How Do I Access PREP or Refer Someone? Jackie Yanofsky, MSW Treatment Coordinator PART and PREP Programs UCSF, Psychiatry Department

Step 1. Call (888) Discuss case/ consultation -Complete phone screen with PREP staff to see if client should be referred. Step 2. Discuss referral with client/family. - If already diagnosed- discuss treatment options. - If possible high-risk, discuss evaluation and treatment options. - Provide brochures, handouts, use PQ-B screen. - Obtain consent to exchange information. How do I refer someone to PREP?

Step 3. Arrange appointment for PREP staff to meet client/family in the community or have them call PREP to complete phone screen. Next steps if client seems appropriate for further assessment after the initial phone screen: Step 4. Client/family will complete a 2-3 hour diagnostic assessment. How do I refer someone to PREP?

Step 5. PREP staff will request discharge summary or other records and contact providers for collateral. Step 6. Client/family attend feedback session with education, recommendations and referrals if not appropriate for PREP. Step 7. Plan of care developed collaboratively with client/family, may include any or all aspects of treatment at PREP, plus collaboration with other providers. Clients are eligible for services for up to 2 years from entry into PREP. What will happen next?

Interested in learning more about the PART research if person is past the recent-onset group ( onset of full psychosis > 2 years ) Person needs services in San Francisco or outside of Alameda County research. CALL: (415) Other Options Available

Talking to teens, young adults and families about psychosis Tip #1: Don’t panic

Talking to teens, young adults and families about psychosis Tip #2: Don’t panic

Talking to teens, young adults and families about psychosis Tip #3: Normalize 1/6 people in the general population report a psychotic experience without a diagnosable disorder Only 1/3 of teens with UHR syndrome develop full psychosis within a few years People can function well with psychosis- school, work, family

Talking to teens, young adults and families about psychosis Tip #4: Stay curious Ask questions- what’s that like when it happens? How often? What do you do differently because of it (look for avoidance or impairment in classes, with friends) When did it start? Want help with it?

Talking to teens, young adults and families about psychosis Tip #5: Encourage further evaluation Expert evaluation can help diagnose what’s going on and recommend treatments.

Talking to teens, young adults and families about psychosis Tip #6: Encourage hope Getting help early makes a difference.

Case Examples

Example #1: Robert is 15 years old. He has been experiencing symptoms of depression for about two years. He describes his symptoms as sadness and worthlessness. He denies all other symptoms. He has friends and is functioning at grade level.

Not an appropriate referral to PREP - refer to usual system of care

Example # 2: Mike is 21. Recently, he started having more trouble concentrating on schoolwork, which led to his failing many classes. Mike reported frequently seeing his cat in his room when he was alone. He was convinced that the cat had come into his room because the cat knew he was alone and could read his sad thoughts. He also describes hearing the cat talk to him when he is at school, at he believes that the cat secretly communicates with his classmates. Mike reports that he has been hearing the cat talk to him for 4 years.

Not an appropriate referral to PREP - refer to usual system of care Or Call PART line for referrals (415)

Julie is 17. Recently, she started having more trouble concentrating on schoolwork, which led to her failing many classes. Julie has had the feeling of the presence of someone in the room at times when she was alone. She would often think that she felt the presence of her mother in the room. She would occasionally look around the room when this happened and realize no one was there. She sometimes thought that she heard her name being called when no one was around. These symptoms began three months ago. Her mother reported that these symptoms were becoming increasingly worrisome. Example # 3:

Likely at high risk for psychosis Appropriate referral to PREP

PREP Referrals Call: (888)