Specifications include, but are not limited to: Recently DMH was awarded a Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis grants (CHR-p) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) to identify, prevent, intervene, and/or lessen the impact of psychotic disorders in youth and young adults, not more than 25 years old, who are at clinical high risk for psychosis and provide evidence-based interventions in a trauma-informed manner to prevent the onset of psychosis. The Massachusetts Department of Mental Health (DMH) will partner with three MA CHR-P programs to develop n integrated, collaborative, and stepped-intensity system of CHR-p services across MA. The three CHR-p programs are: 1. CEDAR: Center for Early Detection, Assessment, and Response to Risk at Brookline Center for Community Mental Health (BCCMH); 2. RE-SET: Resilience Evaluation-Social Emotional Training at Massachusetts General Hospital (MGH)l and 3. STAR: Support, Treatment, and Resilience Program at McLean Hospital. These 3 CHR-p programs were determined to be the only currently operating MA CHR-p programs that fulfill the SAMHSA requirement that they must have been providing CHR-p services for 2 or more years. DMH plans to use the grant funds to bring all 3 programs (CEDAR, RESET and STAR) into alignment with a single model/approach rather than 3 different approaches to stepped coordinated specialty care for CHR-p. All 3 MA CHR-p programs (CEDAR, STAR, RE-SET) offer elements of stepped coordinated specialty care (CSC) services via multidisciplinary teams, e.g. psychologists, psychiatrists, social workers, and peer and family support staff. Services emphasize person-centered prevention and recovery; a developmental perspective; inclusion of family systems, cultural, and environmental factors; integrative care (e.g., behavioral health habits related to sleep, exercise, and nutrition and medication adherence); consideration of diagnostic uncertainty, complexity, and comorbidity; and use of hopeful and non-stigmatizing language. Grant funds will enable participating CHR-p programs to hire care coordinators and the program staff to complete EBP training so that all MA CHR-p programs use a consistent, evidence-based approach to stepped specialty care services. These activities support our ultimate goal of increasing both the volume and quality of available MA CHR-p treatment services. The grant funding will enable each CHR-p program to hire care coordinators and the program staff to participate in EBP training so that all MA CHR-p programs use a consistent, evidence-based approach to CHR-p care. These activities support our ultimate goal of increasing both the volume and quality of available MA CHR-p treatment services.
