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Stepped Care Interventions for Psychosis Risk: Findings From Clinical High Risk for Psychosis Grantee Programs.

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Clinical high risk for psychosis (CHR-P) programs show positive outcomes, improving functioning and social connection while reducing distress and psychosis onset. Social connection particularly enhances life functioning in these individuals.

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Area of Science:

  • Psychiatry and Mental Health
  • Clinical Psychology
  • Public Health Interventions

Background:

  • Interventions for clinical high risk for psychosis (CHR-P) show promise in managing symptoms and preventing psychosis.
  • A 2018 grant initiative expanded CHR-P programs across the United States.

Purpose of the Study:

  • To assess changes in key client outcomes within CHR-P grantee programs.
  • To evaluate the impact of these programs on life functioning, social connectedness, psychological distress, and psychosis progression.

Main Methods:

  • Secondary analysis of National Outcome Measures data from 1,071 CHR-P program clients.
  • Longitudinal analyses examined changes in functioning, social connectedness, distress, hospitalizations, ED visits, and first-episode psychosis onset.

Main Results:

  • CHR-P program participants showed improved life functioning and social connectedness.
  • Psychological distress decreased, with low rates of psychiatric hospitalizations, ED visits, and psychosis onset.
  • Social connectedness was significantly associated with improved life functioning over time, even after controlling for distress.

Conclusions:

  • CHR-P grantee programs demonstrate preliminary benefits across multiple client outcomes.
  • Enhanced social connectedness is crucial for improving life functioning during CHR-P treatment.
  • Further rigorous evaluations with control groups are needed to establish definitive program effectiveness.