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12 Steps of Complexity Competency for Adult Staff

This sheet provides tips for welcoming clients, identifying stages of change, improving communication, providing stage-matched interventions as well as enhancing collaboration and engagement (with clients, families and other staff).

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Stages of Change Descriptors

These descriptors of the five Stages of Change, from Prochaska and DiClemente’s model, are great tools for identifying readiness for change and designing treatment/ recovery plans.

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Integrated Recovery Plan

The Integrated Recovery Plan is a useful tool for working with individuals experiencing co-occurring mental health and addiction conditions.

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Breaking News Regarding Schizophrenia Treatment

A landmark schizophrenia study recommends lowering drug dosages and increasing therapy

Tuesday, October 20, 2015 12:03 AM EDT

More than two million people in the United States have a diagnosis of schizophrenia, and the treatment for most of them mainly involves strong doses of antipsychotic drugs that blunt hallucinations and delusions but can come with unbearable side effects, like severe weight gain or debilitating tremors.
Now, results of a landmark government-funded study call that approach into question. The findings, from by far the most rigorous trial to date conducted in the United States, concluded that schizophrenia patients who received smaller doses of antipsychotic medication and a bigger emphasis on one-on-one talk therapy and family support made greater strides in recovery over the first two years of treatment than patients who got the usual drug-focused care.
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The Key Elements of Dialogic Practice in Open Dialogue: Fidelity Criteria

The intent of this document is to support the development of an Open Dialogue practice for whole teams participating in Open Dialogue meetings, for supervision and training purposes, and for helping in systematic research. These teams can also be used for “self-reflection” by an individual practitioner.

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Reduction of Incidence of Hospitalizations for Psychotic Episodes Through Early Identification and Intervention

This study examined whether the incidence of hospitalization for psychosis was reduced by a communitywide system of early identification and intervention to prevent onset of psychosis.  Dr. McFarlane, Ms. Verdi, Ms. Lynch, and Ms. Williams are with the Maine Medical Center Research Institute, Portland

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Preventing a First Episode Psychosis: Meta-Analysis Article

Preventing a first episode of psychosis: Meta-analysis of randomized controlled prevention trials of 12 month and longer-term follow-ups

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2011 NAMI Survey: First Episode Psychosis

First Episode Psychosis: NAMI Survey

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NIMH White Paper: Evidence Based Treatments for First Episode Psychosis

NIMH White Paper: Evidence Based Treatments for First Episode Psychosis: Components of Coordinated Specialty Care

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Measuring the Impact of Early Intervention Programs for First Episode Psychosis: SAMSHA Webinar

Measuring the Impact of Early Intervention Programs for First Episode Psychosis: Experiences and Lessons Learned from Oregon and Maryland

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How Early Psychosis Intervention is Different and Why it Matters – EASA Webinar

How Early Psychosis Intervention is Different and Why it Matters

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Inventory & Environmental Scan of Evidence Based Practices for Treating Persons in Early States of Serious Mental Illness

An inventory of both U.S. and international early intervention programs for serious mental illnesses (Matrix A) as well as specific EBPs that either: a) have been tested as being effective for persons in early stages of illness (and/or b) have been identified as important components of these coordinated care early intervention models, even if the practice itself may have originally been developed for a broader population beyond persons in the early stages of illness (Matrix B). The early intervention models in Matrix A include collaborative, recovery-oriented approaches that are multicomponent.

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Early Psychosis Intervention Directory

Database and directory of early intervention programs for psychosis within the U.S. This directory has been created by the Foundation for Excellence in Mental Health Care(FEMHC) and the Early Assessment and Support Alliance (EASA) Center for Excellence at Portland State University.

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OATI – Organziational Assessment Toolkit

Organizational Assessment Tooklit for Primary and Behavioral Health Care Integration (OATI) provides a compendium of tools that lay out a path for organizations for assess their readiness for integration, as well as benchmarking opportunities for those organizations well down the line in integration efforts.

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