The Illinois CHR-P Stepped Care Initiative will: (1) identify those at clinical high risk for psychosis (CHR-P) through outreach, education, standardized screening and assessment, (2) apply a stepped care model to link young people at CHR-P and families to appropriate, evidence-based services embedded within 2 Coordinated Specialty Care (CSC) teams in 2 Illinois counties (Cook; DuPage), and (3) evaluate efforts to translate knowledge within and beyond Illinois. The target population includes 13-25 year olds at CHR-P in Cook and DuPage County. Chicago is in Cook County, while DuPage is in Chicago's western suburbs. Assuming a 9-13% prevalence rate, 88,247 and 127,467 13-25 year-olds in these two counties are at CHR-P. Compared to both counties, Chicago has a higher population density, more residents of color and higher rates of poverty, unemployment, lower education status, and immigrant status - all of which are associated with CHR-P. To date, there are no community-based services designed specifically to screen and treat CHR-P in Illinois beyond the Chicago Early Intervention Network led by Drs. Hooker and Mittal, who are consultants on this project. Co-locating CHR-P screening and services in two large counties with thousands of young people at risk for CHR-P is an important first step to identifying and effectively treating a largely neglected population. To implement the CHR-P initiative, the Illinois Division of Mental Health (IL DMH) is subcontracting with Thresholds, an experienced provider that is embedded in the Illinois youth and young adult services community and recognized nationally for blending child and adult evidenced-based practices to meet transition-age youth needs. Thresholds has 2 CSC teams; 1 in Cook and 1 in DuPage county. One full-time therapist will be added to each CSC team to increase capacity for CHR-P specific assessment and treatment. CSC teams, including the Access Coordinator, Therapists, Prescribers, Supported Employment and Education Specialists, and Peer Specialists, will be trained in CHR-P specific outreach and education, screening and assessment, engagement, and evidence-based interventions (e.g., cognitive behavior therapy, cognitive and social skills training; psychoeducation). Adapted from McGorry (2007), the proposed Stepped Care Model has 4 steps: 0: Non-symptomatic, 1: At-Risk; 2: Clnical high risk and 3: First Episode Psychosis services. Standardized measures (i.e., SIPS, Prodromal-Questionnaire-Brief Global Functioning Social & Role Scales) administered at referral and every 6-months of CHR-P service enrollment determine the "step" and appropriate services. Project goals and objectives include: tailor, train staff, implement, and refine CHR-P outreach and education efforts, dianositically assess 60 indivduals for CHR-P services in Year 1; serving up to 30 at any one time in Years 2-4 (45 total served each year; 75 unduplicated clients across 4 years); train staff in CHR-P practices, implement stepped-care model with expert guidance; positively impact client outcomes; and train others on identifying, engaging, & effectively treating CHR-P Population.