Table 2.

Summary of Core Interventions Provided in the NAVIGATE Program

Intervention	Provider	Goals	Description
Individualized Medication Management	Prescriber	Reduce symptoms Minimize side effects and adverse medical health outcomes	Provided to all clients Regular monitoring of symptoms, treatment adherence and side effects using standardized questions during regular office visits Continuous monitoring of risk factors for metabolic and cardiovascular disease Guideline based pharmacological treatment emphasizing low doses Close coordination with primary care provider and referral for medical services, when appropriate Encourage healthy life styles; this can include coordination with the IRT clinician on life style changes
Family Education Program	Director (typically)	Establish collaborative relationships between family and treatment team Instill hope for recovery from psychosis Teach family about psychosis and its treatment Strengthen communication Reduce family stress Improve family support for client’s goals & participation in treatment Prevent relapses	Offered to all families, with consumer consent Holding an individual session with each significant others and the client, to get to know them, hear their experience, and get their point of view Family Education (10-12 sessions) Offered to all families Education about psychosis, treatment, stress reduction Development of relapse prevention plan Emphasis on family resiliency and strengths Monthly Check-in’s Brief monthly in-person or phone contact to review progress and identify family concerns or clinical issues Conducted following completion of family education Family Consultation (1-2 sessions/problem) as needed Addresses specific problem identified by family Focused problem-solving approach used by family clinician Specific solutions identified, action plan formulated, follow up conducted Modified Intensive Skills Training (8-12 sessions) if needed after basic family education completed Targets persistently high levels of family stress Intensive skills training methods used to teach communication and problem-solving skills
Individual Resiliency Training (IRT)	IRT clinician	Help client achieve personal recovery goals Educate about psychosis and its treatment Process experience of the psychotic episode Improve illness self-management, including relapse prevention and coping Reduce substance abuse Increase social support and quality of relationships Increase resiliency and well-being Improve health	Psychotherapeutic interventions based on cognitive behavioral therapy and motivational interviewing offered to all clients Individual sessions conducted weekly or biweekly for as long as needed Goal-setting and tracking throughout the program Educational and skills curriculum organized into different topic areas (or modules), with handouts and clinician guides for each module Standard modules recommended for all clients; Individualized modules provided as needed or when desired Flexibility in which modules to cover, when, and in what depth Information, strategies, and skills taught using motivational, psychoeducational, and cognitive-behavioral methods Home assignments collaboratively set and followed up each session
Supported Education and Employment (SEE)	SEE Specialist	Obtain and keep competitive employment Enroll in mainstream education programs and obtain desired degrees	Offered to all clients Specific work and school goals developed based on client’s preferences Prevocational training not required Rapid job or school search following identification of client’s goals Most services provided in community, not clinic Practical assistance in finding jobs or enrolling in school programs, including interacting with employers or school personnel Respect for client’s decision about disclosure of psychiatric disorder to employers or school personnel Follow-along supports after client gets a job or enrolls in school in order to facilitate job retention, school degree completion, or transition to another job or school