Peer Approaches to Substances in Early Psychosis Programs: A Pilot Study of a Peer-Led Intervention

Completed · Not applicable

Conditions studied: Psychotic Disorders, Substance Use

In brief

The aim of the study is to pilot a peer-provided, manualized intervention to increase the proportion of young people with first episode psychosis who reduce or stop substance use and improve psychiatric and functional outcomes. Coordinated specialty care teams will be randomly assigned to implement the intervention, Peer Approaches to Substances in Early Psychosis Programs (PAS-EPP), or usual care. The pilot study aims to: (a) determine if peer providers can implement PAS-EPP with adequate fidelity; (b) determine if youth and young adults engage in the intervention with peer providers and find it acceptable; (c) estimate the rates of drop-out for each of the two study arms; (d) estimate both between-participant (within-provider team) and between-team variability on key outcome measures; and (e) identify any changes needed to the intervention approach, manual, or training materials. The pilot study will set the stage for a future comparative cluster randomized trial of the intervention;

Key facts

Study ID

NCT04517279

Run by

University of Texas at Austin

People needed

113

Starts

2023-08-22

Expected to finish

2025-07-25

Last updated by the study team

2025-12-19

Who can join

Age: 15 and older, up to 32. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• enrolled in a CSC program during the defined study period;
• continued program enrollment at six month follow-up from program entry;
• continued alcohol/substance use at six-month follow-up from program entry.

You may not qualify if…

• none

Where it is running

• Integral Care — Austin, Texas, United States
• Spindletop Centers — Beaumont, Texas, United States
• West Texas Centers — Big Spring, Texas, United States
• Metrocare Services — Dallas, Texas, United States
• Denton County MHMR — Denton, Texas, United States
• The Harris Center for Mental Health and IDD — Houston, Texas, United States
• Border Region Behavioral Health Center — Laredo, Texas, United States
• Community Healthcore — Longview, Texas, United States
• Burke — Lufkin, Texas, United States
• Coastal Plains — Portland, Texas, United States
• Bluebonnet Trails Community Center — Round Rock, Texas, United States
• Center for Healthcare Services — San Antonio, Texas, United States
• Central Counties Services — Temple, Texas, United States
• Andrews Behavioral Health — Tyler, Texas, United States
• Pecan Valley Centers — Weatherford, Texas, United States

Full record on ClinicalTrials.gov

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