Project Abstract Summary
The Massachusetts Psychosis Prevention Partnership (M3P) is a collaboration between statewide experts in clinical high risk for psychosis (CHR-p). M3P seeks to create a statewide system of care for CHR-p to enhance the accessibility, equity, capacity, and quality of CHR-p services across MA. This is accomplished through community outreach, centralized triage and referral, specialized CHR-p stepped-care treatment, and training in CHR-p evidence-based practices.
The primary goals of M3P are as follows: 1) Ensure & expedite early identification of CHR-p via centralized outreach and consultation to community referral partners; 2) Minimize barriers to assessment and referral to CHR-p treatment via a statewide triage and referral call center; 3) Support and improve functioning and decrease likelihood of illness progression for youth at CHR-p via stepped-care treatment; and 4) Expand the statewide workforce of CHR-p service providers via an enhanced training infrastructure.
M3P builds upon existing infrastructure provided by members of the Partnership, including the Massachusetts Psychosis Access & Triage Hub (M-PATH), the Massachusetts Psychosis Network for Early Treatment (MAPNET), and the three current clinical programs for CHR-p located in McLean Hospital, Massachusetts General Hospital, and the Brookline Center for Community Mental Health. Outreach (Step 0) is conducted with community referral partners such as schools, primary care, and other social service agencies. At Step 1, youth identified with potential psychosis risk receive brief phone-based screening to determine the level of services needed. At Step 2, youth with identified CHR-p risk receive a comprehensive clinical assessment to aid in treatment planning. Those with moderate symptoms move to Step 3, a brief treatment intervention and connection to community providers, while those with severe symptoms move to Step 4, extended treatment at a coordinated specialty care (CSC) clinic for CHR-p. Lastly, youth identified at any stage to experience full psychosis move to Step 5, extended treatment at a CSC program for first-episode psychosis. Partnerships will be maintained with other community services (ie. Substance Abuse Treatment, In-Home Therapy) to facilitate additional referral for youth with identified needs outside of the psychosis spectrum. Concurrent with these steps, a learning collaborative will be instituted to develop the CHR-p workforce through expert training in evidence-based assessment and treatment practices.
By the end of the fourth grant year, M3P will provide outreach to 1,450 individuals, triage and referral services to 900 youth and families, and clinical care to 575 youth and families.