T255. WHO PARTICIPATED IN FAMILY WORK IN THE US RAISE-ETP FIRST EPISODE SAMPLE?

Abstract

Background: The Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE‐ETP) is a US NIMH‐funded 34 site cluster randomized controlled trial which evaluated the benefits of participation in a multicomponent intervention, entitled NAVIGATE, for first episode psychosis (FEP). Previously, participation in NAVIGATE was reported to yield significant participant benefits, compared to customary care (Kane et al, 2016). NAVIGATE included tailored medication, individual resiliency training, family education, and supported education and employment. Here we examine the absolute rate of family engagement in professional support services in the intent to treat sample, as well identify predictors of participation. Methods: A total of 404 individuals between ages 15 and 40 were enrolled. DSM‐IV diagnoses of non‐affective psychosis were included. All participants had experienced only one episode of psychosis, had been prescribed less than 6 months of lifetime psychotic medication, spoke English, and provided informed consent. Participants were offered a minimum of two years of NAVIGATE or customary care (CC). At baseline, participants provided demographic and clinical history information; they were administered the Heinrichs‐Carpenter Quality of Life Scale (QOL) and the Positive and Negative Symptom Scale (PANSS). Site research assistants interviewed participants monthly to capture participation in the four types of NAVIGATE interventions, allowing treatment groups to be compared on receipt of key services. Results: One hundred nineteen of the 404 participants (29.4%) reported their relatives attending five or more family sessions within the first year of randomization (102 families (45.74%) in NAVIGATE; 17 (9.39%) in CC). In a simultaneous logistic regression analysis predicting meeting this five family sessions threshold or not, significant independent predictors (all p