Table 4.

Ten simple recommendations for real-world implementation of CHR-P service.

Service configuration
1	Implement a standalone community service (“what”)
2	Train a multidisciplinary team (psychiatrists, clinical psychologists or counsellors, case managers and nurses) (“what”)
Outreach strategy and referrals
3	Adopt active and passive outreach, primarily targeting healthcare agencies (“how”)
4	Ensure adequate risk enrichment during the recruitment (“how”)
CHR-P service user characteristics
5	Define CHR-P through established psychometric instruments (not in general population) (“how”)
6	Implement a transitional and transdiagnostic service across adolescents and young adults (“when”)
Interventions
7	Offer needs-based interventions and psychological interventions (“how”)
8	Titrate the intervention according to the characteristics and risk profilea as well as the values and preferences of the individuals (“how”)
Outcomes
9	Collect information and target recovery, physical health outcomes, service users’ satisfaction, functioning and quality of life (“how”)
10	Extend clinical monitoring for outcomes for at least three years (“how”)

^aCHR-P subgroups BLIPS > APS > GRD, severity of attenuated positive and negative symptoms, and level of functioning.