bulletin","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7233969","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7233969","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Schizophr Bull","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/schbul/sbaa031.307","doi":"https://doi.org/10.1093/schbul/sbaa031.307","is_oa":true,"landing_page_url":"https://doi.org/10.1093/schbul/sbaa031.307","pdf_url":"https://academic.oup.com/schizophreniabulletin/article-pdf/46/Supplement_1/S130/33288987/sbaa031.307.pdf","source":{"id":"https://openalex.org/S117485531","display_name":"Schizophrenia Bulletin","issn_l":"0586-7614","issn":["0586-7614","1745-1701","1745-1707"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophrenia Bulletin","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.4000000059604645,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"score":0.8299999833106995,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3028069033.pdf","grobid_xml":"https://content.openalex.org/works/W3028069033.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1972460078","https://openalex.org/W3111546938","https://openalex.org/W2742980973","https://openalex.org/W2079720905","https://openalex.org/W2979654362","https://openalex.org/W1985909264","https://openalex.org/W74969632","https://openalex.org/W2948031254","https://openalex.org/W2372524632","https://openalex.org/W2109637762"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Despite":[2],"the":[3,202,209,256,282,309,382],"body":[4],"of":[5,21,34,39,49,71,80,116,131,163,168,172,189,223,235,258,296,323,352,366,386,408,425,467],"evidence":[6],"supporting":[7],"early":[8,114,409,472],"psychosis":[9,25],"intervention":[10],"(EPI)":[11],"programs":[12],"for":[13,106,135,378,434,480],"young":[14,463],"people":[15,464],"with":[16,23,55,230,244,261,350,363,422,441,451],"psychotic":[17],"disorders,":[18],"approximately":[19],"30%":[20],"individuals":[22,229,243],"first-episode":[24],"disengage":[26],"from":[27,150,469],"care.":[28,249,339],"To":[29],"date,":[30],"two":[31],"factors,":[32,381],"lack":[33],"family":[35,245,335,369],"involvement":[36,246],"and":[37,76,87,191,237,240,265,331,388,394],"presence":[38],"a":[40,127,138,147,187,269,320],"substance":[41,232,329,346,390,418],"use":[42,347,391,419],"disorder,":[43],"have":[44,64],"emerged":[45],"as":[46,74,175,292,315],"robust":[47],"predictors":[48,115,263],"EPI":[50,98,122,141,279,414,470],"disengagement.":[51,109,442],"Several":[52],"factors":[53,436,450,457],"associated":[54,260,349,421,440],"service":[56,108],"disengagement":[57,117,224,259,297,353,387,410,468],"in":[58,68,89,119,137,143,146,158,228,242,247,268,281,337,411,473,475],"mental":[59],"health":[60],"care":[61,474],"more":[62],"broadly":[63],"not":[65,430],"been":[66,92],"well-studied":[67],"EPI;":[69],"some":[70],"these,":[72],"such":[73],"homelessness":[75],"ethnicity,":[77],"may":[78,103,445,458],"be":[79,226,439,446,459],"particular":[81,90],"importance":[82],"to":[83,94,112,254,278,438,448,461,477],"urban,":[84],"multicultural":[85],"populations,":[86],"ethnicity":[88],"has":[91],"shown":[93],"affect":[95],"pathways":[96],"into":[97],"services.":[99],"Early":[100],"missed":[101,177,301],"appointments":[102],"signal":[104],"risk":[105,118,171,222,295,351,385,466],"subsequent":[107,206],"We":[110,125,250],"sought":[111],"identify":[113,449,462],"an":[120,412,427],"urban":[121,140,413],"program.":[123],"Methods":[124],"conducted":[126],"prospective":[128],"chart":[129],"review":[130],"consecutive":[132],"patients":[133,274],"accepted":[134],"services":[136,280,471],"large,":[139],"program":[142],"Toronto,":[144],"Canada":[145],"3-month":[148,283],"period":[149],"July":[151],"4-October":[152],"3,":[153],"2018.":[154],"Patients":[155],"were":[156,275,290,361],"observed":[157],"their":[159,248,338],"first":[160,203],"3":[161],"months":[162],"treatment.":[164],"The":[165,194],"primary":[166],"outcome":[167],"interest":[169],"was":[170,213,348,392,420],"disengagement,":[173],"defined":[174],"having":[176,300],"at":[178,294,302,465],"least":[179,303],"1":[180,304],"appointment":[181,305],"without":[182,306],"cancellation.":[183,307],"Extracted":[184],"data":[185,199],"included":[186],"variety":[188],"demographic":[190],"clinical":[192],"information.":[193],"principal":[195],"investigator":[196],"trained":[197],"2":[198],"abstractors":[200],"on":[201,208,216,299],"50":[204],"charts;":[205],"agreement":[207],"next":[210],"5":[211],"charts":[212],"88%.":[214],"Based":[215],"previous":[217],"literature,":[218],"we":[219,376,432],"hypothesized":[220],"that":[221],"would":[225],"increased":[227,423,481],"problem":[231,328,345,389,417],"use,":[233,330],"experiences":[234],"homelessness,":[236,324,367],"nonwhite":[238],"race/ethnicity":[239],"decreased":[241],"used":[251,460],"logistic":[252,342,373],"regression":[253],"examine":[255],"odds":[257,424],"univariate":[262,341],"individually,":[264],"then":[266],"together":[267],"multivariate":[270,372],"model.":[271],"Results":[272],"Seventy-three":[273],"consecutively":[276],"admitted":[277],"period.":[284],"Of":[285],"these":[286,379],"individuals,":[287],"59%":[288],"(N=43)":[289],"identified":[291,314,362],"being":[293],"based":[298],"In":[308,340,371,404],"full":[310],"sample,":[311],"71%":[312],"(N=52)":[313],"nonwhite,":[316],"23%":[317],"(N=17)":[318],"had":[319,327,334],"documented":[321],"experience":[322,365],"52%":[325],"(N=38)":[326],"73%":[332],"(N=53)":[333],"involved":[336],"regression,":[343,374],"only":[344,416],"(OR=2.91,":[354],"95%":[355,400],"CI":[356,401],"1.11\u20137.66);":[357],"no":[358,395],"significant":[359,398],"associations":[360],"race/ethnicity,":[364],"or":[368],"involvement.":[370],"once":[375],"controlled":[377,433],"other":[380,435],"association":[383],"between":[384],"attenuated":[393],"longer":[396],"statistically":[397],"(OR=2.15,":[399],"0.77\u20135.97).":[402],"Discussion":[403],"this":[405],"small":[406,452],"study":[407],"program,":[415],"missing":[426],"appointment,":[428],"but":[429,453],"when":[431],"thought":[437],"Larger":[443],"studies":[444],"required":[447],"important":[454],"effects.":[455],"These":[456],"order":[476],"target":[478],"them":[479],"engagement":[482],"efforts.":[483]},"counts_by_year":[{"year":2021,"cited_by_count":1}],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2025-10-10T00:00:00"}