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OnTrackChile for First Episode Psychosis

Award Number: R01MH115502
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/07/2018
PERIOD OF PERFORMANCE END DATE: 06/30/2025

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OnTrackChile for First Episode Psychosis - Substantial data support early interventions for people experiencing First Episode Psychosis (FEP) to ameliorate symptoms and minimize disability. FEP programs have been widely and successfully implemented in high-income countries. With the partial exception of Chile, however, there is not a single low-and-middle income country (LMIC) that offers universal access to FEP services. Chile is unique among LMICs in having created a platform for the implementation of FEP services, including 1) a FEP policy that mandates identification of FEP individuals at primary care and delivery of community-based FEP treatments at Community Mental Health Centers (CMHCs), and 2) a public health care system within which this mandate can be fulfilled. Nonetheless, we have documented that FEP services provided at CMHCs do not conform to recently established evidence-based approaches. Therefore, the overarching goal of this proposal is to address the shortfall in evidence-based practices for FEP in Chile by first adapting OnTrackChile (OTCH) from OnTrackNY (OTNY), a coordinated specialty care program for FEP currently being implemented across the US, and then implementing OTCH on a wide scale. Like most FEP programs, OTNY is clinically effective, but unlike most others, it also has a well-established training and technical assistance infrastructure, and a proven track record of being scaled up in large urban areas. To achieve our main goal, we will use the Dynamic Adaptation Process to first inform the adaptation and implementation of OTCH in the Chilean context. We will then use a Hybrid Trial design to evaluate the implementation of OTCH as well as its effectiveness and cost in a cluster-RCT (N = 300 from 20 CMHCs). The cluster- RCT will include: blinded interviews with clients (baseline, 12, 24 months); detailed information about service use (every 3 months, needed for cost estimates); assessments of CMHC providers (6,12,18, 24 months, needed for fidelity measures); and ongoing mixed methods evaluation of the implementation process.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	UNIVERSIDAD DE O'HIGGINS	LIBERTADOR BERNARDO O'HIGGINS 611	RANCAGUA				CHL	Mental Health Research Grants	000	5	5/8/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $562,629 )
2022	2022	UNIVERSIDAD DE O'HIGGINS	LIBERTADOR BERNARDO O'HIGGINS 611	RANCAGUA				CHL	Mental Health Research Grants	001	5	8/19/2022	NON-COMPETING CONTINUATION	$562,629
2022	2021	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	000	4	6/10/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $562,629

Issue Date FY: 2021 ( Subtotal = $583,220 )
2021	2021	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	001	4	8/25/2021	NON-COMPETING CONTINUATION	$583,220
2021	2020	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	000	3	2/12/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $583,220

Issue Date FY: 2020 ( Subtotal = $565,844 )
2020	2020	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	001	3	6/12/2020	NON-COMPETING CONTINUATION	$565,844
2020	2019	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	000	2	4/6/2020	NON-COMPETING CONTINUATION	$0
2020	2019	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	003	2	6/16/2020	NON-COMPETING CONTINUATION	$0
2020	2018	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	002	1	6/16/2020	NEW	$0
														Subtotal = $565,844

Issue Date FY: 2019 ( Subtotal = $594,861 )
2019	2019	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	004	2	7/23/2019	NON-COMPETING CONTINUATION	$594,861
2019	2018	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	001	1	12/7/2018	NEW	$0
2019	2018	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	000	1	11/14/2018	NEW	$0
2019	2018	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	003	1	6/13/2019	NEW	$0
2019	2018	UNIVERSIDAD DE O'HIGGINS	AV. CACHAPOAL Ndeg.90 (CASA DE L	RANCAGUA				CHL	Mental Health Research Grants	002	1	5/20/2019	NEW	$0
														Subtotal = $594,861

Grand Total All Awards = $2,306,554

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OnTrackChile for First Episode Psychosis

Award Number: R01MH115502

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/07/2018

PERIOD OF PERFORMANCE END DATE: 06/30/2025

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