Sunday, May 11, 2025
5/11/2025
Fairfax-Falls Church Community Services Board Clinically High Risk for Psychosis Program (CHRP) - Fairfax-Falls Church Community Services Board (CSB) is proposing a stepped-care program for individuals who may be considered clinically high-risk for psychosis (CHRP). This program would continue to build off of a current CHRP program that is co-located with a first episode psychosis (FEP) program. The CHRP program will focus on providing Evidence-Based interventions including cognitive behavioral therapy (CBT) for psychosis, and group and family CBT interventions for individuals experiencing attenuated symptoms of psychosis. Individuals served in the program will be between the ages of 14 and 25. Individuals served will come from all areas of the catchment (Fairfax County, Cities of Fairfax and Falls Church, and Towns of Vienna and Herndon). Individuals served would be expected to represent the demographics of the community - 61% are White, 10% are Black, 19% are Asia/Pacific Islanders, 10% are other/multi-racial and 16% are Hispanic. These individuals may be exhibiting pre-psychosis symptoms including noticeable changes in perception, thinking or functioning that may be accompanied by attenuated symptoms of psychosis, brief episodes of psychosis, or have a known first-degree relative with psychosis. Services would start with once weekly outpatient individual therapy, and can be stepped up to more intense services to include medication management, group and family psychotherapy, education and employment supports, and peer support. It is expected that the program will serve at least 35 individuals each year, or 140 over the course of the project. The project's goals are to: educate at least 300 individuals about early psychosis screening and intervention over the course of the project, identify and screen 400 individuals (100 annually) for psychosis-risk syndromes over the course of the project, and provide at least one session of family psychoeducation to at least 140 families over the course of the project. Through intervention and support, the CHRP program expects that 85% of individuals enrolled would be able to be engaged in educational activities or employment. It is expected that through effective and timely intervention through a stepped-care model, that fewer than 10% of individuals enrolled would convert to a first episode of psychosis. The program would intend that 100% of individuals experiencing a first-episode of psychosis would transition into the Fairfax-Falls Church CSB Turning Point coordinated specialty care program.
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