title: OnTrackNY: The Development of a Coordinated Specialty Care Program for Individuals Experiencing Early Psychosis.
abstract: OnTrackNY is a coordinated specialty care program that delivers early intervention services to youths experiencing a first episode of nonaffective psychosis. Treatment aims to help individuals improve their mental health and achieve personal goals related to work, school, and social relationships. This column describes OnTrackNY's progression from a research project to real-world implementation. The authors describe the treatment model, approach to training and dissemination, and procedures for collecting and sharing data with OnTrackNY teams and provide data on client characteristics and selected outcomes.
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Iruma
authors.initials: I
authors.lastname: Bello
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Rufina
authors.initials: R
authors.lastname: Lee
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Igor
authors.initials: I
authors.lastname: Malinovsky
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Liza
authors.initials: L
authors.lastname: Watkins
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Ilana
authors.initials: I
authors.lastname: Nossel
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Thomas
authors.initials: T
authors.lastname: Smith
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Hong
authors.initials: H
authors.lastname: Ngo
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Michael
authors.initials: M
authors.lastname: Birnbaum
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Leslie
authors.initials: L
authors.lastname: Marino
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Lloyd I
authors.initials: LI
authors.lastname: Sederer
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Marleen
authors.initials: M
authors.lastname: Radigan
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Gyojeong
authors.initials: G
authors.lastname: Gu
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Susan
authors.initials: S
authors.lastname: Essock
authors.affiliation: Dr. Bello, Dr. Malinovsky, Ms. Watkins, Dr. Nossel, Dr. Ngo, Dr. Marino, Dr. Essock, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: belloir@nyspi.columbia.edu ). Dr. Essock and Dr. Dixon are also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City. Dr. Lee is with the Silberman School of Social Work at Hunter College, City University of New York. Dr. Smith and Dr. Sederer are with the New York State Office of Mental Health (NYSOMH), New York City. Dr. Smith is also with the Department of Psychiatry, Columbia University Medical Center, New York City. Dr. Sederer is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City. Dr. Birnbaum is with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Radigan and Mr. Gu are with NYSOMH, Albany. Fred C. Osher, M.D., and Marvin S. Swartz, M.D., are editors of this column.
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Dixon
mesh_terms: D000293:Adolescent; D000328:Adult; D061345:Early Medical Intervention / Q000379:methods*; D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D009518:New York; D016730:Program Development; D011618:Psychotic Disorders / Q000628:therapy*; D055815:Young Adult
keywords: Coordinated specialty care; Early intervention; First-episode psychosis; Public policy issues; State-university collaboration