Ourtime_community programs-early interventions (ourtime_CP-EI) - the department of behavioral health's (DBH) population of focus for the district's community programs for outreach and intervention…

Ourtime_community programs-early interventions (ourtime_CP-EI) - the department of behavioral health's (DBH) population of focus for the district's community programs for outreach and intervention with youth and young adults at clinical high risk for psychosis (short title: CHR-p) initiative is for transition-age youth (TAY) or young adults aged 16-25 year-olds, who are at high clinical risk for psychosis. In the district, this initiative will be known as ourtime_community programs- early interventions (ourtime_CP_EI). In the first year of the grant, 25 unduplicated at-risk for psychosis TAY will be served; in years 2-4, IT is estimated that 40 unduplicated at-risk for psychosis TAY will be served, for a total of 145 unduplicated TAY served. The initiative will offer early detection and evidenced-based intervention services to district young adults across all eight wards, who are at risk for their first episode of psychosis (FEP), but who have not fully experienced psychotic symptoms. Those who have already received a clear diagnosis of a psychotic illness, such as schizophrenia or schizoaffective disorder, or those who have experienced a clear first episode of psychosis, will be connected to a more intense coordinated care program designed to address FEP. A stepped care approach, where treatments of differing intensity will be offered, and young adults will learn to manage stress, anxiety, and uncertainty associated with psychosis. Resilience trainers and youth development leads (YDL/youth peers) will provide education and support in the community. Individual counseling, and therapeutic and skill building groups will be held on-site. The goals of the ourtime_CP-EI initiative are to create a FEP system of stepped care that defines the protocols and processes necessary to assess, diagnose and refer young adults at risk for psychosis to the appropriate level of treatment; offer early access to evidence-based treatments to minimize the duration of untreated psychosis (DUP) and SUD; help CHR-p young adults build resiliency and skills (including educational, occupational, and social functioning) that are vital to their recovery; and to educate young adults, their families, and the community at large on SMI, SUD, and psychosis. DBH will leverage and enhance the TAY system of care created through the substance abuse and mental health service administration (samhsa) state adolescent treatment enhancement and dissemination (SAT-ED), the now is the time health transitions, and the healthy transitions grants by using the existing supported practice, transition to independence process (tip), coupled with the evidenced-based practice, acceptance and commitment therapy for psychosis (actp). The ourtime_CP-EI will engage TAY in the planning for their own future and help them reduce the frequency or severity of unpleasant internal experiences. At-risk young adults will simultaneously increase their involvement in meaningful life activities and improve social relationships. Lastly, the adolescent community reinforcement approach (a-CRA) will support recovery from substance abuse and dependence and appreciative inquiry (AI) will guide person-centered change interventions, that help young adults uncover existing strengths, advantages, and/or opportunities within themselves and in their communities.