An ounce of prevention can make all the difference with the - PowerPoint PPT Presentation

An ounce of prevention can make all the difference with the knowledge we the difference with the knowledge we have today. When symptoms are caught early, they can be highly caug t ea y, t ey ca be g y responsive to treatment. In many cases, early treatment can even stop psychosis in its tracks ­ heading off a lifetime of pain, debilitation, and staggering costs. t i t Dr. William McFarlane (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 1

(855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 2

Psychosis Psychosis Psychosis Psychosis Psychosis Psychosis Psychosis Psychosis What is Psychosis? It’s an illness like any other, and is caused by changes that occur in the brain for a number of reasons. At times, psychotic b f h disorders can alter a person’s perception of realty realty. (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 3

Phases Phases of Psychosis Phases Phases of Psychosis of Psychosis of Psychosis Psychosis progresses through an illness process. 1.The Pre ­ onset Phase 2.The Acute Phase 3.The Recovery Phase (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 4

Functioning deteriorates Functioning deteriorates Functioning deteriorates Functioning deteriorates g g with every additional episode with every additional episode with every additional episode with every additional episode A GAF score of 91‐100 is normal high function in all areas of life When a psychotic episodes occurs it can cause a major decline in functioning McFarlane, William R., M.D GAF: Global Assessment of Functioning 5

Mental Illness Mental Illness IS Mental Illness Mental Illness IS IS Common IS Common Common Common (855) 2REACHUS (855) 2REACHUS One ­ half of all lifetime cases of mental illness begin by age 14, three ­ quarters by age 24 www.Reach4SCC.org 6

Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs 3 Primary Symptoms Categories Reduced Performance Behavior Changes Perceptual Changes (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 7

Identifying the Identifying the Identifying the Identifying the Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs Reduced Performance � Trouble speaking, reading, understanding complex sentences or others h � Disorganized or digressive speech � Becoming easily confused or lost � Trouble in sports or other activities that used to be easy � Attendance problems related to sleep or fearfulness p p Perceptual Changes � Heightened sensitivity to sights, sounds, or touch g y g , , � Reporting visual changes Behavior Changes (855) 2REACHUS (855) 2REACHUS � Decline in appearance or hygiene � Extreme social withdrawal www.Reach4SCC.org 8

Impact of Untreated Mental Impact of Untreated Mental Ill Ill Illness in the Classroom Illness in the Classroom i i th Cl th Cl • Inattentive students I tt ti t d t • Poor attendance • Bullying • Disruptive behavior Disruptive behavior • Weak social skills • Poor grades d (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 9

Warning signs that require Warning signs that require i i immediate attention immediate attention di t di t tt tt ti ti • Threats of hurting self/others • Disorganized or bizarre Di i d bi behavior • Hallucinations or delusional thinking • Extreme withdrawal & i isolation l ti (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 10

Early Early warning signs Early warning signs Early warning signs can be confused warning signs can be confused can be confused can be confused with other with other mental health with other mental health with other mental health with other with other mental health with other with other mental health issues mental health issues mental health issues mental health issues issues issues issues issues Careful Assessment is Needed. (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 11

Structured Interview Psychosis Structured Interview Psychosis Structured Interview Psychosis ‐ Risk Structured Interview Psychosis ‐ Risk Risk Risk Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Categories • Positive Symptoms P iti S t • Negative Symptoms • Disorganization Symptoms • General Symptoms Qualifiers Duration/Frequency • Degree of Distress & Disruption Degree of Distress & Disruption • (855) 2REACHUS (855) 2REACHUS Clustering of symptoms • www.Reach4SCC.org 12

Progression of gray matter Progression of gray matter loss in childhood loss in childhood onset loss in childhood loss in childhood ‐ onset onset onset schizophrenia at age 14 schizophrenia at age 14 Childhood‐onset Normal controls schizophrenia (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 13

RECOVERY RECOVERY RECOVERY RECOVERY (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 14

There are many benefits There are many benefits y of identifying and of identifying and treating symptoms early… treating symptoms early… 15

Why is treatment so Why is treatment so y important? important? • School & employment success • Family understanding vs. conflict • Reduces suicide risk! R d i id i k! • Avoids self medication through Avoids self medication through drugs (855) 2REACHUS (855) 2REACHUS • Better, faster recovery www.Reach4SCC.org 16

REACH Prevention Model: REACH Prevention Model: REACH Prevention Model: REACH Prevention Model: • Increase Cognitive Techniques • Improve Mental Illness Acceptance • Support Academic and Employment Success • Strengthen Adaptability • Recommend Environmental Adaptations p (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 17

Benefits of Our Model Benefits of Our Model Benefits of Our Model Benefits of Our Model • Maintained awareness of reality • Greater acceptance of treatment • Lower rates of substance abuse • Higher motivation to continue • Higher motivation to continue school and/or work • Improved family and therapeutic relationships (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 18

Treatment Treatment Treatment Treatment available available il bl il bl (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 19

Our Primary Intervention: Our Primary Intervention: Our Primary Intervention: Our Primary Intervention: y Multi ­ Family y Groups p • Bi ­ weekly meetings with various families • Shared problem solving process (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 20

Multi Multi Multi family Groups Multi ‐ family Groups family Groups family Groups • Clinically proven to be most effective y p psychosocial treatment for individuals with psychosis • Creates social networks and teaches skills essential for recovery. • Reduces family conflict by teaching R d f il fli b hi healthy and helpful communication. (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 21

REACH REACH REACH Team REACH Team Team Team Sarina Campos, Educational/Employment Lammai Huynh, Specialist Consumer Family y Advocate Th B i Thu Bui Ruby Ramirez, Psychiatrist Administrative Assistance Michelle Schweon, Occupational Therapist Occupational Therapist Picha Watkins, Program Manager Amy Wright, Clinician 22

Our team focuses Our team focuses on on a multi a multi ­ cultural cultural approach approach h (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 23

REACH Referral REACH Referral Guidelines: REACH Referral REACH Referral Guidelines: Guidelines: Guidelines: • Ages 10‐25 • Lives in Santa Clara County • Exhibits early warning signs • Is uninsured or has Medi‐Cal or Healthy Families • Not currently receiving ongoing treatment for a psychotic disorder p y (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 24

Referral Process Referral Process Referral Process Referral Process Initial Outreach Referrals Phone Presentations Presentations Screening Joining Phone Sessions Consultation Assessment Partner & Their With Clinician Family/Support Family/Support System Psychoeducation Multi ­ Family Workshop Groups (855) 2REACHUS (855) 2REACHUS for Partners/Support System for Partners/Support System www.Reach4SCC.org 25

How You Can Help: How You Can Help: How You Can Help: How You Can Help: p • Identify early warning signs of psychosis and refer psychosis and refer • Contact a REACH team member for: C C onsultations (In person/Phone) lt ti M ore I nformation R eferrals R eferrals Please Call Please Call 1.855.2REACHUS [toll free] [toll free] [toll free] [toll free] (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org www.Reach4SCC.org 26

Brought to you by h b A mental health early intervention and prevention program for Santa Clara County program for Santa Clara County. ( 855)2REACHUS (855) 279 ­ 8848 www.Reach4SCC.org R h4SCC 27

R aising E arly A wareness & C reating H ope g p (855) 2REACHUS (855) 2REACHUS www.Reach4SCC.org 28