Services: Intervention Services - Youth & Families - Psychosis (5721 Views)

Pay: $0.00
Available Spaces: Unlimited
Deadline: No Deadline
Start Date: 01/10/2013
The PREP Program provides the best in evidence-based treatment and support for youth and families. We have carefully designed this treatment array and selected the particular treatments because each has proven to promote positive outcomes for people suffering from early psychosis. Collectively, they address the spectrum of impacts caused by psychosis. Although each intervention has been research-tested in one or more locations, PREP offers the first program in the United States where this treatment array is offered as an integrated package. We believe that by intervening early with a comprehensive treatment package, we can make dramatic progress in remitting or preventing the disease.

Roster of Services

Individuals receive a telephone screening through a hotline that is staffed by a specially trained licensed clinician. Those who are clearly not appropriate for early psychosis services are assisted to locate needed services. Those who are appropriate for a comprehensive assessment receive an appointment within seven working days. PREP provides a comprehensive assessment for each youth referred. The diagnostic approach is based upon the SIPS (Structured Interview for Prodromal Symptoms) and is extended by a strength-based care management assessment, assessing such frequent collateral issues as depression, trauma, substance abuse, and affective dysregulation. The comprehensive assessment is provided at whatever location is most convenient and comfortable for the youth and family, to encourage service engagement.
PREP uses an intensive, strength-based care management approach to ensure that the broad spectrums of client and family needs are addressed. Care managers work with case aides, clients, and their families to provide education about their condition and their rights, and to design, in partnership with clients and families, a treatment plan inclusive of all applicable treatment components. Care managers address the client’s financial, occupational, housing, and social needs, and connect them to any additional services that may be helpful as they move toward their personal goals.
Several studies have shown that education and support provided to families in crisis improves the chances that the family will be able, in turn, to support the young person through what can otherwise be devastating episodes of illness. The evidence-based practice, Psychoeducational Multifamily Groups (PMFG), provides such education and support and has a strong positive correlation with positive outcomes for consumers with early psychosis. PMFG is available for all PREP families, even when the psychosis sufferer is not willing to participate in treatment.
Dr. Demian Rose, UCSF faculty and PREP’s Medical Director, has adapted the Texas Medication Algorithm to focus specifically on medication for the early stages of psychosis. The thrust of this medication approach is to manage the positive symptoms of psychosis with minimal antipsychotic dosage. PREP targets dosages to make symptoms manageable at the lowest possible dose, while using therapeutic interventions to reduce or even extinguish symptoms. Medical staff are active members of the treatment team.
Cognitive Behavioral Therapy is designed to help individuals manage cognitive symptoms more effectively. Cognitive” symptoms include the difficulty with attention, planning, problem solving, organizing thoughts and memory that characterize psychosis. CBT incorporates a number of cognitive and social remediation approaches that have been shown to be effective. Rigorous, evidence-based cognitive and social remediation is a key element of any comprehensive early psychosis program.
Care managers work with clients to resolve issues that arise in school or on the job, and to meet their professional development goals, including school completion, employment training, job skills development, employment retention and other activities guided by the aspirations and interests of clients and client families.
Approximately 50% of all people, and 80% of young people, with schizophrenia also struggle with substance abuse. Research shows that mental health treatment is more effective if it is integrated with efforts to address client substance abuse and dependence, so PREP takes an integrated approach, holding the principles of harm-reduction and meeting clients where they are.