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 Substance Abuse and Mental Health Services Administration awarded The Harris Center For Mental Health & IDD $481,923 on September 30, 2026, under the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances program (CFDA 93.104) to establish the Clinical High Risk Psychosis Program (CHRP), a stepped-care model for assessment and treatment of clinical high risk for psychosis in individuals ages 10 to 25 in Harris County, Texas.

The program implements evidence-based screening using the Prodromal Questionnaire-Brief and the Structured Interview for Prodromal Symptoms to identify individuals with attenuated positive symptom prodromal syndrome, brief intermittent psychosis prodromal syndrome, or genetic risk and deterioration prodromal syndrome. CHRP will serve 25 unique individuals per year, totaling 100 individuals over the grant period. The program delivers community education and outreach on early psychosis identification and intervention, and provides stepped-care treatment incorporating motivational interviewing, case management and care coordination, skills training, and evidence-based therapies. Project objectives include increasing mental health service capacity in Harris County for individuals at clinical high risk for psychosis by expanding clinician knowledge and treatment skills.

Performance occurs in Houston, Texas. The period of performance runs through September 29, 2030.

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 ages 10 to 25 in harris county (houston), texas. According to the U.S. Census bureau, harris county has a population of over 5 million people, with approximately one million being between the ages of 10-30. This program aims to serve 25 unique individuals each year; serving 100 unique individuals over the course of this grant. The continuation of an evidence-based chrp program 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 chrp program will provide expanded community education and outreach on identification and importance of early intervention for psychosis. The program 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. To do this, our program will utilize motivational interviewing, case management/care coordination, skills training, and multiple evidenced-based therapies to collaborate with participants in reaching their goals. The five project goals are 1) to increase the capacity of mental health services in harris county for individuals at clinical high risk for psychosis by growing clinician's knowledge and clinical skills treating psychosis, 2) to increase accessibility of services by growing outreach to connect and educate other community partners and individuals, 3) to improve symptomatic and behavioral functioning for participants in vocational, academic, and social settings, 4) to reduce the duration of untreated psychosis through early identification and screening procedures , and 5) to delay or precent the onset of psychosis for youth and young adults who are at clinical high risk for psychosis.