Date of Award

January 2012

Document Type

Open Access Thesis

Degree Name

Medical Doctor (MD)

Department

Medicine

First Advisor

Vinod Srihari

Subject Area(s)

Mental health

Abstract

The current study aims to assess baseline variables which may predict disengagement from care among patients with psychosis seeking treatment at an early intervention clinic in the United States. Based on literature published at sites outside the United States, we predict that duration of untreated psychosis, global assessment of functioning, forensic history, family contact, and substance abuse are predictive of disengagement during the first year of outpatient treatment. Patients were grouped according to whether or not they disengaged from care in a one year follow-up, and compared them on the above discrete and continuous variables with chi-square analysis and Student‟s t-tests, respectively. Although none of the statistical tests reached significance, data trends suggest that longer duration of untreated psychosis, lower global assessment of functioning, forensic history, substance abuse, and less family contact may be associated with disengagement from care.

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