1. The Maryland Early Intervention Program “A collaborative for the early identification and treatment of mental illness with psychosis”

2. Our Goals: 1.To reduce chronicity and enhance the likelihood that a person with early signs of psychosis will be able to: a.manage their illness b.move successfully through the appropriate stages of development c.establish a life of their choosing 2.To take a broad public health perspective, in which we directly address issues of aggression, violence, and substance use 3.To optimize the likelihood of recovery from serious mental illness with psychosis Maryland Early Intervention Program

3. Our Structure: 1.The EIP is comprised of four service components: a.Outreach and Education Services b.Clinical Services c.Consultation Services d.Training and Implementation Support Services 2.Research is integrated into each of these components and focuses on early detection and prediction of disease emergence, progress or recovery; and treatment development Maryland Early Intervention Program

4. Maryland Early Intervention Program Multidisciplinary Effort: 1. The Maryland EIP is comprised of professionals from multiple disciplines, including health policy and professionals from the youth and family advocacy community 2. The Maryland EIP clinical programs are comprised of health care providers from multiple disciplines, including psychiatrists, psychologists, and social workers

5. Outreach and Education Lack of knowledge about mental health problems and treatments and stigma related to mental illness lead to increased threshold for treatment-seeking, prolonged duration of untreated psychosis (DUP) Strategies for reducing DUP include: increase awareness of the signs and symptoms of psychosis reduce stigma and other barriers to obtaining a clinical evaluation and referral

6. Approach Teach providers how to identify signs of clinical high risk and early psychosis Familiarize providers with relevant assessments and evidence-based practices Provide providers with ample ways to refer individuals for further consultation and treatment if needed Settings Secondary educational institutions Colleges/Universities Behavioral health and primary care settings Advocacy groups Outreach and Education

7. Maryland Early Intervention Program Clinical Services: 1. High Risk of Psychosis Strive for Wellness Program 2. First Episode Clinics MPRC First Episode Clinic (FEC) RAISE Connection Program 3. Statewide Consultation Service For providers and institutions on diagnosis, treatment recommendations, and school and family management (by phone or in person)

8. All of Our Clinical Services: Are recovery oriented Are designed to help each individual achieve their full potential – employment, finishing school, reaching other personal goals Emphasize safety, including extensive – Risk assessment – Safety planning Maryland Early Intervention Program

9. Strive for Wellness Program Clinical prevention/treatment for youth/young adults (12-25) at risk of psychosis Services – screening assessments to identify individuals experiencing psychosis as soon as possible – modular treatment approach to customize treatment to individual needs – psychoeducation for individuals and family members Engagement in outpatient treatment services may prevent negative first experiences with mental health system that might impact future engagement – Police – Emergency Treatment – Mandated Treatment

10. The first specialty care FEC in Maryland Expert clinical services for adolescents (12 & up) and young adults experiencing FEP Strong emphasis on evidence-based FEP care using antipsychotic treatment, individual and family education/support, and supported education/employment MPRC First Episode Clinic

11. RAISE Connection Program Recovery After Initial Schizophrenia Episode (RAISE) - Connection Program – Established through an NIMH-funded initiative to study services for people with newly diagnosed schizophrenia and psychotic illnesses Team-based coordinated specialty care model recommended by NIMH The RAISE Connection Program is: – early intervention based on a critical time intervention (CTI) – person-centered, recovery-based program assisting individuals in moving forward and working towards goals – provide education and support to individuals and their families

12. RAISE Connection Program Team-based Emphasis on outreach and engagement Shared decision-making Located at University of Maryland Midtown Campus in the Carruthers Clinic, but separated from services for more chronically ill clients Clinic Capacity: 30 clients

13. Team Roles/Description: Team Leader: overall coordination of services individual therapy, case management, crisis intervention, information gathering, safety planning Recovery Coach: social skills training, weekly participant group, monthly family group, school coordination Employment/Education specialist: job development, addressing work and school related goals and problems Psychiatrist: prescribing, shared decision-making, education RAISE Connection Program

14. Regularly prescribed meetings between participant and team Family involvement strongly encouraged Psychoeducation Recovery focus Flexibility (time, services, availability) 24-hour phone availability Varied Treatment modalities – Individual sessions – Participants group – Family groups – Participant/family sessions RAISE Connection Program

15. Consultation Services Provide consultations on diagnosis, treatment recommendations, and school and family management Consultations may be provided On-site (1 to 3 visits) By telephone or e-mail We accept consultation requests from schools, colleges, psychiatrists, primary care and pediatric care, state institutions Currently piloting telepsychiatry consultation service

16. Training & Implementation Support Services Establish Early Intervention Teams throughout the State – Train teams in evidence-based interventions for youth with early psychosis – Support ongoing training of teams via an existing infrastructure – Teams currently available in Baltimore City and Montgomery County Create learning opportunities for teams and others providing services to those with early psychosis – To support collaboration, sharing of resources, and coordination of service delivery

17. Who should contact the EIP? Individuals experiencing early symptoms of a mental illness with psychosis Family Members, Friends, or Professionals who are seeking services for an individual experiencing symptoms of a mental illness with early psychosis Providers seeking formal consultations on complex cases Professionals interested in receiving education or information about early psychosis or using program services Providers interested in establishing an early intervention team within their treatment setting

18. When in doubt, feel free to ask Website: www.MarylandEIP.comwww.MarylandEIP.com Toll free numbers – Phone: (877) 277-MEIP (6347) – Fax: (877) 689-9185 Centralized E-mail – info@MarylandEIP.com info@MarylandEIP.com