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MindStrong Early Intervention

MindStrong Early Intervention is a comprehensive program for the diagnosis and treatment of individuals at Clinical High Risk for psychosis, also known as Attenuated Psychosis Syndrome (APS). Participants are screened at intake using a specialized assessment tool to determine program eligibility. The MindStrong Early Intervention team works with 13-25-year-olds to provide therapy and multi-disciplinary services, tailoring supports to each individual.  

With the proper support and treatment, most young people who experience attenuated symptoms will not develop active psychosis. MindStrong Early intervention is aimed at symptom prevention and education that can assist a young person in overcoming current stressors in order to have a full and satisfying life!

Early Intervention services were established via a 2019 SAMSHA grant designating Thresholds to design services to identify and treat Clinical High Risk for psychosis (CHR-p), a condition that had formerly been addressed in research, but not in clinical practice. Through partnerships with the Chicago Early Intervention Network at Northwestern University, Rush Medical School, and others, Thresholds adapted the Coordinated Specialty Care model and developed innovative services to help young people and their families understand attenuated symptoms of psychosis and receive the best-fit treatment at the earliest stage.

 

Mindstrong Early Intervention aims to:

  • Identify and treat individuals at Clinical High Risk for psychosis and improve the lives of at-risk youth.
  • Provide targeted interventions for young people and their families across multiple life domains.
  • Decrease the chances for long-term mental health needs.
  • Educate the community about warning signs for those at risk.

 

What is Attenuated Psychosis Syndrome (APS)? 

The word “attenuated” means a lesser variation of something. In this case, “attenuated” psychosis is characterized by psychosis symptoms (i.e., perceptual experiences, unusual beliefs, and/or disorganized thinking or speech) that occur in an attenuated, or lessened, form. These experiences are less severe, less distressing, and less frequent than those seen in psychotic disorders, and yet are still bothersome, interfering, or captivating.  

Attenuated Psychosis Syndrome (APS) is a disorder in the main handbook healthcare professionals use to understand mental health diagnoses, the DSM. APS is characterized by attenuated psychotic symptoms that are recent (i.e., begun or worsened in the past year), frequent (i.e., at least once a week), distressing and interfering, and that need clinical attention.  

APS is most common among 15–25-year-olds. People experiencing attenuated psychosis symptoms are often confused or perplexed by their experiences and recognize that they are not real. With APS, reduced motivation, lack of interest in socializing, anxious or depressed mood, a change in taking care of oneself, and/or a change in school/work performance are common too.  

With the right treatment, recovery is expected. It is important to continually monitor attenuated psychosis symptoms. Working with a specialized treatment center designed for people with APS can be helpful for monitoring, assessing, and treating. It is also often helpful for individuals who meet criteria for APS to focus on their sleep and health behaviors, and to avoid substance use. 

Individuals experiencing attenuated psychosis symptoms may also benefit from therapy designed specifically for APS. Cognitive Behavioral Therapy (CBT) can help people generate alternative helpful explanations for their experiences, facilitate adaptive coping strategies, navigate day-to-day life, and achieve goals. Thresholds MindStrong Early Intervention program is designed to provide targeted and young person-driven care to individuals with APS and their families. 

*Content adapted from the Strive for Wellness Clinic, SFWMaryland.com