Step-based care for individuals at clinical high-risk for psychosis - the proposed project will support the continued operation and expansion of the clinical high-risk for psychosis (CHR-P) program at…

Step-based care for individuals at clinical high-risk for psychosis - the proposed project will support the continued operation and expansion of the clinical high-risk for psychosis (CHR-P) program at the ohio state university early psychosis intervention center (EPICENTER). The EPICENTER CHR-P program has demonstrated efficacy with regard to minimizing rates of transitions to psychotic disorders, reducing symptomatic distress, and promoting functional improvements among individuals at CHR-P. Care provided at the EPICENTER CHR-P program includes options for psychotherapy, medication, enhancement of social functioning, family services, and vocational/educational support. As part of the step-based care design, individuals presenting to the clinic are initially provided with low intensity interventions and continue to more intensive treatments until they meet predetermined criteria for symptomatic improvement and functional stability. This specialized care is provided to individuals living in franklin county between the ages 12-25 who meet CHR-P criteria as determined using the structured interview for psychosis risk states (SIPS). During the course of this project, we anticipate enrolling 20 unique individuals per year in the CHR-P program. Thus, we anticipate enrolling 80 individuals over the course of the funding period. Based on the demographic profile of the population of franklin county, we anticipate that the racial breakdown of individuals served at this clinic will be 52% white; 27% black, 8% multiracial, 5% are asian, with the remaining 7% identifying as native american, pacific islander, or a racial group not specified in the US census. With regard to ethnicity, we anticipate that approximately 8% will identify as hispanic.