RecruitingNot ApplicableNCT06640803

Sacramento Clinical High Risk for Psychosis Stepped-Care Program

Increasing Access to Evidence-Based CHR-P Assessment and Treatment Via Stepped-Care in Community-based Settings

Sponsor

University of California, Davis

Enrollment

223 participants

Start Date

Mar 20, 2023

Study Type

INTERVENTIONAL

Conditions

Clinical High Risk for Psychosis Ultra High Risk for Psychosis

Summary

This is a dissemination and implementation study that is evaluating a stepped-care intervention for identifying and treating youths at clinical high-risk for psychosis within multiple community mental health centers.

Eligibility

Min Age: 12 YearsMax Age: 25 Years

Plain Language Summary

Simplified for easier understanding

This program is testing a stepped-care mental health approach for young people who are at high risk of developing psychosis — meaning they are showing early warning signs but have not yet had a full psychotic episode. **You may be eligible if...** - You are between 12 and 25 years old - You have been identified as being at clinical high risk for psychosis based on a structured assessment - You are receiving care at one of six participating community mental health clinics - You are eligible for Sacramento County Medicare **You may NOT be eligible if...** - You have an intellectual disability (IQ below 70) - You need a higher level of immediate psychiatric care Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BEHAVIORALStepped-Care including Cognitive Behavioral Case Management

Step 1:assessment and feedback, general engagement strategies, assessment of needs and social determinants of health, begin case management, goal setting. Step 2: TAU. Initiation of team-based care at community clinics and 'enhanced monitoring'. Step 3: atheoretically-based stress management skills (stress thermometer, coping skills and coping plans), problem solving strategies. Step 4: targeted intervention for CHRp. Initiation of formulation-based CBT modules, therapy consultation groups with the UC Davis team (UCD), regular meetings between clinic leadership and UCD. Participants may switch providers to increase level of early psychosis specialization. Step 5: add prescriber consultation groups with UCD. Step 6: assessment of trauma and family conflict then Family-Focused Therapy, Trauma-Focused Cognitive Behavioral Therapy, or CBT for CHR at UCD. Termination: At 24 months, referral to UCD coordinated specialty care clinic or other appropriate service for those still CHRp+.

Locations(6)

River Oak Center for Children

Elk Grove, California, United States

Turning Point Community Programs

Elk Grove, California, United States

University of California Department of Psychiatry and Behavioral Sciences; Early Psychosis Programs

Sacramento, California, United States

University of California-Davis CAARE Diagnostic and Treatment Center

Sacramento, California, United States

Capital Star Community Services

Sacramento, California, United States

Heartland Child and Family Services

Sacramento, California, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT06640803