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Sacramento Clinical High Risk for Psychosis Stepped-Care Program
Sponsor: University of California, Davis
Summary
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.
Official title: Increasing Access to Evidence-Based CHR-P Assessment and Treatment Via Stepped-Care in Community-based Settings
Key Details
Gender
All
Age Range
12 Years - 25 Years
Study Type
INTERVENTIONAL
Enrollment
223
Start Date
2023-03-20
Completion Date
2026-10-01
Last Updated
2025-12-15
Healthy Volunteers
No
Interventions
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