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

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

Jan 02, 2023 341 likes •626 views

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

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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 tracks­heading off a lifetime of pain, debilitation, and t i t

(855) 2REACHUS

staggering costs.

  • Dr. William McFarlane

(855) 2REACHUS

www.Reach4SCC.org

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(855) 2REACHUS

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(855) 2REACHUS

www.Reach4SCC.org

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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 b f h number of reasons. At times, psychotic disorders can alter a person’s perception of realty realty.

(855) 2REACHUS

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(855) 2REACHUS

www.Reach4SCC.org

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Phases Phases of Psychosis

  • f Psychosis

Phases Phases of Psychosis

  • f Psychosis

Psychosis progresses through an illness process.

1.The Pre­onset Phase 2.The Acute Phase 3.The Recovery Phase

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(855) 2REACHUS

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Functioning deteriorates Functioning deteriorates Functioning deteriorates Functioning deteriorates g with every additional episode with every additional episode g 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

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McFarlane, William R., M.D

GAF: Global Assessment of Functioning

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Mental Illness Mental Illness IS IS Common Common Mental Illness Mental Illness IS IS Common Common

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(855) 2REACHUS

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One­half of all lifetime cases of mental illness begin by age 14, three­quarters by age 24

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Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs

3 Primary Symptoms Categories

Reduced Performance Behavior Changes Perceptual Changes

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(855) 2REACHUS

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Identifying the Identifying the Early Warning Signs Early Warning Signs Identifying the Identifying the Early Warning Signs Early Warning Signs

Reduced Performance

Trouble speaking, reading, understanding complex

h

Early Warning Signs Early Warning Signs Early Warning Signs Early Warning Signs

sentences or others

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

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Decline in appearance or hygiene Extreme social withdrawal

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Impact of Untreated Mental Impact of Untreated Mental Ill i th Cl Ill i th Cl Illness in the Classroom Illness in the Classroom

I tt ti t d t

  • Inattentive students
  • Poor attendance
  • Bullying
  • Disruptive behavior

Disruptive behavior

  • Weak social skills

d

  • Poor grades

(855) 2REACHUS (855) 2REACHUS

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Warning signs that require Warning signs that require i di t tt ti i di t tt ti immediate attention immediate attention

  • Threats of hurting self/others

Di i d bi

  • Disorganized or bizarre

behavior

  • Hallucinations or

delusional thinking

  • Extreme withdrawal &

i l ti

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isolation

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Early Early warning signs warning signs can be confused can be confused with other with other mental health mental health issues issues Early Early warning signs warning signs can be confused can be confused with other with other mental health mental health issues issues with other with other mental health mental health issues issues with other with other mental health mental health issues issues

Careful Assessment is Needed.

(855) 2REACHUS

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(855) 2REACHUS

www.Reach4SCC.org

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Structured Interview Psychosis Structured Interview Psychosis‐Risk Risk Syndromes (SIPS) Screening Tool Syndromes (SIPS) Screening Tool Structured Interview Psychosis Structured Interview Psychosis‐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

Categories

P iti S t

  • Positive Symptoms
  • Negative Symptoms
  • Disorganization Symptoms
  • General Symptoms

Qualifiers

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  • Duration/Frequency
  • Degree of Distress & Disruption

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Degree of Distress & Disruption

  • Clustering of symptoms
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Progression of gray matter Progression of gray matter loss in childhood loss in childhood onset

  • nset

loss in childhood loss in childhood‐onset

  • nset

schizophrenia at age 14 schizophrenia at age 14

Normal controls Childhood‐onset schizophrenia

(855) 2REACHUS

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(855) 2REACHUS

www.Reach4SCC.org

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RECOVERY RECOVERY RECOVERY RECOVERY

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There are many benefits There are many benefits y

  • f identifying and
  • f identifying and

treating symptoms early… treating symptoms early…

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Why is treatment so Why is treatment so y important? important?

  • School & employment success
  • Family understanding vs. conflict

R d i id i k!

  • Reduces suicide risk!
  • Avoids self medication through

Avoids self medication through drugs

(855) 2REACHUS

  • Better, faster recovery

(855) 2REACHUS

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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

(855) 2REACHUS

p

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(855) 2REACHUS

www.Reach4SCC.org

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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

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(855) 2REACHUS

www.Reach4SCC.org

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Treatment Treatment Treatment Treatment il bl il bl available available

(855) 2REACHUS (855) 2REACHUS

www.Reach4SCC.org

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Our Primary Intervention: Our Primary Intervention: Our Primary Intervention: Our Primary Intervention: y

Multi­Family y Groups p

(855) 2REACHUS

  • Bi­weekly meetings with various families
  • Shared problem solving process

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(855) 2REACHUS

www.Reach4SCC.org

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Multi Multi‐family Groups family Groups Multi Multi 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. R d f il fli b hi

  • Reduces family conflict by teaching

healthy and helpful communication.

(855) 2REACHUS (855) 2REACHUS

www.Reach4SCC.org

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REACH REACH Team Team REACH REACH Team Team

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

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Our team focuses Our team focuses on

  • n

a multi a multi­cultural cultural h approach approach

(855) 2REACHUS

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(855) 2REACHUS

www.Reach4SCC.org

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REACH Referral REACH Referral Guidelines: Guidelines: REACH Referral REACH Referral 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

(855) 2REACHUS

p y

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(855) 2REACHUS

www.Reach4SCC.org

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Referral Process Referral Process Referral Process Referral Process

Outreach Presentations

Referrals

Initial Phone Presentations Screening

Phone Consultation

With Clinician

Assessment Joining Sessions

Partner & Their Family/Support Family/Support System

(855) 2REACHUS

Psychoeducation Workshop

for Partners/Support System

Multi­Family Groups

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(855) 2REACHUS

www.Reach4SCC.org

for Partners/Support System

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How You Can Help: How You Can Help: How You Can Help: How You Can Help:

  • Identify early warning signs of

psychosis and refer

p

psychosis and refer

  • Contact a REACH team member for:

C lt ti Consultations (In person/Phone) More Information Referrals Referrals Please Call Please Call 1.855.2REACHUS [toll free] [toll free]

(855) 2REACHUS

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[toll free] [toll free] www.Reach4SCC.org

(855) 2REACHUS

www.Reach4SCC.org

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h b Brought to you by

A mental health early intervention and prevention program for Santa Clara County program for Santa Clara County.

( 855)2REACHUS (855) 279­8848 R h4SCC www.Reach4SCC.org

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Raising Early Awareness

&

Creating Hope g p

(855) 2REACHUS (855) 2REACHUS

www.Reach4SCC.org

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