Friday, November 22, 2024
11/22/2024
Psychosis is a debilitating condition with negative impacts on quality of life and functioning. Clinical high risk for psychosis (CHR-P) is an identifiable and treatable state in adolescents and young adults. The state of Mississippi currently has no specialized services for those at CHR-P. The proposed program will fill that gap and establish the Center for Behavioral Health Screening, Outreach, Assessment, and Resilience (CBH-SOAR) Clinic at the University of Southern Mississippi (USM). The CBH-SOAR Clinic will fill a crucial role in Mississippi regarding early identification of those at risk for psychosis, serving aims both in preventing onset of psychosis as well as reducing duration of untreated psychosis (DUP) among those who convert to psychosis. The CHB-SOAR Clinic will be a specialty clinic housed under the umbrella of the CBH at USM, an established community clinic serving a complex population at low cost. As Mississippi is largely a rural state, the CBH-SOAR Clinic will partner with the Department of Mental Health and Mississippi State University to develop state-wide outreach and employ primarily a telehealth model to promote broad accessibility of services. The proposed program has three main goals. Goal #1 is to implement a robust outreach program focused on reaching young people and their parents, through partnership with Open Up Mississippi, a NAMI-affiliated organization that provides education and training to youth, their parents, and providers throughout the state. Goal #2 is to assess CHR-P and implement a stepped care model of CHR-P services at the CBH-SOAR Clinic. The CBH-SOAR Clinic will serve adolescents and young adults aged 14-25 from diverse backgrounds across the state of Mississippi. We propose to enroll 20 unique CHR-P clients in the first year and 30 in each subsequent year, for a total of 110 unique clients served during the four-year project period. We anticipate assessing (with the PRIME Screen and Structured Interview for Psychosis Risk Syndromes [SIPS]) a much higher number of potential clients, with the expectation that approximately 40% of those screened will meet criteria for CHR-P. Enrolled CHR-P clients will be provided with psychoeducation and offered (within a stepped care framework) psychotherapy (Cognitive Behavioral Therapy for Psychosis if CHR-P is the primary concern), substance use psychoeducation or treatment, family services, and supported education and employment. Referrals will be made to our partner organization, the University of Mississippi Medical Center (UMMC) Center for Telehealth, if pharmacotherapy is needed. Goal #3 is to provide referrals and resources to clients not meeting eligibility for CHR-P to promote positive outcomes. We will work with state NAVIGATE programs to develop reciprocal referral processes, build referral partnerships with local organizations in addition to existing partners, and provide appropriate psychoeducation and referrals for common comorbidities or substance misuse to clients not eligible for CHR-P services. In the case that a client has full psychosis (either having converted from CHR-P or screening positive during initial eligibility assessment) but is not able to access NAVIGATE programming, they may be seen at the CBH-SOAR Clinic or a partner agency. The CBH-SOAR Clinic will be the first of its kind in the state of Mississippi and will help clients with CHR-P live fulfilling and meaningful lives while promoting positive mental health outcomes.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
