OnTrack Chile for people with early psychosis: a study protocol for a Hybrid Type 1 trial

Abstract

Substantial data from high-income countries support early interventions in the form of evidencebased Coordinated Specialty Care (CSC) for people experiencing First episode Psychosis (FEP) to ameliorate symptoms and minimize disability. Chile is unique among Latin American countries in providing universal access to FEP services through a national FEP policy that mandates the identifcation of FEP individuals in primary care and guarantees delivery of community-based FEP treatments within a public health care system. Nonetheless, previous research has documented that FEP services currently provided at mental health clinics do not provide evidence-based approaches. This proposal aims to address this shortfall by frist adapting OnTrackNY (OTNY), a CSC program currently being imple‑mented across the USA, into OnTrackChile (OTCH), and then examine its efectiveness and implementation in Chile.