The harris center's clinical high risk psychosis program (chrp) - the harris center's clinical high risk psychosis program will implement a stepped-care model to expand the capacity for assessment and…

The harris center's clinical high risk psychosis program (chrp) - the harris center's clinical high risk psychosis program will implement a stepped-care model to expand the capacity for assessment and treatment of clinical high risk for psychosis in individuals under the age of 25 in harris county (houston), texas. The program will be developed with elements that reflect cultural sensitivities and will target ethnic groups with greater service gaps. The establishment of an evidence-based chrp program with services available in both english and spanish is a priority need for individuals in harris county. This project will implement evidenced-based screening and assessments by utilizing the prodromal questionnaire-brief and the structured interview for prodromal symptoms and will include individuals who are identified as having one of three diagnosable high-risk syndromes, attenuated positive symptom prodromal syndrome, brief intermittent psychosis prodromal syndrome, or genetic risk and deterioration prodromal syndrome. The program will serve 20 individuals in year one, increasing to 30 in year two and 50 in years three and four. The chrp program will provide expanded community education and outreach and will offer a stepped care treatment decision making process, as well as, integrating evidence-based interventions of varying complexity, intensity, and duration that target symptoms, problems, and functional impairments that characterize different clinical high risk states. The four project goals are to delay or prevent the onset of psychosis by increasing community awareness of the clinical high risk for psychosis program and early identification and screening procedures; improve symptomatic and behavioral functioning in youth and young adults at clinical high risk for psychosis, enabling them to resume age-appropriate social, academic, and/or vocational activities; minimize the duration of untreated psychosis for youth and young adults who develop psychotic symptoms; and develop and implement capacity building strategies to provide sustained service delivery to youth, young adults, and their families.