# Adapting Coordinated Specialty Care in the Post COVID-19 Era

> **NIH NIH R01** · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · 2020 · $324,329

## Abstract

Coordinated Specialty Care (CSC) programs provide evidence-based services for young people with
recent onset of a psychotic disorder. New York State's program, OnTrackNY is a nationally recognized model
of CSC treatment. OnTrackNY provides coordinated, team-based services and has demonstrated
improvements in symptoms, functioning, hospitalization, and work/school participation. The rapid rise of
COVID-19 has created shocks to the health care system, producing numerous rapid changes in behavioral
health service delivery, including telehealth, in the absence of guidance from evidence or experience. It is
unclear how these changes will impact the need for and delivery of psychiatric care and client outcomes.
 OnTrack Central, an intermediary organization responsible for training and implementation support of
OnTrackNY programs, has created systems for multi-level stakeholder engagement, a centralized data
collection protocol for quality improvement and evaluation of program fidelity, and a mechanism to support
practice based-research. Our daily engagement of the OnTrackNY network has revealed how recent changes
are dramatically impacting CSC services.
 In 2019, OnTrackNY was awarded a hub within the Early Psychosis Intervention Network (EPINET) to
advance a learning health care system (LHS). The breadth of OnTrackNY sites coupled with OnTrack Central
oversight provides an opportunity to examine the impacts of the COVID-19 crisis in New York State. The
diversity of the 23 OnTrackNY teams located throughout the state enables examination of settings with high
and low prevalence of COVID-19 infections and diverse regulatory and workforce environments. The
OnTrackNY network includes programs that operate within variable regulations (outpatient clinics at community
agencies, state-operated facilities, and community and academic hospitals in urban, suburban, and rural
areas) with very diverse participant populations.
 This project will examine the implications of modifications to service delivery within the OnTrackNY LHS
during and after the COVID-19 crisis. We will use the implementation science framework, Framework for
Reporting Adaptations and Modifications-Enhanced (FRAME) to systematically evaluate modifications made
and ascertain their impact. We will utilize integrative mixed methods, including qualitative interviews and focus
groups with stakeholders (clients, families, providers and decision makers at the state and local levels) and
analysis of OnTrackNY program data The project aims to assess: 1) the implications of governmental and
agency level policy changes and how these decisions impact team staffing and functioning; 2) implications for
delivery of CSC services; and 3) impact on client-level care processes (e.g. utilization of services) and
outcomes. The goal is to develop a CSC Model Adaptation Guide that will be fidelity-consistent, and
associated with consistent engagement, service utilization or favorable outcomes of care.

## Key facts

- **NIH application ID:** 10193474
- **Project number:** 3R01MH120597-02S1
- **Recipient organization:** NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
- **Principal Investigator:** LISA B. DIXON
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $324,329
- **Award type:** 3
- **Project period:** 2019-08-15 → 2024-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10193474

## Citation

> US National Institutes of Health, RePORTER application 10193474, Adapting Coordinated Specialty Care in the Post COVID-19 Era (3R01MH120597-02S1). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10193474. Licensed CC0.

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