State Health Administrators and Clinics
On January 17, 2014, the “Consolidated Appropriations Act, 2014,” (H.R. 3547) was enacted into law. This legislation provided additional funds to the Substance Abuse and Mental Health Services Administration (SAMHSA) to support the implementation of evidence-based programs that address the needs of individuals with early serious mental illness, including psychotic disorders, regardless of the age of the individual at onset. Accompanying U.S. Senate and U.S. House of Representatives reports directed these funds to treatment models for early serious mental illness such as those developed for first episode psychosis (FEP). The Congress further directed SAMHSA to collaborate with NIMH in developing guidance to states so that funds are used for programs showing strong evidence of effectiveness.
Listed below are coordinated specialty care (CSC) program development materials to help states initiate or expand CSC services for youth and young adults with FEP. You’ll find links to treatment guides, manuals, videos, educational handouts, worksheets and more.
The materials listed below are offered at no cost and for educational purposes. Some of the links will take you to websites that offer materials or services that either were not produced by NIMH, or that were produced by research supported or funded by NIMH. Links to non-NIMH webpages do not constitute endorsement of products and services available on those sites.
Coordinated Specialty Care: Overview
Evidence-based Treatments for First Episode Psychosis: Components of Coordinated Specialty Care
This overview document summarizes the evidence base for coordinated specialty care for FEP. The paper addresses core components of care, staffing needs, training and supervision requirements, quality assurance, and financing information.
NIMH convened a meeting in September 2017 to understand stakeholders’ perspectives on opportunities and barriers to adopting a harmonized approach to (1) clinical assessment, (2) data collection, and (3) evaluation of services and outcomes across CSC programs for FEP, as envisioned in an Early Psychosis Intervention Network.
There are a number of helpful webinars for state mental health program directors and community mental health providers. These online programs offer guidance on a variety of topics related to developing coordinated specialty care (CSC) programs for first episode psychosis.
Coordinated Specialty Care (CSC) Guides, Manuals & Program Resources
RAISE Implementation and Evaluation Study (RAISE-IES) Guides
The RAISE-IES research team developed two guides that provide information on establishing coordinated specialty care programs. The guides use the RAISE Connection Program as an illustrative example.
- Manual I: Outreach and Recruitment
This downloadable manual summarizes key concepts, principles, and processes involved in community outreach and developing and maintaining referral networks. The manual includes sample brochures, contact forms, screening packets, and an overview of how to establish outreach and referral tracking systems.
- Manual II: Implementation
This downloadable resource provides a concise overview of administrative, training, and supervision activities needed to start an FEP treatment program. The manual provides a “Getting Started Checklist,” sample program inclusion/exclusion criteria, job descriptions, resources/references for background reading, and discussion of how to monitor program fidelity.
RAISE Early Treatment Program Manuals and Program Resources
NAVIGATE is a CSC treatment model developed by the RAISE Early Treatment Program (RAISE-ETP) and was one of two CSC models tested as part of the RAISE research study. See available NAVIGATE resources on the RAISE-ETP project site including:
- Program Director Manual
- Family Education Manual
- Individual Resiliency Trainer (IRT) Manual
- IRT Training Videos
- Psychopharmacology (Prescribers) Manual
- Supported Employment and Education (SEE) Manual, and
- Team Members Guide.
OnTrackNY Manuals and Program Resources
New York adopted the RAISE Connection Program statewide through a treatment initiative called OnTrackNY. The Connection Program treatment manuals were revised for OnTrackNY. The OnTrackNY manuals available for download include:
- Team Manual
- Medical Manual
- Primary Clinician’s Manual
- Supported Employment and Supported Education Manual
- Recovery Coach Manual, and
- Outreach and Recruitment Manual
- Family Involvement Resources Manual.
- Relevant tools and other free resources are also available.
Voices of Recovery Video Series
A series of 24 vignettes of consumer and family members, the videos share inspirational and informative recovery stories focusing on a variety of topics. A manual is also available to help integrate the videos into treatment and training.
Connecting Research and Policy in Early Psychosis Treatment (Video: 24:11)
Robert Heinssen, Ph.D., director of the NIMH Division of Services and Intervention Research, discusses the intersection of science and policy in the context of the RAISE (Recovery After an Initial Schizophrenia Episode) initiative. He spoke at a conference, "Solving the Grand Challenges in Global Mental Health: Partnerships for Research & Practice," in Rockville, MD, June 12, 2014.
Interactive Planning Tool
This tool estimates the number of CSC teams needed to serve a given population, and the cost of those teams. The Excel-based tool is described in a 2013 publication and is available online.