This project seeks to increase the early identification and intervention of youth who are at
clinical high risk for psychosis. The onset of psychosis typically occurs between the ages of 14 to
30, with 100,000 new cases of psychosis each year (1). Psychosis can greatly impact an
individual’s functioning if left untreated (3). Early warning signs of psychosis are often present
years prior to the onset of psychosis; however, it remains largely undetected until the onset of a
psychotic disorder (1), (2). Early intervention has been shown to reduce the risk of psychosis
onset (2); however, training in the identification of early warning signs of psychosis and evidence-
based practices to assist individuals at risk for psychosis is needed.
This project will support the training of mental health providers in an evidence-based treatment
model, Recovery-Oriented Cognitive Therapy (CT-R), a mental health literacy curriculum, Youth
Mental Health First Aid (YMHFA) and identified screening tools to identify youth at risk for
psychosis, Structured Interview for Psychosis-Risk Syndromes (SIPS). The COE will partner with 9 of
Georgia’s Mental Health Resiliency Clubhouses and their 6 affiliated mental health provider
organizations. The clubhouse setting is an optimal environment to identify youth at high risk for
psychosis as 82% of youth enrolled in the clubhouse are between the ages of 5-14. Youth receiving
services within the clubhouse are experiencing mental health challenges, most commonly, depressive
disorder, conduct/impulse control disorders, and attention deficit hyperactivity disorder. Youth who have comorbid mental health challenges are 10x more likely to be at high risk for psychosis than the general population (1), (6). The clubhouses serve approximately 1,000 youth combined and their affiliated outpatient clinics serve on average 1,500 youth. To support early intervention of youth at high risk for psychosis, training mental
health providers in evidence-based practices to support youth at high risk for psychosis is
crucial.