| Individual psychotherapy |
1–2 times per week initially, decreasing frequency over time Emphases: mastering developmental challenges, fostering resilience, reducing stigma/shame, understanding symptoms, and improving coping strategies Case conceptualization based on cognitive behavioral therapy (CBT) and/or acceptance and commitment therapy (ACT) Case management as needed to reduce stress and support recovery (e.g., getting insurance, initiating school accommodations)
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| Psychiatry |
We take a careful, individually-tailored approach to each patient, including when and whether or not to recommend medications. We always employ a holistic approach that includes focus on essential aspects of self-care, including good sleep, nutrition/hydration, exercise, mindfulness and social connections When antipsychotic medication is prescribed, an emphasis on nutrition and exercise is crucial to our proactive prevention of metabolic side effects. Psychiatrists collaborate closely with the clinical team to monitor progress and provide consultation and education to the youth and family – which allows for revisions to the treatment plan as needed, including initiation of medication as indicated.
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| Family psychoeducation and therapy |
Family interventions are integral to the CEDAR treatment model Family treatment may or may not include client, depending on the presenting concerns and dynamics of the individual and family Family focused treatment (FFT43,44) is the primary model; this 18 session program emphasizes 1) Psychoeducation: discussing positive, negative, and mood symptoms and the relationship between symptoms and stress; 2) Communication training: learning and practicing skills to effectively listen, increase positive interactions, and reduce misunderstandings; and 3) Problem solving: practicing a structured problem-solving method to collaboratively reach and try out creative solutions
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| Cognitive enhancement/remediation |
CLUES (Cognition for Learning and for Understanding Everyday Social Situations) was developed as an adapted version of Cognitive Enhancement Therapy (CET72) for young people at CHR, and was offered as a pilot treatment initially supported by an Anonymous Family Foundation and the Sidney Baer Jr. Foundation CLUES includes 1) weekly cognitive training via in office and at home programs, 2) 22-session social social-cognitive group treatment, and 3) weekly individual coaching sessions. Currently offered as a research project funded by NIMH 1R34MH105596 involving an RCT comparing CLUES to ACT individual and group treatment + participation in online trivia games.
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| School/job coaching |
Individual clinicians guide and advocate for the clients in securing appropriate school supports (e.g., accommodations/504 plans, evaluation for special education services/IEPs, office of disability services). BA level staff and undergraduate volunteers provide weekly coaching and individualized support for school and job success Includes assessment of needs and goals; teaching and practice of skills (e.g., scheduling/keeping a to-do list and calendar, writing a paper, studying for a test, preparing a resume, searching for jobs, completing online applications, and practicing interview skills).
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