A recovery-oriented treatment program for individuals with first episode psychosis (FEP) that utilizes a team approach and shared decision-making processes to assist individuals in reaching their goals. CSC-FEP includes therapy, medication management, family education and support, case management, education and/or work support, and family education and support based on the needs and preferences of the individual. CSC may include additional disciplines, including peer support, nursing, occupational therapy and others. The individual, their family members/supports, and the early psychosis intervention team works together to make treatment decisions (Azrin, 2019; Heinssen, 2014).

Recognizing and acknowledging one’s own implicit biases, a commitment to lifelong learning and reflection, awareness and responsiveness to cultural, racial, ethnic, and spiritual identities of young people and their family members and supports, and attempts to reduce power dynamics between provider and individual/family members/ supports (Tervalon & Murray-Garcia, 1998).

Tasks related to social, emotional, physical, and mental development occurring gradually that adolescents and young adults pass through in their transition to adulthood (Simpson, 2018).

All team members come from the same discipline and create individual goals and interventions for that discipline.

Delay between onset of psychotic symptoms and entry into first episode psychosis (FEP) treatment or other effective treatment. Early identification, rapid referral, and engagement in FEP reduces duration of untreated psychosis and improves functional outcomes in individuals experiencing psychosis (Azrin, 2019).

Intervention to provide effective care to individuals as early as possible during the onset of symptoms. Early psychosis intervention is based on research showing positive correlation between duration of untreated psychosis and outcome; that it is possible to identify a proportion of those at high risk of developing psychosis; and that it may be possible to reduce the transition rate to illness through early intervention (McGorry & Killackey, 2002).

“The way in which a person understands his or her illness experience, how psychological distress is experienced, labeled, caused, and cured all form part of this explanation. Although an explanatory model can reflect individual differences, it is heavily influenced by one’s sociocultural environment. Therefore, it may be internally consistent within an ethnic group. Benish et al.’s (2011) study highlights the importance of eliciting a group’s explanatory model and adapting treatment in accordance with it. In fact, understanding the client’s interpretation of symptoms—invariably influenced by the prevailing cultural interpretation—and providing treatment congruent with their explanatory model appears to be the “active ingredient” in culturally adapted treatment. (Patel & Hinton, 2017; Benish et al., 2011).

The early period (up to 5 years) after onset of symptoms of psychosis (Substance Abuse and Mental Health Services Administration, 2019).

Each team member analyzes and synthesizes information from their own expertise to coordinate treatment goals and interventions with the team for the individuals in the program.

Each team member uses their own expertise to develop individual treatment goals and interventions for individuals in the program.

Services are based on the individual’s experience, strengths, goals, needs and culture as they understand them to be, and that the individual themselves is fully competent and capable of bringing about change in their life (Ackerman, 2019).

A condition that affects the brain's ability to organize, process, and express information. Symptoms of psychosis include: hallucinations (seeing, hearing, tasting, feeling, or smelling things that others do not), delusions (holding false personal beliefs that do not go away despite evidence or proof to the contrary), showing a loss of interest in activities, confused thinking, and/or disorganized speech (Substance Abuse and Mental Health Services Administration, 2019).

A way to prevent psychosis risk syndrome or psychosis from getting in the way of a young person’s goals. It involves identifying the triggers that can cause a relapse in symptoms, identifying the early warning signs that a relapse might happen, and writing a plan for what to do if a relapse happens. Triggers, warning signs, and a plan are what make up a relapse prevention plan (Sage, 2019).

The process of involving young people (and if they wish, their support system) in making decisions about treatment options. Shared decision making requires Informed Consent. Shared decision making affirms youth autonomy and reinforces their self- determination.

Belief that each person does well with the right supports and opportunities. Utilization of approaches that reinforce and build on each individual and family’s unique strengths, beliefs, perspectives, worldviews, and culture (Sage, 2019).

All team members share ideas and collaborate to create integrated and comprehensive treatment goals and interventions for individuals in the program.

Team and care setting approaches that provide a welcoming environment. They involve deliberate steps that have been taken by team members to decrease the likelihood that interactions, practices, and policies will retraumatize an individual or their family members or supporters.