Friday, April 26, 2024
4/26/2024
The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) is committed to establishing and supporting evidence-based practices for youth and young adults (Y/YA) who are at clinical high risk for psychosis. TDMHSAS will serve as the locus of accountability for the Tennessee clinical high risk for psychosis (CHR-P) and will be responsible for oversight of state and local grant related activities and outcomes. The CHR-P program will align with system of care guiding values and principles and fall within an array of community-based services and supports focused on promotion, prevention, early identification, treatment and recovery. The four CHR-P project goals are to 1) delay or prevent the onset of psychosis by increasing community awareness of the clinical high risk for psychosis program and early identification and screening procedures, 2) improve symptomatic and behavioral functioning in Y/YA at clinical high risk for psychosis, enabling them to resume age-appropriate social, academic, and/or vocational activities, 3) minimize the duration of untreated psychosis for Y/YA who develop psychotic symptoms, and 4) develop and implement capacity building strategies to provide sustained service delivery to youth, young adults, and their families. This will be accomplished through a partnership with a local service provider who will implement targeted outreach and engagement strategies and an evidence-based stepped-care model for early psychosis in Shelby County, Tennessee. Due to the high prevalence of individuals who experience psychosis in this area as compared to other areas of the state, it is critical to provide early identification and intervention services to Y/YA who are at clinical high risk for psychosis in order to have the greatest impact on prognosis and minimize the duration of untreated psychosis. Team-based services and supports will include access to individual and family psychoeducation, substance use risk reduction, Cognitive Behavioral Therapy for psychosis (CBT-p), supported employment and education, young adult and family peer support, evidence-based pharmacotherapy, as warranted, and case management/care coordination. The stepped-care model will include evidence-based interventions of varying complexity, intensity, and duration that target symptoms, problems, and functional impairments that characterize different clinical high-risk states. TDMHSAS will partner with a local university to develop and implement data protocols and procedures that will be used to inform changes in individual treatment and program implementation. This coordinated approach to care, in close collaboration with a local first episode psychosis program, will increase workforce capacity and create a more robust continuum of care for youth and young adults in Shelby County at clinical high risk for psychosis or experiencing a first episode of psychosis.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
