Sacramento Clinical High Risk for Psychosis Stepped-Care Program
NCT ID: NCT06640803
Last Updated: 2025-12-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
223 participants
INTERVENTIONAL
2023-03-20
2026-10-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Cognitive Behavioral Case Management
Once youths are identified with a clinical high risk for psychosis (CHRp) syndrome they will begin a 2-year, 6 step intervention. They will be assessed every 6 months. If youths continue to meet CHRp criteria they will move into the next step. If they no longer meet criteria they exit the study and resume standard care. If they develop psychosis or reach the end of the 2-year intervention they can move to EDAPT, a psychosis specialty clinic or work with personnel to find a more appropriate clinical service.
Stepped-Care including Cognitive Behavioral Case Management
Step 1:assessment and feedback, general engagement strategies, assessment of needs and social determinants of health, begin case management, goal setting. Step 2: TAU. Initiation of team-based care at community clinics and 'enhanced monitoring'. Step 3: atheoretically-based stress management skills (stress thermometer, coping skills and coping plans), problem solving strategies. Step 4: targeted intervention for CHRp. Initiation of formulation-based CBT modules, therapy consultation groups with the UC Davis team (UCD), regular meetings between clinic leadership and UCD. Participants may switch providers to increase level of early psychosis specialization. Step 5: add prescriber consultation groups with UCD. Step 6: assessment of trauma and family conflict then Family-Focused Therapy, Trauma-Focused Cognitive Behavioral Therapy, or CBT for CHR at UCD. Termination: At 24 months, referral to UCD coordinated specialty care clinic or other appropriate service for those still CHRp+.
Interventions
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Stepped-Care including Cognitive Behavioral Case Management
Step 1:assessment and feedback, general engagement strategies, assessment of needs and social determinants of health, begin case management, goal setting. Step 2: TAU. Initiation of team-based care at community clinics and 'enhanced monitoring'. Step 3: atheoretically-based stress management skills (stress thermometer, coping skills and coping plans), problem solving strategies. Step 4: targeted intervention for CHRp. Initiation of formulation-based CBT modules, therapy consultation groups with the UC Davis team (UCD), regular meetings between clinic leadership and UCD. Participants may switch providers to increase level of early psychosis specialization. Step 5: add prescriber consultation groups with UCD. Step 6: assessment of trauma and family conflict then Family-Focused Therapy, Trauma-Focused Cognitive Behavioral Therapy, or CBT for CHR at UCD. Termination: At 24 months, referral to UCD coordinated specialty care clinic or other appropriate service for those still CHRp+.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Aged between 12-25 years old
3. Receiving care in one of six identified community mental health clinics
4. Eligibility for Sacramento County Medicare
5. Ability to provide informed consent
Exclusion Criteria
2. Urgent clinical need for a higher level of care
12 Years
25 Years
ALL
No
Sponsors
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Sacramento County Behavioral Health Services
UNKNOWN
University of California, Davis
OTHER
Responsible Party
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Locations
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River Oak Center for Children
Elk Grove, California, United States
Turning Point Community Programs
Elk Grove, California, United States
University of California Department of Psychiatry and Behavioral Sciences; Early Psychosis Programs
Sacramento, California, United States
University of California-Davis CAARE Diagnostic and Treatment Center
Sacramento, California, United States
Capital Star Community Services
Sacramento, California, United States
Heartland Child and Family Services
Sacramento, California, United States
Countries
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Central Contacts
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Facility Contacts
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Marisa Ciani, LCSW
Role: primary
Other Identifiers
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H79SM086150
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
1989082
Identifier Type: -
Identifier Source: org_study_id
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