The Research Foundation for Mental Hygiene, on behalf of the New York State Office of Mental Health, is partnering with underserved communities in Queens, NYC and mid- and northern Westchester, to provide culturally competent, developmentally appropriate, recovery-oriented services to young people with early psychosis. The proposed program, "Promoting Hope and Opportunities for Youth with Early Psychosis" (ProHope), will implement the evidence-based OnTrackNY model of coordinated specialty care for early psychosis with the goal of helping young people achieve their goals for school, work, and relationships. Each ProHope team will be based at a local mental health agency, The Child Center of NY in Queens and Westchester Jewish Community Services, and will serve young people ages 16-25 who are within the first 2 years of the onset of a non-affective psychotic disorder. Each team will enroll 15-30 participants per year over the course of the project period. The ProHope program will serve a total of 200 young people with early psychosis. Teams will conduct significant outreach and education both within the host agencies and extensively within the local community to increase knowledge about early psychosis, help community members and providers know how to identify early signs of psychosis, and facilitate rapid referral into specialized care in order to reduce the duration of untreated psychosis. Enrolled participants will receive evidence-based psychopharmacology, cognitively oriented therapy, education and employment support, family education and support, peer support, and case management; all services will be individualized according to participant needs and preferences and will be delivered using principles of person-centered care, recovery orientation, and shared decision making. Services will be provided for an average of two years and decisions regarding discharge will be made collaboratively with participants and family members. ProHope teams will receive training and ongoing technical assistance from OnTrack Central, based at the Center for Practice Innovations at New York State Psychiatric Institute, in implementing the OnTrackNY model and its component evidence-based practices. ProHope teams will submit participant-level and site-level data to the NYS Office of Mental Health, who will compile the data into data reports that can be used by multiple stakeholders, including the teams themselves, participants, trainers, policy makers and others, for the purpose of quality improvement. Stakeholder feedback will be elicited through the youth council, which will be facilitated by the youth coordinator, and the family council, and will be used by the ProHope steering committee to guide quality improvement efforts.