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RECRUITINGINTERVENTIONAL

Sacramento Clinical High Risk for Psychosis Stepped-Care Program

Increasing Access to Evidence-Based CHR-P Assessment and Treatment Via Stepped-Care in Community-based Settings

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This is a dissemination and implementation study that is evaluating a stepped-care intervention for identifying and treating youths at clinical high-risk for psychosis within multiple community mental health centers.

Who May Be Eligible (Plain English)

Who May Qualify: 1. Clinical High Risk for Psychosis Syndrome as assessed by the mini-SIPS 2. Aged between 12-25 years old 3. Receiving care in one of six identified community mental health clinics 4. Eligibility for Sacramento County Medicare 5. Ability to provide willing to sign a consent form Who Should NOT Join This Trial: 1. Intellectual disability (IQ\<70) 2. Urgent clinical need for a higher level of care Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: 1. Clinical High Risk for Psychosis Syndrome as assessed by the mini-SIPS 2. Aged between 12-25 years old 3. Receiving care in one of six identified community mental health clinics 4. Eligibility for Sacramento County Medicare 5. Ability to provide informed consent Exclusion Criteria: 1. Intellectual disability (IQ\<70) 2. Urgent clinical need for a higher level of care

Treatments Being Tested

BEHAVIORAL

Stepped-Care including Cognitive Behavioral Case Management

Step 1:assessment and feedback, general engagement strategies, assessment of needs and social determinants of health, begin case management, goal setting. Step 2: TAU. Initiation of team-based care at community clinics and 'enhanced monitoring'. Step 3: atheoretically-based stress management skills (stress thermometer, coping skills and coping plans), problem solving strategies. Step 4: targeted intervention for CHRp. Initiation of formulation-based CBT modules, therapy consultation groups with the UC Davis team (UCD), regular meetings between clinic leadership and UCD. Participants may switch providers to increase level of early psychosis specialization. Step 5: add prescriber consultation groups with UCD. Step 6: assessment of trauma and family conflict then Family-Focused Therapy, Trauma-Focused Cognitive Behavioral Therapy, or CBT for CHR at UCD. Termination: At 24 months, referral to UCD coordinated specialty care clinic or other appropriate service for those still CHRp+.

Locations (6)

River Oak Center for Children
Elk Grove, California, United States
Turning Point Community Programs
Elk Grove, California, United States
University of California Department of Psychiatry and Behavioral Sciences; Early Psychosis Programs
Sacramento, California, United States
University of California-Davis CAARE Diagnostic and Treatment Center
Sacramento, California, United States
Capital Star Community Services
Sacramento, California, United States
Heartland Child and Family Services
Sacramento, California, United States