Clinical high risk for psychosis (CHR-P) - the city of poteau, oklahoma proposes to implement community programs for outreach and intervention with youth and young adults at clinical high risk for…

Clinical high risk for psychosis (CHR-P) - the city of poteau, oklahoma proposes to implement community programs for outreach and intervention with youth and young adults at clinical high risk for psychosis to enhance and expand comprehensive treatment, early intervention, and recovery support services for youth and young adults at high risk of psychosis. Poteau is the county seat and largest city in leflore county and serves as a hub for the rural communities across the county. Poteau will partner with carl albert state college, leflore county youth services, carl albert community mental health center, evolution foundation, choctaw nation of oklahoma, cherokee nation, the boys and girls club of leflore county, and the pervasive parenting center to implement a stepped care model for early psychosis with lower- intensity/lower-risk treatments with stepped up intensive treatments as dictated by treatment response and objective measures of outcomes. We will deliver a continuum of care with trauma-informed, evidence-based, integrated services and supports that comprehensively address the needs of our target population-youth and young adults aged 16 through 25 living in the city of poteau and the surrounding leflore county. We will improve symptomatic and behavioral functioning; enable youth and young adults to resume age-appropriate social, academic, and/or vocational activities; delay or prevent the onset of psychosis; and minimize the duration of untreated psychosis for those who develop psychotic symptoms. The national institute of mental health reports that approximately 100,000 youth and young adults in the united states experience a first episode psychosis every year and across oklahoma from 2019-2022, the medicaid data system documents that 8.1% of all admissions for those aged 16 - 25 had psychosis symptoms. Based on a 2021 mental health america report, oklahoma had one of the highest percentages (82%) of individuals to score at risk for psychotic-like experiences of those who were screened. Across leflore county, 27.5% of all admissions for those aged 16 - 25 had psychosis symptoms. The oklahoma youth crisis mobile response documented 314 crisis calls in leflore county during fiscal year 2022, with 100 (32%) resulting in inpatient hospitalization of youth and young adults. This is the highest rate of inpatient hospitalization during crisis mobile response in the entire state. In addition, of those youth and young adults experiencing a crisis mobile response at school, only 67% returned to class. This is the lowest rate in the entire state. More than half of high school-age to young adult calls pertain to crises associated with depression as an underlying cause (usually also connected with suicidal behaviors). We will serve a total of 250 youth and young adults over the project period. Project goals include: increase awareness of how to identify warning signs of CHR-P and how to refer youth and young adults for early identification; increase access to services for youth and young adults who may be at risk of CHR-P by implementing screenings specifically developed to assess the risk of CHR-P; and increase access to treatment services for youth and young adults with CHR-P.