Oregon Health Authority Clinical High-Risk for Psychosis (CHR-P) Program will be implemented in Lane County, Oregon, in partnership with PeaceHealth Medical Group and the EASA Center for Excellence. This project will offer targeted community outreach and education as well as Coordinated Specialty Care to youth and young adults up to age 25 who meet the criteria for Clinical High Risk for Psychosis and are residing Lane County, Oregon.
Lane County includes the University of Oregon and is a combination of rural and urban communities with a population of approximately 383,000. The program will serve 84 individuals in year one, 88 in year two and 92 in year three, and 97 in year four, for a total of 361 clients served. Eligibility will be determined through administration of the Structured Interview for Psychosis-Risk Syndromes (SIPS) and will include individuals who are identified as having one of three diagnosable high-risk syndromes. The project will integrate expanded Clinical High-Risk services into its existing Coordinated Specialty Care team and will integrate expanded community education and outreach and a step-wise treatment decision making process and manualized treatment for individuals who are clinically high-risk for psychosis. Interventions will build on current research.
The first goal of the project is to strengthen outreach, collaboration and education with community partners to improve identification and recruitment of young adults at risk for CHR-P. This goal will be accomplished by increasing outreach contacts, creating and disseminating educational materials and establishing relationships with primary and secondary outreach locations, including PeaceHealth Medical Group primary care clinics and Lane County Behavioral Health. The second goal is to enrich CHR-P services using evidence-based assessments and treatments and to connect to underserved populations. We will focus on assessments, culturally appropriate curriculum and interventions, and identifying gaps of service. The final goal of the project is to develop educational and training materials that can be accessed by other agencies establishing CHR-services. We aim to create workflow practices and procedures and hold two conferences to disseminate this information and provide education and support to other agencies in Oregon and beyond.