Services

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Services Offered by EAST

EAST provides the following services:

Community education and public speaking to groups (available within and outside of region)
Professional training and consultation (available within and outside of region)
Within region only (Linn, Marion, Polk, Tillamook and Yamhill Counties, Oregon):

Outreach and engagement

Assessment, diagnosis and treatment planning by a psychiatrist and mental health professional

Education and support for individuals and families

Crisis and relapse planning

Assistance with knowing rights and available benefits

Goal setting and planning

Mentoring and opportunities to meet others

Independent living skill development

Occupational therapy

Resource brokering and advocacy

Support for vocational and educational settings

Groups and individual counseling

EAST works closely with family members and others who are supportive of the individual to help them succeed.

Services are based on practice guidelines developed by the Early Psychosis Prevention and Intervention Center (EPPIC, www.eppic.org.au), and best practice guidelines from the United States. EAST also offers community education, training and technical assistance to individuals and organizations who are committed to providing effective services for young people with psychosis. EAST works with community partners, including families, schools, vocational providers, and others.

EAST is a transitional program, serving people for approximately two years. The program continues to evolve based on feedback, experience and availability of new methods. For example, EAST is now integrating methodology from evidence-based “toolkits” developed by the U.S. Substance Abuse and Mental Health Administration (SAMHSA). Toolkits being implemented by EAST include multi-family groups, illness management and recovery, dual diagnosis treatment (chemical dependency and psychosis), and supported employment (pilot project in Polk County). See the following web link for more information on the toolkits: http://www.mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits

Phases of Treatment

The EAST clinical team works with people in four phases:

Phase 1 (up to 6 months): Assessment and stabilization

Outreach to young person and family
Get to know the young person and family
Provide comprehensive assessment
Complete needed medical tests (as soon as possible!)
Begin treatment for identified medical conditions, including psychosis and alcohol/drug dependency where feasible
Identify strengths, resources, needs and goals
Begin multi-family group process
Stabilize the situation: symptoms, economic situation, housing, relationships, school, work, etc.
Provide support and education to the young person, family, friends and other supporters
Provide opportunities for peer involvement, physical fitness, etc.
Assess need for ongoing services from EAST

Phase 2 (approximately 6 months): Adaptation

Provide more extensive education to the individual and family
Continue treatment with doctor and counselor
Address adaptation issues
Refine and test the relapse plan
Engage in alcohol and drug treatment if needed
Continue multi-family group process
Move forward proactively on living and/or vocational goals
Identify and establish necessary accommodations as needed at work or school
Identify and develop stable long-term economic and social support
Provide opportunities for peer involvement, physical fitness, etc.

Phase 3 (approximately 6 months): Consolidation

Continue multi-family group, vocation support and individual treatment
Continue to work toward personal goals
Develop advanced directive
Develop long-term plan

Phase 4 (approximately 6 months): Transition

Maintain contact with EAST doctor and counselor
Continue multi-family group
Participate in individual and group opportunities
Establish ongoing treatment relationship and treatment plan

Phase 5: Post-graduation

Continue multi-family group (in some situations)
Continue with ongoing providers
Invitation to participate in events and mentoring
Invitation to participate in EAST Community Network