WEBVTT

NOTE duration: "00:49:09.320"


NOTE Confidence: 0.9803831

00:00:05.200 --> 00:00:07.359
Alright. So today, welcome back

NOTE Confidence: 0.9803831

00:00:07.359 --> 00:00:08.720
to our overview of early

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intervention services for schizophrenia

NOTE Confidence: 0.9988204

00:00:11.280 --> 00:00:11.780
course.

NOTE Confidence: 0.9828206

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Today, we'll be covering module

NOTE Confidence: 0.9828206

00:00:13.925 --> 00:00:14.405
c,

NOTE Confidence: 0.97407556

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continuing treatment and coordinated specialty

NOTE Confidence: 0.97407556

00:00:16.965 --> 00:00:18.404
care. This will actually be

NOTE Confidence: 0.97407556

00:00:18.404 --> 00:00:19.545
a two week,

NOTE Confidence: 0.9752877

00:00:20.165 --> 00:00:21.125
series, so we're not gonna

NOTE Confidence: 0.9752877

00:00:21.125 --> 00:00:22.645
cover everything in module c

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00:00:22.645 --> 00:00:24.025
as it's it's very robust.

NOTE Confidence: 0.9598213

00:00:30.840 --> 00:00:32.280
So as I mentioned, this

NOTE Confidence: 0.9598213

00:00:32.280 --> 00:00:33.000
this will be a two

NOTE Confidence: 0.9598213

00:00:33.000 --> 00:00:33.500
week,

NOTE Confidence: 0.97855926

00:00:35.320 --> 00:00:36.220
content area.

NOTE Confidence: 0.9975825

00:00:36.680 --> 00:00:37.800
But over those two weeks,

NOTE Confidence: 0.9975825

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we really hope to cover

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some key concepts of

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overviewing the main, core elements

NOTE Confidence: 0.9778689

00:00:43.454 --> 00:00:44.995
of care in the step,

NOTE Confidence: 0.971944

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module c care pathway,

NOTE Confidence: 0.9921194

00:00:48.574 --> 00:00:50.574
which is very congruent with

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00:00:50.574 --> 00:00:52.175
the term coordinated specialty care,

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which I will discuss.

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00:00:54.510 --> 00:00:56.690
And in addition to overviewing

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00:00:56.910 --> 00:00:58.530
the different elements of care,

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00:00:58.750 --> 00:01:00.110
we also wanna introduce you

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00:01:00.110 --> 00:01:01.309
all to just some of

NOTE Confidence: 0.99391097

00:01:01.309 --> 00:01:03.089
the processes and core outcomes,

NOTE Confidence: 0.95836234

00:01:04.350 --> 00:01:05.869
that make up the step

NOTE Confidence: 0.95836234

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care pathway module c.

NOTE Confidence: 0.9984065

00:01:07.994 --> 00:01:09.515
And we'll be intermixing, you

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know, discussions

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00:01:11.515 --> 00:01:13.534
about step care and culture,

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of the clinic as that's

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a a really important piece

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in terms

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of working with our young

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clients as well as

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trying to,

NOTE Confidence: 0.9778352

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empower clinicians, prevent burnout,

NOTE Confidence: 0.95529705

00:01:25.450 --> 00:01:26.409
all of those things as

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I know we're facing,

NOTE Confidence: 0.9619999

00:01:28.569 --> 00:01:30.009
real a real strain and

NOTE Confidence: 0.9619999

00:01:30.009 --> 00:01:30.909
a lot of workforce

NOTE Confidence: 0.99894834

00:01:31.450 --> 00:01:32.810
shortages across the state and

NOTE Confidence: 0.99894834

00:01:32.810 --> 00:01:33.789
across the country

NOTE Confidence: 0.8569924

00:01:34.090 --> 00:01:34.909
in our sector.

NOTE Confidence: 0.992912

00:01:39.345 --> 00:01:40.465
So I know we covered

NOTE Confidence: 0.992912

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this, but we're gonna just,

NOTE Confidence: 0.98892814

00:01:42.065 --> 00:01:43.585
continue to harp this point.

NOTE Confidence: 0.98892814

00:01:43.585 --> 00:01:45.125
What is early intervention

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00:01:45.585 --> 00:01:46.325
for psychosis?

NOTE Confidence: 0.9835711

00:01:46.944 --> 00:01:48.165
Right? Last week,

NOTE Confidence: 0.9759201

00:01:48.625 --> 00:01:50.645
we really went in-depth about

NOTE Confidence: 0.9759201

00:01:50.785 --> 00:01:52.165
that module a,

NOTE Confidence: 0.90542674

00:01:52.560 --> 00:01:53.300
early detection,

NOTE Confidence: 0.99399495

00:01:54.400 --> 00:01:55.760
and talking about just all

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those efforts to

NOTE Confidence: 0.9937219

00:01:57.840 --> 00:01:58.900
find and identify

NOTE Confidence: 0.98757046

00:01:59.760 --> 00:02:01.360
and get, those young people

NOTE Confidence: 0.98757046

00:02:01.360 --> 00:02:02.420
who might be experiencing,

NOTE Confidence: 0.99018073

00:02:03.440 --> 00:02:03.940
emerging,

NOTE Confidence: 0.9570664

00:02:04.479 --> 00:02:06.720
schizophrenia spectrum disorder, getting them

NOTE Confidence: 0.9570664

00:02:06.720 --> 00:02:07.905
to care and just everything

NOTE Confidence: 0.9570664

00:02:07.905 --> 00:02:09.264
that happens before kind of

NOTE Confidence: 0.9570664

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care even starts.

NOTE Confidence: 0.9395186

00:02:11.025 --> 00:02:12.225
But today, we'll be focused

NOTE Confidence: 0.9395186

00:02:12.225 --> 00:02:13.825
on what is that intensive

NOTE Confidence: 0.9395186

00:02:13.825 --> 00:02:15.445
treatment actually look like.

NOTE Confidence: 0.9956047

00:02:15.905 --> 00:02:17.505
What happens when we do

NOTE Confidence: 0.9956047

00:02:17.505 --> 00:02:18.565
connect with folks,

NOTE Confidence: 0.9948702

00:02:19.264 --> 00:02:20.370
and kinda get them in

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00:02:20.370 --> 00:02:21.650
the door or in front

NOTE Confidence: 0.9948702

00:02:21.650 --> 00:02:23.090
of the telehealth screen or

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00:02:23.090 --> 00:02:24.050
whatever way that we might

NOTE Confidence: 0.9948702

00:02:24.050 --> 00:02:25.430
be engaging with someone.

NOTE Confidence: 0.8656783

00:02:25.970 --> 00:02:26.470
So,

NOTE Confidence: 0.99915636

00:02:27.730 --> 00:02:28.230
historically,

NOTE Confidence: 0.99976295

00:02:28.610 --> 00:02:29.590
this would be

NOTE Confidence: 0.9621283

00:02:29.889 --> 00:02:31.330
this module c piece would

NOTE Confidence: 0.9621283

00:02:31.330 --> 00:02:32.850
be intensive treatment in the

NOTE Confidence: 0.9621283

00:02:32.850 --> 00:02:34.230
first two to five years,

NOTE Confidence: 0.96450233

00:02:34.995 --> 00:02:36.355
and this is termed so

NOTE Confidence: 0.96450233

00:02:36.355 --> 00:02:38.194
we're we're calling it EIS

NOTE Confidence: 0.96450233

00:02:38.194 --> 00:02:39.175
or early intervention,

NOTE Confidence: 0.8135179

00:02:40.115 --> 00:02:40.855
in schizophrenia

NOTE Confidence: 0.8534833

00:02:41.155 --> 00:02:41.655
services,

NOTE Confidence: 0.96324974

00:02:42.355 --> 00:02:44.275
also known as CSC or

NOTE Confidence: 0.96324974

00:02:44.275 --> 00:02:45.975
coordinated specialty care,

NOTE Confidence: 0.97037315

00:02:46.755 --> 00:02:48.615
with the real focus on

NOTE Confidence: 0.9982073

00:02:49.740 --> 00:02:52.240
reducing relapse and maximizing functioning

NOTE Confidence: 0.9993271

00:02:52.780 --> 00:02:53.520
for folks.

NOTE Confidence: 0.9834059

00:02:54.780 --> 00:02:56.700
These interventions were initially, you

NOTE Confidence: 0.9834059

00:02:56.700 --> 00:02:58.139
know, adapted from the more

NOTE Confidence: 0.9834059

00:02:58.139 --> 00:02:58.639
chronic

NOTE Confidence: 0.967958

00:02:58.940 --> 00:03:00.240
serious mental illness

NOTE Confidence: 0.9595718

00:03:00.700 --> 00:03:02.620
population, kind of adapted down

NOTE Confidence: 0.9595718

00:03:02.620 --> 00:03:03.760
to younger patients.

NOTE Confidence: 0.9924115

00:03:05.055 --> 00:03:06.335
I'll talk more in-depth, but

NOTE Confidence: 0.9924115

00:03:06.335 --> 00:03:08.035
there's the goal of really,

NOTE Confidence: 0.9831272

00:03:08.895 --> 00:03:10.575
engaging with folks around phase

NOTE Confidence: 0.9831272

00:03:10.575 --> 00:03:11.635
specific interventions,

NOTE Confidence: 0.9837882

00:03:12.255 --> 00:03:13.375
which we'll talk about what

NOTE Confidence: 0.9837882

00:03:13.375 --> 00:03:15.455
that what that means. But

NOTE Confidence: 0.9837882

00:03:15.455 --> 00:03:16.735
again, this is all occurring

NOTE Confidence: 0.9837882

00:03:16.735 --> 00:03:18.720
during that critical period that

NOTE Confidence: 0.9837882

00:03:18.720 --> 00:03:19.620
we talked about

NOTE Confidence: 0.9713275

00:03:20.159 --> 00:03:22.080
within those first couple years

NOTE Confidence: 0.9713275

00:03:22.080 --> 00:03:23.599
of the illness when we

NOTE Confidence: 0.9713275

00:03:23.599 --> 00:03:24.959
tend to see the the

NOTE Confidence: 0.9713275

00:03:24.959 --> 00:03:26.019
most impact,

NOTE Confidence: 0.952387

00:03:26.879 --> 00:03:28.799
of symptoms kind of both,

NOTE Confidence: 0.952387

00:03:28.799 --> 00:03:30.180
you know, can be negatively

NOTE Confidence: 0.99965906

00:03:30.480 --> 00:03:30.980
impacting

NOTE Confidence: 0.97981197

00:03:31.575 --> 00:03:33.175
one's functioning and their role

NOTE Confidence: 0.97981197

00:03:33.175 --> 00:03:34.614
trajectories. However, it's also the

NOTE Confidence: 0.97981197

00:03:34.614 --> 00:03:35.355
time of,

NOTE Confidence: 0.93339384

00:03:36.135 --> 00:03:37.495
where intervention can have the

NOTE Confidence: 0.93339384

00:03:37.495 --> 00:03:39.334
most robust outcomes by kind

NOTE Confidence: 0.93339384

00:03:39.334 --> 00:03:40.375
of getting in there early

NOTE Confidence: 0.93339384

00:03:40.375 --> 00:03:41.834
and thwarting some of these,

NOTE Confidence: 0.9716016

00:03:43.175 --> 00:03:43.675
potentially,

NOTE Confidence: 0.8867787

00:03:45.015 --> 00:03:45.515
disabling,

NOTE Confidence: 0.9986636

00:03:46.770 --> 00:03:48.550
impacts that folks can experience.

NOTE Confidence: 0.994551

00:03:50.370 --> 00:03:50.870
So

NOTE Confidence: 0.97438526

00:03:51.570 --> 00:03:52.850
we've we've talked about this,

NOTE Confidence: 0.97438526

00:03:52.850 --> 00:03:54.230
but just a little reminder,

NOTE Confidence: 0.99897265

00:03:54.690 --> 00:03:56.310
does early intervention for

NOTE Confidence: 0.9890798

00:03:56.690 --> 00:03:58.850
schizophrenia spectrum disorders or psychosis

NOTE Confidence: 0.9890798

00:03:58.850 --> 00:03:59.670
work? Yes.

NOTE Confidence: 0.9965033

00:04:01.555 --> 00:04:02.055
Schizophrenia

NOTE Confidence: 0.9830216

00:04:02.355 --> 00:04:04.055
is treatable. Treatment works.

NOTE Confidence: 0.9968395

00:04:05.075 --> 00:04:07.015
There are multiple observational studies

NOTE Confidence: 0.98256326

00:04:08.035 --> 00:04:09.235
that show higher rates of

NOTE Confidence: 0.98256326

00:04:09.235 --> 00:04:10.995
symptom remission and social and

NOTE Confidence: 0.98256326

00:04:10.995 --> 00:04:12.055
vocational recovery.

NOTE Confidence: 0.9455368

00:04:12.675 --> 00:04:14.435
There are large randomized control

NOTE Confidence: 0.9455368

00:04:14.435 --> 00:04:15.815
trials that have shown favorable

NOTE Confidence: 0.9455368

00:04:15.875 --> 00:04:17.860
outcomes. Doctor Shriheri covered these

NOTE Confidence: 0.9455368

00:04:17.860 --> 00:04:19.000
in our first session.

NOTE Confidence: 0.99516135

00:04:19.620 --> 00:04:20.820
But just a reminder, you

NOTE Confidence: 0.99516135

00:04:20.820 --> 00:04:21.320
know,

NOTE Confidence: 0.49833697

00:04:22.500 --> 00:04:23.080
of that

NOTE Confidence: 0.9515179

00:04:23.380 --> 00:04:24.920
large RCTs have,

NOTE Confidence: 0.9970148

00:04:25.779 --> 00:04:27.940
shown, you know, reductions in

NOTE Confidence: 0.9970148

00:04:27.940 --> 00:04:30.200
relapse, reductions in hospital readmissions,

NOTE Confidence: 0.8881134

00:04:30.820 --> 00:04:31.880
increases in,

NOTE Confidence: 0.42680663

00:04:32.645 --> 00:04:33.145
choices

NOTE Confidence: 0.9527256

00:04:33.925 --> 00:04:35.845
to take medications that might

NOTE Confidence: 0.9527256

00:04:35.845 --> 00:04:37.444
benefit a remission of positive

NOTE Confidence: 0.9527256

00:04:37.444 --> 00:04:37.944
symptoms,

NOTE Confidence: 0.99932146

00:04:38.565 --> 00:04:40.505
decreases in suicidal ideation,

NOTE Confidence: 0.9987955

00:04:41.444 --> 00:04:43.145
improvements in social and vocational

NOTE Confidence: 0.9987955

00:04:43.205 --> 00:04:43.705
functioning,

NOTE Confidence: 0.99951255

00:04:44.884 --> 00:04:45.384
etcetera.

NOTE Confidence: 0.8259785

00:04:46.164 --> 00:04:46.404
So,

NOTE Confidence: 0.99467254

00:04:48.139 --> 00:04:49.580
these methods have been proven

NOTE Confidence: 0.99467254

00:04:49.580 --> 00:04:50.080
effective,

NOTE Confidence: 0.9995465

00:04:50.940 --> 00:04:52.560
through various research studies.

NOTE Confidence: 0.97382504

00:04:53.580 --> 00:04:55.100
As we mentioned in session

NOTE Confidence: 0.97382504

00:04:55.100 --> 00:04:56.380
one, STEP was founded in

NOTE Confidence: 0.97382504

00:04:56.380 --> 00:04:58.060
two thousand six and actually

NOTE Confidence: 0.97382504

00:04:58.060 --> 00:05:00.320
completed the first US based

NOTE Confidence: 0.97382504

00:05:00.540 --> 00:05:02.720
randomized control trial of specialty

NOTE Confidence: 0.97382504

00:05:02.779 --> 00:05:03.919
team based care,

NOTE Confidence: 0.9844818

00:05:04.755 --> 00:05:06.295
which has since been termed

NOTE Confidence: 0.9844818

00:05:06.355 --> 00:05:08.515
CSE or coordinated specialty care.

NOTE Confidence: 0.9844818

00:05:08.515 --> 00:05:10.435
So lots of terms, specialty

NOTE Confidence: 0.9844818

00:05:10.435 --> 00:05:12.755
team based care, coordinated specialty

NOTE Confidence: 0.9844818

00:05:12.755 --> 00:05:13.975
care, EIS,

NOTE Confidence: 0.9741532

00:05:14.355 --> 00:05:15.955
all basically meaning the same

NOTE Confidence: 0.9741532

00:05:15.955 --> 00:05:18.455
thing. Intensive team based services,

NOTE Confidence: 0.99936324

00:05:19.770 --> 00:05:20.830
created for

NOTE Confidence: 0.9996497

00:05:21.289 --> 00:05:22.669
young folks experiencing

NOTE Confidence: 0.99720424

00:05:23.129 --> 00:05:24.430
recent onset schizophrenia.

NOTE Confidence: 0.9808641

00:05:26.169 --> 00:05:27.849
So STEP's model of care

NOTE Confidence: 0.9808641

00:05:27.849 --> 00:05:29.370
has been truly influential in

NOTE Confidence: 0.9808641

00:05:29.370 --> 00:05:31.389
the creation of first episode

NOTE Confidence: 0.9808641

00:05:31.529 --> 00:05:32.029
programs

NOTE Confidence: 0.98302954

00:05:32.654 --> 00:05:34.175
across the country, and we've

NOTE Confidence: 0.98302954

00:05:34.175 --> 00:05:35.214
really been working, as you

NOTE Confidence: 0.98302954

00:05:35.214 --> 00:05:36.514
know, to grow the capacity,

NOTE Confidence: 0.985672

00:05:37.455 --> 00:05:39.315
of first episode services here

NOTE Confidence: 0.985672

00:05:39.375 --> 00:05:40.034
in Connecticut.

NOTE Confidence: 0.99923116

00:05:43.534 --> 00:05:44.754
So everyone's favorite

NOTE Confidence: 0.99436253

00:05:45.210 --> 00:05:46.490
picture that you're just gonna

NOTE Confidence: 0.99436253

00:05:46.490 --> 00:05:47.770
have ingrained into your head

NOTE Confidence: 0.99436253

00:05:47.770 --> 00:05:48.570
by the end of this

NOTE Confidence: 0.99436253

00:05:48.570 --> 00:05:49.470
overview, but

NOTE Confidence: 0.99860686

00:05:49.850 --> 00:05:51.050
this is where we're focusing

NOTE Confidence: 0.99860686

00:05:51.050 --> 00:05:52.410
today. Right? We've we've covered

NOTE Confidence: 0.99860686

00:05:52.410 --> 00:05:53.230
early detection.

NOTE Confidence: 0.9898901

00:05:53.930 --> 00:05:55.450
We will double back to

NOTE Confidence: 0.9898901

00:05:55.450 --> 00:05:56.730
talk about module b in

NOTE Confidence: 0.9898901

00:05:56.730 --> 00:05:57.710
a future session,

NOTE Confidence: 0.9987469

00:05:58.105 --> 00:05:59.464
but we're really gonna focus

NOTE Confidence: 0.9987469

00:05:59.464 --> 00:06:00.745
on the bulk of the

NOTE Confidence: 0.9987469

00:06:00.745 --> 00:06:01.725
treatment today.

NOTE Confidence: 0.9784706

00:06:05.945 --> 00:06:07.945
So with that, in addition

NOTE Confidence: 0.9784706

00:06:07.945 --> 00:06:09.545
to covering what the treatment

NOTE Confidence: 0.9784706

00:06:09.545 --> 00:06:10.345
is made up of, we

NOTE Confidence: 0.9784706

00:06:10.345 --> 00:06:11.645
wanna talk about the processes

NOTE Confidence: 0.9784706

00:06:11.785 --> 00:06:13.005
and values and culture,

NOTE Confidence: 0.844374

00:06:14.240 --> 00:06:14.740
that,

NOTE Confidence: 0.93499684

00:06:16.320 --> 00:06:18.500
inform the treatment. So, certainly,

NOTE Confidence: 0.93499684

00:06:18.560 --> 00:06:20.020
principles of step care,

NOTE Confidence: 0.9916055

00:06:20.720 --> 00:06:21.760
first and foremost, we want

NOTE Confidence: 0.9916055

00:06:21.760 --> 00:06:22.660
it to be safe.

NOTE Confidence: 0.9965296

00:06:23.120 --> 00:06:24.160
So there's a focus on

NOTE Confidence: 0.9965296

00:06:24.160 --> 00:06:25.220
suicide prevention,

NOTE Confidence: 0.9905

00:06:25.884 --> 00:06:27.884
a focus on minimizing and

NOTE Confidence: 0.9905

00:06:27.884 --> 00:06:28.384
monitoring

NOTE Confidence: 0.98710907

00:06:28.685 --> 00:06:30.305
any medication side effects.

NOTE Confidence: 0.9754755

00:06:31.564 --> 00:06:33.085
We wanna use effective treatments

NOTE Confidence: 0.9754755

00:06:33.085 --> 00:06:34.365
that are evidence based and

NOTE Confidence: 0.9754755

00:06:34.365 --> 00:06:35.425
empirically supported.

NOTE Confidence: 0.96135116

00:06:36.525 --> 00:06:37.964
A focus on patient centered

NOTE Confidence: 0.96135116

00:06:37.964 --> 00:06:40.110
care. Right? So with that

NOTE Confidence: 0.96135116

00:06:40.169 --> 00:06:41.789
offering a menu of psychosocial

NOTE Confidence: 0.88731515

00:06:42.089 --> 00:06:42.589
services.

NOTE Confidence: 0.9790915

00:06:44.569 --> 00:06:45.770
With this, we're gonna we're

NOTE Confidence: 0.9790915

00:06:45.770 --> 00:06:47.289
gonna anticipate in working with

NOTE Confidence: 0.9790915

00:06:47.289 --> 00:06:48.190
this young population,

NOTE Confidence: 0.9204328

00:06:49.849 --> 00:06:51.449
with schizophrenia that there'll be

NOTE Confidence: 0.9204328

00:06:51.449 --> 00:06:53.210
variable insight and that that

NOTE Confidence: 0.9204328

00:06:53.210 --> 00:06:55.665
will fluctuate throughout perhaps the

NOTE Confidence: 0.9204328

00:06:55.665 --> 00:06:56.945
individual throughout their course of

NOTE Confidence: 0.9204328

00:06:56.945 --> 00:06:57.845
treatment. So

NOTE Confidence: 0.9482056

00:06:58.385 --> 00:06:59.365
insight meaning,

NOTE Confidence: 0.9894206

00:07:00.065 --> 00:07:02.785
awareness into one's one's symptoms,

NOTE Confidence: 0.9894206

00:07:02.785 --> 00:07:03.525
one's illness.

NOTE Confidence: 0.98650616

00:07:04.785 --> 00:07:05.904
And so with that patient

NOTE Confidence: 0.98650616

00:07:05.904 --> 00:07:07.824
centered mindset too, we wanna

NOTE Confidence: 0.98650616

00:07:07.824 --> 00:07:09.445
be able to flexibly engage

NOTE Confidence: 0.98650616

00:07:09.680 --> 00:07:10.420
and reengage

NOTE Confidence: 0.8652917

00:07:10.960 --> 00:07:11.780
in care,

NOTE Confidence: 0.99956477

00:07:12.400 --> 00:07:14.000
not holding strict boundaries to

NOTE Confidence: 0.99956477

00:07:14.000 --> 00:07:15.140
the best of our ability

NOTE Confidence: 0.9571618

00:07:15.680 --> 00:07:17.040
with, you know, say three

NOTE Confidence: 0.9571618

00:07:17.040 --> 00:07:18.000
no shows and you're out.

NOTE Confidence: 0.9571618

00:07:18.000 --> 00:07:19.120
Like, really trying to be

NOTE Confidence: 0.9571618

00:07:19.120 --> 00:07:20.560
assertive and flexible with our

NOTE Confidence: 0.9571618

00:07:20.560 --> 00:07:21.060
engagement

NOTE Confidence: 0.9907063

00:07:21.360 --> 00:07:22.491
to try to help folks

NOTE Confidence: 0.9907063

00:07:22.491 --> 00:07:23.205
stay connected to

NOTE Confidence: 0.9730867

00:07:23.505 --> 00:07:25.205
this important intervention service.

NOTE Confidence: 0.9877074

00:07:26.865 --> 00:07:27.845
We wanna anticipate

NOTE Confidence: 0.8103187

00:07:28.625 --> 00:07:29.125
stigma,

NOTE Confidence: 0.97716576

00:07:29.505 --> 00:07:31.125
both internalized and externalized.

NOTE Confidence: 0.80147517

00:07:33.425 --> 00:07:34.565
Actively include,

NOTE Confidence: 0.99945277

00:07:34.960 --> 00:07:35.840
as long as we've got

NOTE Confidence: 0.99945277

00:07:35.840 --> 00:07:36.340
permission,

NOTE Confidence: 0.8788174

00:07:36.800 --> 00:07:38.659
family and other supportive folks,

NOTE Confidence: 0.99677783

00:07:39.440 --> 00:07:40.979
as well as existing community

NOTE Confidence: 0.99677783

00:07:41.039 --> 00:07:41.539
resources,

NOTE Confidence: 0.9811959

00:07:42.560 --> 00:07:43.940
in order to kinda help

NOTE Confidence: 0.998547

00:07:44.319 --> 00:07:45.840
be comprehensive in the care

NOTE Confidence: 0.998547

00:07:45.840 --> 00:07:46.659
that we provide.

NOTE Confidence: 0.9815629

00:07:48.000 --> 00:07:49.440
Another important principle is to

NOTE Confidence: 0.9815629

00:07:49.440 --> 00:07:50.180
be timely.

NOTE Confidence: 0.9520404

00:07:51.305 --> 00:07:52.745
Engaging people quickly as we

NOTE Confidence: 0.9520404

00:07:52.745 --> 00:07:54.205
talked about with early detection,

NOTE Confidence: 0.9949286

00:07:54.585 --> 00:07:55.405
being flexible,

NOTE Confidence: 0.95883536

00:07:56.505 --> 00:07:57.725
community based access.

NOTE Confidence: 0.99574894

00:07:58.985 --> 00:08:00.185
It's important to be, you

NOTE Confidence: 0.99574894

00:08:00.185 --> 00:08:01.005
know, equitable.

NOTE Confidence: 0.99817085

00:08:01.544 --> 00:08:02.044
So

NOTE Confidence: 0.9605433

00:08:02.665 --> 00:08:04.104
StepCare is currently blind to

NOTE Confidence: 0.9605433

00:08:04.104 --> 00:08:06.330
insurance status, immigration status. We

NOTE Confidence: 0.9605433

00:08:06.409 --> 00:08:07.310
accept all comers,

NOTE Confidence: 0.9879428

00:08:07.849 --> 00:08:09.449
in our catchment area. Of

NOTE Confidence: 0.9879428

00:08:09.449 --> 00:08:10.810
course, there are things that,

NOTE Confidence: 0.9879428

00:08:11.129 --> 00:08:12.650
can can impact that based

NOTE Confidence: 0.9879428

00:08:12.650 --> 00:08:13.770
on the agencies that you're

NOTE Confidence: 0.9879428

00:08:13.770 --> 00:08:14.810
at, but I understand that

NOTE Confidence: 0.9879428

00:08:14.810 --> 00:08:16.330
that's that's largely what, you

NOTE Confidence: 0.9879428

00:08:16.330 --> 00:08:16.830
know,

NOTE Confidence: 0.9408384

00:08:17.210 --> 00:08:19.050
LMHA's are doing. I understand

NOTE Confidence: 0.9408384

00:08:19.050 --> 00:08:20.250
some of the private nonprofits

NOTE Confidence: 0.9408384

00:08:20.250 --> 00:08:22.615
and and other organizational structures

NOTE Confidence: 0.9408384

00:08:22.675 --> 00:08:23.655
have different limits.

NOTE Confidence: 0.9169329

00:08:25.715 --> 00:08:26.995
Trying to really just if

NOTE Confidence: 0.9169329

00:08:26.995 --> 00:08:28.354
it with the population health

NOTE Confidence: 0.9169329

00:08:28.354 --> 00:08:29.715
framework where we're trying to

NOTE Confidence: 0.9169329

00:08:29.715 --> 00:08:30.215
truly,

NOTE Confidence: 0.99945694

00:08:31.474 --> 00:08:31.974
impact

NOTE Confidence: 0.82281893

00:08:32.834 --> 00:08:34.834
this illness and limit its

NOTE Confidence: 0.82281893

00:08:34.834 --> 00:08:36.035
impacts and amount kind of

NOTE Confidence: 0.82281893

00:08:36.035 --> 00:08:37.699
a a population level.

NOTE Confidence: 0.9981909

00:08:38.160 --> 00:08:38.800
These are some of the

NOTE Confidence: 0.9981909

00:08:38.800 --> 00:08:40.339
principles that are are necessary

NOTE Confidence: 0.9981909

00:08:40.399 --> 00:08:41.540
in order to do that.

NOTE Confidence: 0.98649734

00:08:42.079 --> 00:08:44.100
And then lastly, remaining optimistic

NOTE Confidence: 0.98649734

00:08:44.160 --> 00:08:44.820
and hopeful.

NOTE Confidence: 0.9973477

00:08:45.679 --> 00:08:47.779
So holding a recovery oriented

NOTE Confidence: 0.99141884

00:08:48.480 --> 00:08:48.980
framework,

NOTE Confidence: 0.9930241

00:08:49.875 --> 00:08:51.715
fostering autonomy and independence in

NOTE Confidence: 0.9930241

00:08:51.715 --> 00:08:53.335
any way possible, engaging

NOTE Confidence: 0.9970517

00:08:53.875 --> 00:08:54.615
in shared

NOTE Confidence: 0.9889506

00:08:54.995 --> 00:08:55.815
decision making,

NOTE Confidence: 0.9738324

00:08:56.755 --> 00:08:58.115
and trying to return help

NOTE Confidence: 0.9738324

00:08:58.115 --> 00:08:59.655
folks return to their premorbid

NOTE Confidence: 0.9738324

00:08:59.795 --> 00:09:01.155
goals and and holding on

NOTE Confidence: 0.9738324

00:09:01.155 --> 00:09:02.434
to that hope as providers

NOTE Confidence: 0.9738324

00:09:02.434 --> 00:09:04.115
that we know folks can

NOTE Confidence: 0.9738324

00:09:04.115 --> 00:09:05.950
recover, whatever that might look

NOTE Confidence: 0.9738324

00:09:05.950 --> 00:09:07.070
like for them. We don't

NOTE Confidence: 0.9738324

00:09:07.070 --> 00:09:08.750
have one vision of what

NOTE Confidence: 0.9738324

00:09:08.750 --> 00:09:09.809
recovery is,

NOTE Confidence: 0.9876759

00:09:10.190 --> 00:09:11.950
but it's important that especially

NOTE Confidence: 0.9876759

00:09:11.950 --> 00:09:12.450
when

NOTE Confidence: 0.9856616

00:09:12.830 --> 00:09:14.050
young people might feel,

NOTE Confidence: 0.9729531

00:09:16.190 --> 00:09:17.309
that they feel so far

NOTE Confidence: 0.9729531

00:09:17.309 --> 00:09:18.590
from maybe where they want

NOTE Confidence: 0.9729531

00:09:18.590 --> 00:09:19.470
to be or where they

NOTE Confidence: 0.9729531

00:09:19.470 --> 00:09:20.690
were or their families

NOTE Confidence: 0.9564785

00:09:21.045 --> 00:09:22.245
feel like, how are we

NOTE Confidence: 0.9564785

00:09:22.245 --> 00:09:23.145
gonna get back,

NOTE Confidence: 0.94820386

00:09:24.645 --> 00:09:25.365
to the place that my

NOTE Confidence: 0.94820386

00:09:25.365 --> 00:09:26.565
young person wanted to be

NOTE Confidence: 0.94820386

00:09:26.565 --> 00:09:27.605
holding on to that hope

NOTE Confidence: 0.94820386

00:09:27.605 --> 00:09:29.625
and and knowing that recovery

NOTE Confidence: 0.94820386

00:09:29.765 --> 00:09:31.385
actually is the the expectation,

NOTE Confidence: 0.94820386

00:09:31.605 --> 00:09:33.625
not the exception in schizophrenia

NOTE Confidence: 0.94820386

00:09:33.925 --> 00:09:35.065
or, early intervention.

NOTE Confidence: 0.99878496

00:09:38.080 --> 00:09:38.580
So

NOTE Confidence: 0.9366091

00:09:39.040 --> 00:09:39.940
as I mentioned,

NOTE Confidence: 0.98010546

00:09:40.960 --> 00:09:42.720
there's phase specific care. So

NOTE Confidence: 0.98010546

00:09:42.720 --> 00:09:43.679
I will talk about our

NOTE Confidence: 0.98010546

00:09:43.679 --> 00:09:44.980
core elements, but,

NOTE Confidence: 0.83289033

00:09:45.360 --> 00:09:46.340
there which is

NOTE Confidence: 0.9769178

00:09:46.720 --> 00:09:47.600
I'll show on the next

NOTE Confidence: 0.9769178

00:09:47.600 --> 00:09:49.360
slide, comprised of six main

NOTE Confidence: 0.9769178

00:09:49.360 --> 00:09:50.580
elements of care.

NOTE Confidence: 0.9922757

00:09:51.105 --> 00:09:52.145
So this is gonna include

NOTE Confidence: 0.9922757

00:09:52.145 --> 00:09:53.205
things like psychotherapy,

NOTE Confidence: 0.976943

00:09:54.304 --> 00:09:54.804
psychopharm,

NOTE Confidence: 0.9993883

00:09:55.265 --> 00:09:56.165
family engagement,

NOTE Confidence: 0.99812144

00:09:56.865 --> 00:09:58.325
community engagement, etcetera.

NOTE Confidence: 0.99830276

00:10:00.385 --> 00:10:01.825
All of these aspects are

NOTE Confidence: 0.99830276

00:10:01.825 --> 00:10:03.205
tailored to the individual

NOTE Confidence: 0.9921937

00:10:03.905 --> 00:10:05.045
based on their presentation,

NOTE Confidence: 0.9991051

00:10:06.140 --> 00:10:08.320
their individual preferences, their goals,

NOTE Confidence: 0.9967336

00:10:08.700 --> 00:10:09.920
and their phase of recovery

NOTE Confidence: 0.9967336

00:10:09.980 --> 00:10:11.580
or phase of illness. Right?

NOTE Confidence: 0.9967336

00:10:11.580 --> 00:10:13.100
So just a little note

NOTE Confidence: 0.9967336

00:10:13.100 --> 00:10:14.300
about the different phases of

NOTE Confidence: 0.9967336

00:10:14.300 --> 00:10:15.740
recovery and how we think

NOTE Confidence: 0.9967336

00:10:15.740 --> 00:10:16.480
about them.

NOTE Confidence: 0.721666

00:10:19.340 --> 00:10:20.080
Think of

NOTE Confidence: 0.94692886

00:10:20.765 --> 00:10:22.045
them in three main phases.

NOTE Confidence: 0.94692886

00:10:22.045 --> 00:10:23.645
We've got the engagement phase

NOTE Confidence: 0.94692886

00:10:23.645 --> 00:10:24.925
or the acute phase, which

NOTE Confidence: 0.94692886

00:10:24.925 --> 00:10:25.425
is

NOTE Confidence: 0.9287769

00:10:25.965 --> 00:10:27.005
right when someone you know,

NOTE Confidence: 0.9287769

00:10:27.005 --> 00:10:28.205
as as it kinda sounds

NOTE Confidence: 0.9287769

00:10:28.205 --> 00:10:30.365
like maybe there's acute symptoms

NOTE Confidence: 0.9287769

00:10:30.365 --> 00:10:31.645
coming on. This might be

NOTE Confidence: 0.9287769

00:10:31.645 --> 00:10:32.625
right when someone

NOTE Confidence: 0.99811596

00:10:33.085 --> 00:10:35.080
is, coming to us from

NOTE Confidence: 0.99811596

00:10:35.080 --> 00:10:35.660
a hospitalization

NOTE Confidence: 0.8941914

00:10:36.440 --> 00:10:36.940
or

NOTE Confidence: 0.97757477

00:10:37.399 --> 00:10:39.080
their first, perhaps, entry into

NOTE Confidence: 0.97757477

00:10:39.080 --> 00:10:40.120
care. They they might be

NOTE Confidence: 0.97757477

00:10:40.120 --> 00:10:42.520
coming in and experiencing kind

NOTE Confidence: 0.97757477

00:10:42.520 --> 00:10:43.500
of acute symptoms.

NOTE Confidence: 0.9600943

00:10:45.720 --> 00:10:46.920
And this is really gonna

NOTE Confidence: 0.9600943

00:10:46.920 --> 00:10:48.380
be, you know, thinking about

NOTE Confidence: 0.9600943

00:10:48.440 --> 00:10:50.084
interrupted narratives here is what

NOTE Confidence: 0.9600943

00:10:50.084 --> 00:10:52.005
we're engaging around. Like, okay.

NOTE Confidence: 0.9600943

00:10:52.005 --> 00:10:53.684
This the onset of these

NOTE Confidence: 0.9600943

00:10:53.684 --> 00:10:55.524
symptoms or these experiences or

NOTE Confidence: 0.9600943

00:10:55.524 --> 00:10:56.804
this episode is causing, you

NOTE Confidence: 0.9600943

00:10:56.804 --> 00:10:57.845
know, an interruption in my

NOTE Confidence: 0.9600943

00:10:57.845 --> 00:10:59.365
work or my relationships or

NOTE Confidence: 0.9600943

00:10:59.365 --> 00:11:00.264
my school functioning.

NOTE Confidence: 0.99665505

00:11:01.445 --> 00:11:02.485
And you're really just trying

NOTE Confidence: 0.99665505

00:11:02.485 --> 00:11:03.785
to kind of help stabilize

NOTE Confidence: 0.99665505

00:11:03.845 --> 00:11:04.345
someone,

NOTE Confidence: 0.9717349

00:11:05.059 --> 00:11:06.179
help connect them to care,

NOTE Confidence: 0.9717349

00:11:06.179 --> 00:11:07.559
develop some type of relationship.

NOTE Confidence: 0.9963189

00:11:08.339 --> 00:11:09.559
Then we've got the stabilization

NOTE Confidence: 0.9963189

00:11:09.779 --> 00:11:10.279
phase

NOTE Confidence: 0.9076373

00:11:11.139 --> 00:11:11.639
where,

NOTE Confidence: 0.9925969

00:11:12.260 --> 00:11:13.620
you know, we've been able

NOTE Confidence: 0.9925969

00:11:13.620 --> 00:11:14.120
to,

NOTE Confidence: 0.9997292

00:11:15.380 --> 00:11:16.920
minimize some of the impairments

NOTE Confidence: 0.9997292

00:11:16.980 --> 00:11:17.959
related to

NOTE Confidence: 0.98665714

00:11:18.425 --> 00:11:20.184
symptoms. Maybe not completely gone,

NOTE Confidence: 0.98665714

00:11:20.184 --> 00:11:21.704
maybe not complete symptom remission,

NOTE Confidence: 0.98665714

00:11:21.704 --> 00:11:23.644
but someone is more

NOTE Confidence: 0.976336

00:11:23.945 --> 00:11:24.925
doing more stable.

NOTE Confidence: 0.90587294

00:11:26.264 --> 00:11:28.125
And then recovery phase.

NOTE Confidence: 0.99840564

00:11:28.505 --> 00:11:30.524
Patient is, you know, actively

NOTE Confidence: 0.99840564

00:11:30.665 --> 00:11:31.565
working on

NOTE Confidence: 0.9780976

00:11:31.945 --> 00:11:33.464
various goals that are important

NOTE Confidence: 0.9780976

00:11:33.464 --> 00:11:35.269
to them, social, educational,

NOTE Confidence: 0.99200124

00:11:35.730 --> 00:11:36.230
vocational,

NOTE Confidence: 0.9933035

00:11:37.570 --> 00:11:39.029
actively learning strategies,

NOTE Confidence: 0.9977667

00:11:39.649 --> 00:11:41.429
moving towards self management,

NOTE Confidence: 0.96953815

00:11:42.370 --> 00:11:43.649
of their experience, of their

NOTE Confidence: 0.96953815

00:11:43.649 --> 00:11:44.149
illness.

NOTE Confidence: 0.9996401

00:11:44.850 --> 00:11:45.350
So

NOTE Confidence: 0.899999

00:11:45.970 --> 00:11:47.429
these phases are not linear.

NOTE Confidence: 0.99827373

00:11:47.795 --> 00:11:49.155
There's no there's no perfect

NOTE Confidence: 0.99827373

00:11:49.155 --> 00:11:50.595
way to describe it. It's

NOTE Confidence: 0.99827373

00:11:50.595 --> 00:11:51.575
really not uncommon

NOTE Confidence: 0.99760795

00:11:52.355 --> 00:11:54.035
for patients to move in

NOTE Confidence: 0.99760795

00:11:54.035 --> 00:11:55.235
and out of these phases

NOTE Confidence: 0.99760795

00:11:55.235 --> 00:11:56.675
or cycle through them several

NOTE Confidence: 0.99760795

00:11:56.675 --> 00:11:57.175
times,

NOTE Confidence: 0.98464125

00:11:58.035 --> 00:12:00.035
before reaching a more sustained

NOTE Confidence: 0.98464125

00:12:00.035 --> 00:12:02.130
recovery phase. And so it's

NOTE Confidence: 0.98464125

00:12:02.290 --> 00:12:03.330
it's important for an early

NOTE Confidence: 0.98464125

00:12:03.330 --> 00:12:05.010
intervention service provider to to

NOTE Confidence: 0.98464125

00:12:05.010 --> 00:12:06.370
just really be flexible with

NOTE Confidence: 0.98464125

00:12:06.370 --> 00:12:08.790
that, to recognize that someone

NOTE Confidence: 0.97856045

00:12:09.250 --> 00:12:10.050
might come in in a

NOTE Confidence: 0.97856045

00:12:10.050 --> 00:12:11.250
completely different place than they

NOTE Confidence: 0.97856045

00:12:11.250 --> 00:12:12.130
were in a couple weeks

NOTE Confidence: 0.97856045

00:12:12.130 --> 00:12:12.630
ago

NOTE Confidence: 0.9302134

00:12:13.090 --> 00:12:14.370
or that it might take

NOTE Confidence: 0.9302134

00:12:14.370 --> 00:12:14.950
a couple,

NOTE Confidence: 0.9750371

00:12:16.135 --> 00:12:17.915
instances of engaging in care,

NOTE Confidence: 0.9804763

00:12:19.495 --> 00:12:20.934
before we can reach the

NOTE Confidence: 0.9804763

00:12:20.934 --> 00:12:23.095
recovery phase. And just having

NOTE Confidence: 0.9804763

00:12:23.095 --> 00:12:23.915
that kind of,

NOTE Confidence: 0.99293107

00:12:24.695 --> 00:12:26.075
you know, be an expectation

NOTE Confidence: 0.89040744

00:12:27.175 --> 00:12:29.495
and also letting families know

NOTE Confidence: 0.89040744

00:12:29.495 --> 00:12:30.795
that that that's not uncommon.

NOTE Confidence: 0.9522249

00:12:31.880 --> 00:12:33.160
What we're gonna strive towards

NOTE Confidence: 0.9522249

00:12:33.160 --> 00:12:34.280
kind of work having someone

NOTE Confidence: 0.9522249

00:12:34.280 --> 00:12:35.640
work on meaningful goals for

NOTE Confidence: 0.9522249

00:12:35.640 --> 00:12:37.740
them and and helping minimize

NOTE Confidence: 0.9522249

00:12:37.800 --> 00:12:39.160
the impact of their symptoms

NOTE Confidence: 0.9522249

00:12:39.160 --> 00:12:40.460
as as soon as possible.

NOTE Confidence: 0.977207

00:12:41.000 --> 00:12:41.500
And

NOTE Confidence: 0.98497915

00:12:42.679 --> 00:12:44.120
but recognizing that folks do

NOTE Confidence: 0.98497915

00:12:44.120 --> 00:12:45.415
kind of cycle in and

NOTE Confidence: 0.98497915

00:12:45.415 --> 00:12:46.375
out of these, and that's,

NOTE Confidence: 0.98497915

00:12:46.375 --> 00:12:47.595
again, not an uncommon

NOTE Confidence: 0.998516

00:12:48.214 --> 00:12:48.714
occurrence.

NOTE Confidence: 0.99821067

00:12:51.574 --> 00:12:52.074
So

NOTE Confidence: 0.98710394

00:12:52.774 --> 00:12:53.975
these elements of care that

NOTE Confidence: 0.98710394

00:12:53.975 --> 00:12:54.875
I've talked about.

NOTE Confidence: 0.9878731

00:12:56.054 --> 00:12:57.434
So at step, we've identified

NOTE Confidence: 0.9878731

00:12:57.574 --> 00:12:59.095
six main elements of care.

NOTE Confidence: 0.9878731

00:12:59.095 --> 00:13:00.809
These will look pretty similar

NOTE Confidence: 0.9878731

00:13:00.809 --> 00:13:03.389
across coordinated specialty care programs

NOTE Confidence: 0.9955147

00:13:03.690 --> 00:13:05.050
across the country, across the

NOTE Confidence: 0.9955147

00:13:05.050 --> 00:13:05.550
world.

NOTE Confidence: 0.9979335

00:13:07.050 --> 00:13:08.410
Different places might call them

NOTE Confidence: 0.9979335

00:13:08.410 --> 00:13:09.550
slightly different things.

NOTE Confidence: 0.9782553

00:13:10.009 --> 00:13:10.509
So,

NOTE Confidence: 0.99910814

00:13:11.130 --> 00:13:12.329
again, I mentioned that all

NOTE Confidence: 0.99910814

00:13:12.329 --> 00:13:13.309
of these are,

NOTE Confidence: 0.9429679

00:13:13.655 --> 00:13:14.775
you know, tailored to the

NOTE Confidence: 0.9429679

00:13:14.775 --> 00:13:16.395
individual phase specific,

NOTE Confidence: 0.99637544

00:13:17.655 --> 00:13:18.615
but these are all things

NOTE Confidence: 0.99637544

00:13:18.615 --> 00:13:19.895
that we we offer at

NOTE Confidence: 0.99637544

00:13:19.895 --> 00:13:20.955
our clinic. So,

NOTE Confidence: 0.9705231

00:13:21.895 --> 00:13:23.735
you know, there previously was

NOTE Confidence: 0.9705231

00:13:23.735 --> 00:13:24.955
the myth that

NOTE Confidence: 0.9457995

00:13:25.335 --> 00:13:26.955
that perhaps some folks still,

NOTE Confidence: 0.887894

00:13:28.320 --> 00:13:29.600
wonder about that, you know,

NOTE Confidence: 0.887894

00:13:29.600 --> 00:13:30.100
oh,

NOTE Confidence: 0.9698105

00:13:30.800 --> 00:13:31.300
antipsychotic

NOTE Confidence: 0.9449511

00:13:31.600 --> 00:13:32.960
medication, you know, given that

NOTE Confidence: 0.9449511

00:13:32.960 --> 00:13:34.000
it's a it is a

NOTE Confidence: 0.9449511

00:13:34.000 --> 00:13:35.380
front frontline treatment,

NOTE Confidence: 0.9859674

00:13:36.640 --> 00:13:38.500
for the experience of psychosis

NOTE Confidence: 0.9859674

00:13:38.720 --> 00:13:40.320
and and schizophrenia, that that's

NOTE Confidence: 0.9859674

00:13:40.320 --> 00:13:41.725
all that's needed. I'm here

NOTE Confidence: 0.9859674

00:13:41.725 --> 00:13:42.684
to say, of course, that

NOTE Confidence: 0.9859674

00:13:42.684 --> 00:13:43.965
is that is absolutely not

NOTE Confidence: 0.9859674

00:13:43.965 --> 00:13:45.485
the case. It's important to

NOTE Confidence: 0.9859674

00:13:45.485 --> 00:13:45.985
offer,

NOTE Confidence: 0.9996489

00:13:46.684 --> 00:13:47.345
a variety

NOTE Confidence: 0.9912256

00:13:48.365 --> 00:13:49.025
of psychosocial,

NOTE Confidence: 0.99064815

00:13:50.045 --> 00:13:52.145
interventions and options for folks.

NOTE Confidence: 0.99038565

00:13:53.570 --> 00:13:54.450
And there's although we know

NOTE Confidence: 0.99038565

00:13:54.450 --> 00:13:55.649
that it can be incredibly

NOTE Confidence: 0.99038565

00:13:55.649 --> 00:13:57.750
effective at reducing positive symptoms,

NOTE Confidence: 0.65247387

00:13:58.850 --> 00:14:00.149
anticyclonic medication,

NOTE Confidence: 0.9456214

00:14:00.529 --> 00:14:01.830
this is not a requirement,

NOTE Confidence: 0.9456214

00:14:02.050 --> 00:14:03.570
right, of of being engaged

NOTE Confidence: 0.9456214

00:14:03.570 --> 00:14:05.589
in early intervention care.

NOTE Confidence: 0.9756052

00:14:06.005 --> 00:14:06.964
And as we know in,

NOTE Confidence: 0.9756052

00:14:07.205 --> 00:14:09.464
Connecticut, that's not something that,

NOTE Confidence: 0.9993195

00:14:10.165 --> 00:14:11.365
can be mandated on an

NOTE Confidence: 0.9993195

00:14:11.365 --> 00:14:12.425
outpatient basis.

NOTE Confidence: 0.9994293

00:14:13.125 --> 00:14:13.625
So

NOTE Confidence: 0.99215186

00:14:14.565 --> 00:14:15.845
the six elements, and I'm

NOTE Confidence: 0.99215186

00:14:15.845 --> 00:14:17.125
gonna cover some of these

NOTE Confidence: 0.99215186

00:14:17.125 --> 00:14:17.625
today,

NOTE Confidence: 0.9186406

00:14:20.310 --> 00:14:21.290
include psychotherapy.

NOTE Confidence: 0.93489826

00:14:21.750 --> 00:14:23.190
So that can look a

NOTE Confidence: 0.93489826

00:14:23.190 --> 00:14:24.490
lot of different ways both

NOTE Confidence: 0.93489826

00:14:24.630 --> 00:14:25.910
on an individual or group

NOTE Confidence: 0.93489826

00:14:25.910 --> 00:14:27.350
basis. At step, it's largely

NOTE Confidence: 0.93489826

00:14:27.350 --> 00:14:27.850
individual

NOTE Confidence: 0.8880702

00:14:28.470 --> 00:14:28.970
basis.

NOTE Confidence: 0.7100722

00:14:31.029 --> 00:14:31.529
Pharmacotherapy.

NOTE Confidence: 0.9963808

00:14:32.149 --> 00:14:33.015
So, you know,

NOTE Confidence: 0.8710629

00:14:33.575 --> 00:14:35.575
medication and health promotion. We

NOTE Confidence: 0.8710629

00:14:35.575 --> 00:14:36.795
kind of have those combined.

NOTE Confidence: 0.9383178

00:14:37.255 --> 00:14:38.215
Often the role of a

NOTE Confidence: 0.9383178

00:14:38.215 --> 00:14:39.975
psychiatrist or an APRN or

NOTE Confidence: 0.9383178

00:14:39.975 --> 00:14:40.635
a nurse.

NOTE Confidence: 0.9570199

00:14:42.375 --> 00:14:44.155
Support for employment and education.

NOTE Confidence: 0.9999262

00:14:46.040 --> 00:14:46.540
Ongoing

NOTE Confidence: 0.9968797

00:14:46.920 --> 00:14:48.220
longitudinal evaluation,

NOTE Confidence: 0.978994

00:14:49.959 --> 00:14:51.339
family support and education,

NOTE Confidence: 0.99786025

00:14:52.040 --> 00:14:54.060
and then coordination with community

NOTE Confidence: 0.99786025

00:14:54.120 --> 00:14:54.620
supports.

NOTE Confidence: 0.9940198

00:14:56.120 --> 00:14:57.160
So we'll cover a couple

NOTE Confidence: 0.9940198

00:14:57.160 --> 00:14:58.519
of these today, and we'll

NOTE Confidence: 0.9940198

00:14:58.519 --> 00:14:59.480
cover the rest in a

NOTE Confidence: 0.9940198

00:14:59.480 --> 00:15:00.459
subsequent session.

NOTE Confidence: 0.9610568

00:15:02.345 --> 00:15:04.285
So first, just starting with

NOTE Confidence: 0.9610568

00:15:04.505 --> 00:15:06.265
psychotherapy. What might that look

NOTE Confidence: 0.9610568

00:15:06.265 --> 00:15:07.965
like in an early intervention

NOTE Confidence: 0.9610568

00:15:08.025 --> 00:15:09.085
service for schizophrenia?

NOTE Confidence: 0.9993425

00:15:11.145 --> 00:15:11.645
So

NOTE Confidence: 0.9590561

00:15:12.265 --> 00:15:13.625
lots of information on this

NOTE Confidence: 0.9590561

00:15:13.625 --> 00:15:15.320
slide. I'm not gonna go

NOTE Confidence: 0.9590561

00:15:15.320 --> 00:15:16.920
into or or demo this

NOTE Confidence: 0.9590561

00:15:16.920 --> 00:15:18.280
for our overview course today,

NOTE Confidence: 0.9590561

00:15:18.280 --> 00:15:19.560
although we do have various

NOTE Confidence: 0.9590561

00:15:19.560 --> 00:15:21.320
resources on our website if

NOTE Confidence: 0.9590561

00:15:21.320 --> 00:15:22.920
you wanna kinda look at

NOTE Confidence: 0.9590561

00:15:22.920 --> 00:15:23.960
in more depth of, like,

NOTE Confidence: 0.9590561

00:15:23.960 --> 00:15:25.100
what some of these strategies

NOTE Confidence: 0.9590561

00:15:25.160 --> 00:15:26.300
look like in practice.

NOTE Confidence: 0.9847944

00:15:27.160 --> 00:15:28.520
But here's just a kind

NOTE Confidence: 0.9847944

00:15:28.520 --> 00:15:29.900
of an overlay of

NOTE Confidence: 0.97839504

00:15:30.295 --> 00:15:31.495
some of the things that

NOTE Confidence: 0.97839504

00:15:31.495 --> 00:15:33.015
we might engage in in

NOTE Confidence: 0.97839504

00:15:33.015 --> 00:15:34.075
individual psychotherapy.

NOTE Confidence: 0.7795798

00:15:35.495 --> 00:15:35.995
So,

NOTE Confidence: 0.8753921

00:15:37.015 --> 00:15:37.515
certainly,

NOTE Confidence: 0.95924735

00:15:38.695 --> 00:15:39.895
and and as we mentioned

NOTE Confidence: 0.95924735

00:15:39.895 --> 00:15:40.875
some of those principles,

NOTE Confidence: 0.9503258

00:15:41.335 --> 00:15:42.615
wanting things to be evidence

NOTE Confidence: 0.9503258

00:15:42.615 --> 00:15:44.315
based. So at Step, we

NOTE Confidence: 0.9503258

00:15:44.510 --> 00:15:46.270
we flexibly implement a variety

NOTE Confidence: 0.9503258

00:15:46.270 --> 00:15:48.290
of evidence based therapeutic techniques,

NOTE Confidence: 0.9731167

00:15:48.910 --> 00:15:50.270
pulling from a lot of

NOTE Confidence: 0.9731167

00:15:50.270 --> 00:15:52.290
different evidence based strategies including

NOTE Confidence: 0.9731167

00:15:52.589 --> 00:15:54.370
CBT, CBT for psychosis,

NOTE Confidence: 0.9930558

00:15:55.230 --> 00:15:56.850
dialectical behavior therapy,

NOTE Confidence: 0.9280675

00:15:57.645 --> 00:15:58.865
family focused treatment,

NOTE Confidence: 0.9533212

00:15:59.645 --> 00:16:01.665
social skills training for schizophrenia,

NOTE Confidence: 0.9533212

00:16:01.885 --> 00:16:03.905
social cognition interaction training.

NOTE Confidence: 0.92064285

00:16:04.445 --> 00:16:05.565
It's not limited. We think

NOTE Confidence: 0.92064285

00:16:05.565 --> 00:16:07.485
that there's a part of

NOTE Confidence: 0.92064285

00:16:07.485 --> 00:16:07.985
kind

NOTE Confidence: 0.94400245

00:16:08.525 --> 00:16:09.965
of providing that patient centered

NOTE Confidence: 0.94400245

00:16:09.965 --> 00:16:11.730
care and phase specific is

NOTE Confidence: 0.94400245

00:16:11.889 --> 00:16:12.850
is being able to kind

NOTE Confidence: 0.94400245

00:16:12.850 --> 00:16:13.990
of flexibly implement

NOTE Confidence: 0.97796535

00:16:14.449 --> 00:16:16.370
these interventions based on the

NOTE Confidence: 0.97796535

00:16:16.370 --> 00:16:18.389
client's presentations, needs, and preferences.

NOTE Confidence: 0.99906963

00:16:19.490 --> 00:16:19.990
So

NOTE Confidence: 0.9851983

00:16:21.089 --> 00:16:22.470
first bullet point here,

NOTE Confidence: 0.9997104

00:16:23.010 --> 00:16:23.510
engagement

NOTE Confidence: 0.9954067

00:16:23.889 --> 00:16:25.670
and developing a shared understanding

NOTE Confidence: 0.9954067

00:16:25.730 --> 00:16:27.269
of experiences and goals.

NOTE Confidence: 0.95101047

00:16:27.705 --> 00:16:29.225
I think this is a

NOTE Confidence: 0.95101047

00:16:29.225 --> 00:16:31.465
really key piece of what

NOTE Confidence: 0.95101047

00:16:31.465 --> 00:16:33.165
is done in early intervention

NOTE Confidence: 0.95101047

00:16:33.225 --> 00:16:33.725
service.

NOTE Confidence: 0.99486744

00:16:34.425 --> 00:16:35.165
And as

NOTE Confidence: 0.94882584

00:16:35.625 --> 00:16:36.985
folks know with working with,

NOTE Confidence: 0.94882584

00:16:37.385 --> 00:16:39.245
perhaps older, more chronic populations

NOTE Confidence: 0.94882584

00:16:39.385 --> 00:16:41.305
or or different populations of

NOTE Confidence: 0.94882584

00:16:41.305 --> 00:16:43.100
folks. Right? Engagement in the

NOTE Confidence: 0.94882584

00:16:43.100 --> 00:16:44.620
alliance is is key to

NOTE Confidence: 0.94882584

00:16:44.620 --> 00:16:45.440
any important,

NOTE Confidence: 0.9983501

00:16:46.140 --> 00:16:48.000
and successful therapeutic intervention.

NOTE Confidence: 0.99934584

00:16:49.340 --> 00:16:50.480
I think it's particularly

NOTE Confidence: 0.9714795

00:16:51.340 --> 00:16:52.540
important and can take up

NOTE Confidence: 0.9714795

00:16:52.540 --> 00:16:53.660
a a lot of time

NOTE Confidence: 0.9714795

00:16:53.660 --> 00:16:55.580
when working with both young

NOTE Confidence: 0.9714795

00:16:55.580 --> 00:16:56.080
adults

NOTE Confidence: 0.99978155

00:16:56.705 --> 00:16:57.765
as well as

NOTE Confidence: 0.851527

00:16:59.105 --> 00:17:00.885
individuals experiencing psychosis,

NOTE Confidence: 0.9727386

00:17:01.265 --> 00:17:02.965
particularly young folks who

NOTE Confidence: 0.65741104

00:17:03.345 --> 00:17:03.845
perhaps

NOTE Confidence: 0.9841432

00:17:04.305 --> 00:17:05.585
this might be their first

NOTE Confidence: 0.9841432

00:17:05.585 --> 00:17:06.325
true engagement

NOTE Confidence: 0.95713806

00:17:06.705 --> 00:17:08.085
with the mental health system,

NOTE Confidence: 0.944026

00:17:08.945 --> 00:17:10.165
keeping in mind that,

NOTE Confidence: 0.9995546

00:17:11.570 --> 00:17:12.690
maybe they had an acute

NOTE Confidence: 0.9995546

00:17:12.690 --> 00:17:13.190
interaction

NOTE Confidence: 0.9997904

00:17:14.210 --> 00:17:15.030
with the

NOTE Confidence: 0.9526505

00:17:16.210 --> 00:17:18.550
emergency services or inpatient unit,

NOTE Confidence: 0.9526505

00:17:18.770 --> 00:17:19.970
but perhaps they've never really

NOTE Confidence: 0.9526505

00:17:19.970 --> 00:17:21.730
opened up and told anyone

NOTE Confidence: 0.9526505

00:17:21.730 --> 00:17:22.929
about this before. Maybe they've

NOTE Confidence: 0.9526505

00:17:22.929 --> 00:17:24.150
spent a couple years

NOTE Confidence: 0.9695901

00:17:25.455 --> 00:17:27.054
socially isolating, trying to keep

NOTE Confidence: 0.9695901

00:17:27.054 --> 00:17:28.575
these symptoms to themselves and

NOTE Confidence: 0.9695901

00:17:28.575 --> 00:17:29.395
self manage.

NOTE Confidence: 0.99957174

00:17:29.775 --> 00:17:30.275
So

NOTE Confidence: 0.96104115

00:17:30.654 --> 00:17:32.255
really thinking about engagement is

NOTE Confidence: 0.96104115

00:17:32.255 --> 00:17:33.715
such a key piece that

NOTE Confidence: 0.96104115

00:17:33.855 --> 00:17:34.835
for some folks,

NOTE Confidence: 0.98193806

00:17:35.855 --> 00:17:36.895
take a long time. You

NOTE Confidence: 0.98193806

00:17:36.895 --> 00:17:38.595
sit in this engagement stage

NOTE Confidence: 0.98193806

00:17:38.880 --> 00:17:40.000
for quite a while. Other

NOTE Confidence: 0.98193806

00:17:40.000 --> 00:17:41.280
folks kinda come in and

NOTE Confidence: 0.98193806

00:17:41.280 --> 00:17:42.420
and move right along

NOTE Confidence: 0.9526343

00:17:42.880 --> 00:17:44.180
and say, like, help me

NOTE Confidence: 0.9526343

00:17:44.400 --> 00:17:45.859
keep these symptoms away.

NOTE Confidence: 0.9206681

00:17:47.119 --> 00:17:48.580
And again, it can fluctuate,

NOTE Confidence: 0.99464095

00:17:49.920 --> 00:17:51.440
within the person over their

NOTE Confidence: 0.99464095

00:17:51.440 --> 00:17:52.340
course of treatment.

NOTE Confidence: 0.9981515

00:17:53.875 --> 00:17:55.494
So without going into detail

NOTE Confidence: 0.9981515

00:17:55.555 --> 00:17:56.835
about what all of these

NOTE Confidence: 0.9981515

00:17:56.835 --> 00:17:57.895
strategies entail,

NOTE Confidence: 0.9682782

00:17:58.275 --> 00:17:59.095
just a couple,

NOTE Confidence: 0.98245335

00:18:00.835 --> 00:18:02.195
specific techniques. We use a

NOTE Confidence: 0.98245335

00:18:02.195 --> 00:18:03.095
lot of befriending,

NOTE Confidence: 0.9669903

00:18:05.090 --> 00:18:06.550
which is a a therapeutic

NOTE Confidence: 0.9669903

00:18:06.609 --> 00:18:08.390
technique in order to facilitate

NOTE Confidence: 0.9669903

00:18:08.450 --> 00:18:08.950
engagement.

NOTE Confidence: 0.97425216

00:18:10.850 --> 00:18:12.390
I find particularly helpful

NOTE Confidence: 0.98155415

00:18:12.770 --> 00:18:14.050
to come to this shared

NOTE Confidence: 0.98155415

00:18:14.050 --> 00:18:16.850
understanding of one's experiences is

NOTE Confidence: 0.98155415

00:18:16.850 --> 00:18:18.150
the stress bucket analogy,

NOTE Confidence: 0.8734083

00:18:19.155 --> 00:18:20.435
which is a really just

NOTE Confidence: 0.8734083

00:18:20.435 --> 00:18:21.255
like normalizing

NOTE Confidence: 0.9984846

00:18:22.195 --> 00:18:23.735
way of talking about

NOTE Confidence: 0.9621234

00:18:24.755 --> 00:18:25.255
experiences.

NOTE Confidence: 0.95909846

00:18:25.715 --> 00:18:26.595
I don't care if you

NOTE Confidence: 0.95909846

00:18:26.595 --> 00:18:28.355
wanna call it psychosis or

NOTE Confidence: 0.95909846

00:18:28.355 --> 00:18:28.855
schizophrenia,

NOTE Confidence: 0.98653877

00:18:29.555 --> 00:18:30.055
stress,

NOTE Confidence: 0.9184582

00:18:30.435 --> 00:18:30.935
anxiety,

NOTE Confidence: 0.9772381

00:18:31.315 --> 00:18:32.595
whatever it might be. We

NOTE Confidence: 0.9772381

00:18:32.595 --> 00:18:34.040
kind of develop a shared

NOTE Confidence: 0.9772381

00:18:34.040 --> 00:18:36.220
language with the young person

NOTE Confidence: 0.9772381

00:18:36.280 --> 00:18:37.240
and find a way to

NOTE Confidence: 0.9772381

00:18:37.240 --> 00:18:38.240
talk about it and find

NOTE Confidence: 0.9772381

00:18:38.240 --> 00:18:39.720
a way to kind of

NOTE Confidence: 0.9772381

00:18:39.720 --> 00:18:41.420
normalize that we all experience

NOTE Confidence: 0.9807253

00:18:42.440 --> 00:18:43.720
stress in different ways and

NOTE Confidence: 0.9807253

00:18:43.720 --> 00:18:45.340
we're vulnerable to different things.

NOTE Confidence: 0.9902427

00:18:46.785 --> 00:18:47.665
And it's a way to

NOTE Confidence: 0.9902427

00:18:47.665 --> 00:18:49.125
kind of help folks

NOTE Confidence: 0.9572641

00:18:49.505 --> 00:18:51.265
learn to recognize early warning

NOTE Confidence: 0.9572641

00:18:51.265 --> 00:18:51.765
signs.

NOTE Confidence: 0.93743545

00:18:52.705 --> 00:18:54.465
And those examples of what

NOTE Confidence: 0.93743545

00:18:54.465 --> 00:18:55.905
it looks like talking about

NOTE Confidence: 0.93743545

00:18:55.905 --> 00:18:57.605
the the stress bucket metaphor,

NOTE Confidence: 0.9997382

00:18:58.705 --> 00:19:00.005
available on our website.

NOTE Confidence: 0.98187685

00:19:01.370 --> 00:19:02.650
Often, this is also a

NOTE Confidence: 0.98187685

00:19:02.650 --> 00:19:03.530
time where you're gonna do

NOTE Confidence: 0.98187685

00:19:03.530 --> 00:19:05.290
some early values exploration and

NOTE Confidence: 0.98187685

00:19:05.290 --> 00:19:06.110
goal setting.

NOTE Confidence: 0.99407816

00:19:07.050 --> 00:19:08.090
And you're not gonna hit

NOTE Confidence: 0.99407816

00:19:08.090 --> 00:19:09.450
on every single one of

NOTE Confidence: 0.99407816

00:19:09.450 --> 00:19:11.210
these with every patient, but

NOTE Confidence: 0.99407816

00:19:11.210 --> 00:19:12.430
this is just to provide

NOTE Confidence: 0.99407816

00:19:12.490 --> 00:19:13.870
kind of an overview of

NOTE Confidence: 0.97255576

00:19:14.195 --> 00:19:15.255
what some of the strategies

NOTE Confidence: 0.97255576

00:19:15.315 --> 00:19:17.255
look like. You'll recognize that

NOTE Confidence: 0.99017745

00:19:17.795 --> 00:19:18.535
even though

NOTE Confidence: 0.99168015

00:19:18.915 --> 00:19:21.734
it's individuals experiencing schizophrenia, a

NOTE Confidence: 0.99168015

00:19:21.875 --> 00:19:22.915
lot of these strategies are

NOTE Confidence: 0.99168015

00:19:22.915 --> 00:19:23.975
not all that different

NOTE Confidence: 0.9895247

00:19:24.275 --> 00:19:25.395
from what we're doing with

NOTE Confidence: 0.9895247

00:19:25.395 --> 00:19:26.855
with folks with other presentations.

NOTE Confidence: 0.9875478

00:19:27.440 --> 00:19:28.260
There's just slight adaptations

NOTE Confidence: 0.9927596

00:19:29.119 --> 00:19:29.619
and,

NOTE Confidence: 0.9991215

00:19:30.559 --> 00:19:32.400
nuances to to pay attention

NOTE Confidence: 0.9991215

00:19:32.400 --> 00:19:32.900
to.

NOTE Confidence: 0.974475

00:19:34.559 --> 00:19:35.380
So, certainly,

NOTE Confidence: 0.996078

00:19:35.840 --> 00:19:37.040
we find it important to

NOTE Confidence: 0.996078

00:19:37.040 --> 00:19:38.100
promote skills.

NOTE Confidence: 0.95793605

00:19:40.205 --> 00:19:41.325
As I mentioned, pulling from

NOTE Confidence: 0.95793605

00:19:41.325 --> 00:19:42.445
a variety of evidence based

NOTE Confidence: 0.95793605

00:19:42.445 --> 00:19:42.945
practices,

NOTE Confidence: 0.9906724

00:19:43.484 --> 00:19:44.625
evidence based treatments.

NOTE Confidence: 0.99344856

00:19:46.365 --> 00:19:46.865
Oftentimes,

NOTE Confidence: 0.97537667

00:19:47.325 --> 00:19:48.125
you know, we we find

NOTE Confidence: 0.97537667

00:19:48.125 --> 00:19:49.565
ourselves teaching a lot of

NOTE Confidence: 0.97537667

00:19:49.565 --> 00:19:50.465
stress management,

NOTE Confidence: 0.9055927

00:19:50.845 --> 00:19:52.865
distress tolerance, grounding strategies

NOTE Confidence: 0.9930586

00:19:53.520 --> 00:19:55.040
to help folks handle acute

NOTE Confidence: 0.9930586

00:19:55.040 --> 00:19:56.340
moments and to cope.

NOTE Confidence: 0.98545533

00:19:58.320 --> 00:19:59.600
We hope to to move

NOTE Confidence: 0.98545533

00:19:59.600 --> 00:20:00.480
on to kind of some

NOTE Confidence: 0.98545533

00:20:00.480 --> 00:20:01.220
more CBT

NOTE Confidence: 0.9629035

00:20:01.680 --> 00:20:03.940
informed techniques of reality testing.

NOTE Confidence: 0.976835

00:20:04.640 --> 00:20:05.840
Sometimes there's a real need

NOTE Confidence: 0.976835

00:20:05.840 --> 00:20:06.980
for social skills

NOTE Confidence: 0.99556

00:20:07.414 --> 00:20:08.554
training or development.

NOTE Confidence: 0.9888204

00:20:09.174 --> 00:20:10.155
We know that,

NOTE Confidence: 0.95068854

00:20:10.775 --> 00:20:12.475
social cognition can be impacted

NOTE Confidence: 0.95068854

00:20:12.695 --> 00:20:15.174
in schizophrenia. And so sometimes

NOTE Confidence: 0.95068854

00:20:15.174 --> 00:20:15.674
there's

NOTE Confidence: 0.94727796

00:20:16.054 --> 00:20:17.095
a a need to do

NOTE Confidence: 0.94727796

00:20:17.095 --> 00:20:18.234
some formal practicing,

NOTE Confidence: 0.9976684

00:20:20.100 --> 00:20:21.700
helping folks create their own

NOTE Confidence: 0.9976684

00:20:21.700 --> 00:20:23.320
coping cards and safety plans.

NOTE Confidence: 0.9337263

00:20:25.140 --> 00:20:26.100
Then there's the kind of

NOTE Confidence: 0.9337263

00:20:26.100 --> 00:20:28.200
the more in-depth cognitive work.

NOTE Confidence: 0.99781513

00:20:29.140 --> 00:20:30.020
And none of this is

NOTE Confidence: 0.99781513

00:20:30.020 --> 00:20:30.520
necessarily

NOTE Confidence: 0.97867846

00:20:31.540 --> 00:20:33.060
in orders. People can flex

NOTE Confidence: 0.97867846

00:20:33.060 --> 00:20:33.940
in and out of this,

NOTE Confidence: 0.97867846

00:20:33.940 --> 00:20:34.440
but

NOTE Confidence: 0.99943185

00:20:34.815 --> 00:20:35.695
we can refer to it

NOTE Confidence: 0.99943185

00:20:35.695 --> 00:20:36.514
as, you know,

NOTE Confidence: 0.9971879

00:20:36.815 --> 00:20:38.335
cognitive work or changing our

NOTE Confidence: 0.9971879

00:20:38.335 --> 00:20:40.034
relationship to internal experiences.

NOTE Confidence: 0.99683625

00:20:40.894 --> 00:20:41.855
Right? And we know those

NOTE Confidence: 0.99683625

00:20:41.855 --> 00:20:43.134
internal experiences could be a

NOTE Confidence: 0.99683625

00:20:43.134 --> 00:20:44.174
lot of different things. It

NOTE Confidence: 0.99683625

00:20:44.174 --> 00:20:44.835
could be,

NOTE Confidence: 0.9951014

00:20:46.095 --> 00:20:47.475
distress related to

NOTE Confidence: 0.99276096

00:20:48.240 --> 00:20:49.840
voices or the interpretation of

NOTE Confidence: 0.99276096

00:20:49.840 --> 00:20:50.340
such,

NOTE Confidence: 0.995841

00:20:51.600 --> 00:20:53.840
different suspicious or paranoid beliefs,

NOTE Confidence: 0.995841

00:20:53.840 --> 00:20:54.340
etcetera.

NOTE Confidence: 0.9738141

00:20:55.760 --> 00:20:56.800
So here, you can really

NOTE Confidence: 0.9738141

00:20:56.800 --> 00:20:58.720
pull from cognitive behavioral therapy

NOTE Confidence: 0.9738141

00:20:58.720 --> 00:21:00.020
for psychosis approaches,

NOTE Confidence: 0.9995535

00:21:01.200 --> 00:21:02.420
using a lot of

NOTE Confidence: 0.9739344

00:21:02.925 --> 00:21:03.905
Socratic questioning,

NOTE Confidence: 0.942319

00:21:04.205 --> 00:21:04.705
normalizing,

NOTE Confidence: 0.7168666

00:21:05.244 --> 00:21:05.744
collaboration.

NOTE Confidence: 0.8801607

00:21:07.244 --> 00:21:09.105
You can introduce cognitive restructuring.

NOTE Confidence: 0.95861286

00:21:11.165 --> 00:21:13.005
Acceptance based and compassion focused

NOTE Confidence: 0.95861286

00:21:13.005 --> 00:21:14.605
strategies are also evidence based

NOTE Confidence: 0.95861286

00:21:14.605 --> 00:21:15.825
and can be really helpful.

NOTE Confidence: 0.99743265

00:21:16.340 --> 00:21:17.160
I particularly find

NOTE Confidence: 0.9814211

00:21:17.540 --> 00:21:18.280
those strategies,

NOTE Confidence: 0.9998145

00:21:20.020 --> 00:21:21.000
helpful for

NOTE Confidence: 0.98907167

00:21:21.619 --> 00:21:22.580
sometimes when I've got I've

NOTE Confidence: 0.98907167

00:21:22.580 --> 00:21:23.540
got those folks who are

NOTE Confidence: 0.98907167

00:21:23.540 --> 00:21:24.660
so good at coming up

NOTE Confidence: 0.98907167

00:21:24.660 --> 00:21:25.800
with, evidence

NOTE Confidence: 0.911843

00:21:26.900 --> 00:21:28.920
for and against their delusions

NOTE Confidence: 0.911843

00:21:28.980 --> 00:21:30.315
and their they could just

NOTE Confidence: 0.911843

00:21:30.315 --> 00:21:31.434
stay in that battle all

NOTE Confidence: 0.911843

00:21:31.434 --> 00:21:32.335
day long, then

NOTE Confidence: 0.9700071

00:21:32.715 --> 00:21:33.914
I often would implement like,

NOTE Confidence: 0.9700071

00:21:33.914 --> 00:21:35.195
okay. Hang on. Let's let's

NOTE Confidence: 0.9700071

00:21:35.195 --> 00:21:36.075
not get tied up in

NOTE Confidence: 0.9700071

00:21:36.075 --> 00:21:37.034
this so much. Like, is

NOTE Confidence: 0.9700071

00:21:37.034 --> 00:21:37.755
there a way we can

NOTE Confidence: 0.9700071

00:21:37.755 --> 00:21:39.115
bring a more acceptance based

NOTE Confidence: 0.9700071

00:21:39.115 --> 00:21:39.615
framework

NOTE Confidence: 0.9920823

00:21:40.075 --> 00:21:40.734
to this?

NOTE Confidence: 0.88150454

00:21:42.830 --> 00:21:43.490
And, certainly,

NOTE Confidence: 0.9967696

00:21:43.790 --> 00:21:45.070
regardless of what's going on

NOTE Confidence: 0.9967696

00:21:45.070 --> 00:21:46.430
for someone, we wanna help

NOTE Confidence: 0.9967696

00:21:46.430 --> 00:21:48.190
people kind of cultivate a

NOTE Confidence: 0.9967696

00:21:48.190 --> 00:21:49.250
life worth living

NOTE Confidence: 0.8808198

00:21:49.630 --> 00:21:50.750
or a rich and meaningful

NOTE Confidence: 0.8808198

00:21:50.750 --> 00:21:51.570
life. So,

NOTE Confidence: 0.9994533

00:21:52.270 --> 00:21:52.770
again,

NOTE Confidence: 0.9888961

00:21:53.630 --> 00:21:55.650
just like any other, therapeutic

NOTE Confidence: 0.9888961

00:21:55.790 --> 00:21:57.435
relationship, you can spend time

NOTE Confidence: 0.9888961

00:21:57.675 --> 00:21:58.735
exploring values.

NOTE Confidence: 0.9970557

00:21:59.275 --> 00:22:00.315
We want things to be

NOTE Confidence: 0.9970557

00:22:00.315 --> 00:22:01.995
anchored and oriented around goals

NOTE Confidence: 0.9970557

00:22:01.995 --> 00:22:03.115
that are meaningful to the

NOTE Confidence: 0.9970557

00:22:03.115 --> 00:22:03.855
young person,

NOTE Confidence: 0.9515381

00:22:04.315 --> 00:22:05.755
not just right meaningful to

NOTE Confidence: 0.9515381

00:22:05.755 --> 00:22:07.215
the provider or the family,

NOTE Confidence: 0.90031487

00:22:08.875 --> 00:22:10.715
and various therapeutic topics. Right?

NOTE Confidence: 0.90031487

00:22:10.715 --> 00:22:11.250
So it

NOTE Confidence: 0.9812967

00:22:11.730 --> 00:22:13.430
not everyone is gonna, again,

NOTE Confidence: 0.9812967

00:22:13.490 --> 00:22:14.530
hit on all of these

NOTE Confidence: 0.9812967

00:22:14.530 --> 00:22:15.030
categories,

NOTE Confidence: 0.9516191

00:22:16.130 --> 00:22:17.330
but absolutely some of the

NOTE Confidence: 0.9516191

00:22:17.330 --> 00:22:19.010
work with young folks or

NOTE Confidence: 0.9516191

00:22:19.010 --> 00:22:19.910
folks experiencing,

NOTE Confidence: 0.9672593

00:22:20.450 --> 00:22:22.470
you know, schizophrenia can be,

NOTE Confidence: 0.9518101

00:22:24.465 --> 00:22:26.325
have common themes of processing

NOTE Confidence: 0.9518101

00:22:26.385 --> 00:22:27.984
past episodes. What did that

NOTE Confidence: 0.9518101

00:22:27.984 --> 00:22:28.484
mean?

NOTE Confidence: 0.9869858

00:22:29.025 --> 00:22:30.225
What what was going on

NOTE Confidence: 0.9869858

00:22:30.225 --> 00:22:32.005
in that situation? How does,

NOTE Confidence: 0.9957259

00:22:32.945 --> 00:22:34.625
this experience of psychosis or

NOTE Confidence: 0.9957259

00:22:34.625 --> 00:22:36.085
this diagnosis of schizophrenia

NOTE Confidence: 0.9977166

00:22:36.785 --> 00:22:37.924
impact my identity?

NOTE Confidence: 0.992845

00:22:38.460 --> 00:22:39.419
How do I wanna think

NOTE Confidence: 0.992845

00:22:39.419 --> 00:22:40.320
about disclosure

NOTE Confidence: 0.9908744

00:22:41.580 --> 00:22:43.260
to employers, to friends, to

NOTE Confidence: 0.9908744

00:22:43.260 --> 00:22:44.700
family members? Do I want

NOTE Confidence: 0.9908744

00:22:44.700 --> 00:22:45.899
to do that? Should I

NOTE Confidence: 0.9908744

00:22:46.140 --> 00:22:46.640
etcetera.

NOTE Confidence: 0.9163656

00:22:47.500 --> 00:22:48.460
How do I develop the

NOTE Confidence: 0.9163656

00:22:48.460 --> 00:22:50.240
autonomy in this? So,

NOTE Confidence: 0.9849702

00:22:50.619 --> 00:22:52.655
really, just a wide range.

NOTE Confidence: 0.9849702

00:22:52.815 --> 00:22:54.355
It's it's not all about,

NOTE Confidence: 0.9964131

00:22:55.535 --> 00:22:56.355
again, just

NOTE Confidence: 0.99816626

00:22:56.734 --> 00:22:58.355
getting rid of positive symptoms

NOTE Confidence: 0.9706809

00:22:58.895 --> 00:23:00.575
and teaching skills. We we

NOTE Confidence: 0.9706809

00:23:00.575 --> 00:23:01.955
can really pull from

NOTE Confidence: 0.9984236

00:23:02.575 --> 00:23:03.795
a lot of different therapeutic

NOTE Confidence: 0.99919885

00:23:04.255 --> 00:23:04.755
interventions

NOTE Confidence: 0.99790925

00:23:05.490 --> 00:23:05.990
And

NOTE Confidence: 0.7802316

00:23:06.369 --> 00:23:06.869
folks,

NOTE Confidence: 0.96828663

00:23:08.290 --> 00:23:10.070
the the presentations really vary.

NOTE Confidence: 0.9772713

00:23:10.690 --> 00:23:11.910
And I can speak from

NOTE Confidence: 0.9772713

00:23:12.050 --> 00:23:13.250
what, you know, what that

NOTE Confidence: 0.9772713

00:23:13.250 --> 00:23:14.530
looks like specifically in our

NOTE Confidence: 0.9772713

00:23:14.530 --> 00:23:15.970
clinic, but also, which is

NOTE Confidence: 0.9772713

00:23:15.970 --> 00:23:17.109
representative of,

NOTE Confidence: 0.9987216

00:23:17.650 --> 00:23:19.250
early intervention clinics across the

NOTE Confidence: 0.9987216

00:23:19.250 --> 00:23:19.750
country.

NOTE Confidence: 0.97441953

00:23:20.855 --> 00:23:22.055
And then lastly, on this

NOTE Confidence: 0.97441953

00:23:22.055 --> 00:23:22.555
page,

NOTE Confidence: 0.9926011

00:23:23.095 --> 00:23:24.695
a really key thing that

NOTE Confidence: 0.9926011

00:23:24.695 --> 00:23:25.755
I would say, like,

NOTE Confidence: 0.9971499

00:23:26.375 --> 00:23:27.355
if there are

NOTE Confidence: 0.9983888

00:23:27.734 --> 00:23:29.015
main elements that we're gonna

NOTE Confidence: 0.9983888

00:23:29.015 --> 00:23:29.515
do,

NOTE Confidence: 0.99692637

00:23:30.295 --> 00:23:31.734
you're gonna, like, focus a

NOTE Confidence: 0.99692637

00:23:31.734 --> 00:23:32.635
ton on engagement

NOTE Confidence: 0.99663657

00:23:33.015 --> 00:23:34.135
and really try to help

NOTE Confidence: 0.99663657

00:23:34.135 --> 00:23:36.395
folks identify early warning signs

NOTE Confidence: 0.9789282

00:23:36.910 --> 00:23:38.350
in some way. Again, maybe

NOTE Confidence: 0.9789282

00:23:38.350 --> 00:23:39.890
someone's coming in and saying,

NOTE Confidence: 0.9836274

00:23:40.510 --> 00:23:41.790
there's nothing going on. There's

NOTE Confidence: 0.9836274

00:23:41.790 --> 00:23:42.990
nothing wrong. Like, is there

NOTE Confidence: 0.9836274

00:23:42.990 --> 00:23:44.210
any way that you can

NOTE Confidence: 0.9990511

00:23:44.510 --> 00:23:45.570
align with them

NOTE Confidence: 0.9725735

00:23:46.109 --> 00:23:47.470
to to orient around? Okay.

NOTE Confidence: 0.9725735

00:23:47.470 --> 00:23:48.910
Well, like, you did end

NOTE Confidence: 0.9725735

00:23:48.910 --> 00:23:49.950
up in the hospital or

NOTE Confidence: 0.9725735

00:23:49.950 --> 00:23:50.910
or or, you know, something

NOTE Confidence: 0.9725735

00:23:50.910 --> 00:23:51.410
happened

NOTE Confidence: 0.9760614

00:23:51.984 --> 00:23:52.865
that was getting in the

NOTE Confidence: 0.9760614

00:23:52.865 --> 00:23:54.145
way. Like, how can we

NOTE Confidence: 0.9760614

00:23:54.145 --> 00:23:55.605
think about together? Like,

NOTE Confidence: 0.98531437

00:23:56.145 --> 00:23:57.105
what was going on at

NOTE Confidence: 0.98531437

00:23:57.105 --> 00:23:58.225
that time? What that looked

NOTE Confidence: 0.98531437

00:23:58.225 --> 00:24:00.145
like? Again, I don't care

NOTE Confidence: 0.98531437

00:24:00.145 --> 00:24:00.865
what we call it. I

NOTE Confidence: 0.98531437

00:24:00.865 --> 00:24:01.664
don't care if we call

NOTE Confidence: 0.98531437

00:24:01.664 --> 00:24:03.505
it psychosis or what really

NOTE Confidence: 0.98531437

00:24:03.505 --> 00:24:04.625
meeting the person where they're

NOTE Confidence: 0.98531437

00:24:04.625 --> 00:24:06.700
at, trying to figure out,

NOTE Confidence: 0.99475205

00:24:08.119 --> 00:24:09.160
a way to align, a

NOTE Confidence: 0.99475205

00:24:09.160 --> 00:24:10.140
way to help someone

NOTE Confidence: 0.9313879

00:24:10.760 --> 00:24:11.880
as well as the family

NOTE Confidence: 0.9313879

00:24:11.880 --> 00:24:12.859
learn to recognize,

NOTE Confidence: 0.95398784

00:24:13.720 --> 00:24:14.859
what might be precipitating,

NOTE Confidence: 0.98447347

00:24:15.480 --> 00:24:16.840
an episode or a relapse

NOTE Confidence: 0.98447347

00:24:16.840 --> 00:24:18.280
so that we can catch

NOTE Confidence: 0.98447347

00:24:18.280 --> 00:24:19.020
it sooner.

NOTE Confidence: 0.9988991

00:24:21.455 --> 00:24:22.835
So this is my favorite

NOTE Confidence: 0.99902797

00:24:23.215 --> 00:24:23.715
part

NOTE Confidence: 0.9846811

00:24:24.095 --> 00:24:25.135
to talk about being a

NOTE Confidence: 0.9846811

00:24:25.135 --> 00:24:26.415
psychologist. So I I usually

NOTE Confidence: 0.9846811

00:24:26.415 --> 00:24:27.295
get to talk about this

NOTE Confidence: 0.9846811

00:24:27.295 --> 00:24:28.895
a lot more. But, again,

NOTE Confidence: 0.9846811

00:24:28.895 --> 00:24:30.095
there's more resources on the

NOTE Confidence: 0.9846811

00:24:30.095 --> 00:24:31.375
website if you're interested in

NOTE Confidence: 0.9846811

00:24:31.375 --> 00:24:32.895
the the specifics of what

NOTE Confidence: 0.9846811

00:24:32.895 --> 00:24:33.395
these

NOTE Confidence: 0.9520054

00:24:33.859 --> 00:24:35.000
techniques look like,

NOTE Confidence: 0.9456092

00:24:36.180 --> 00:24:37.380
in the context of,

NOTE Confidence: 0.97777784

00:24:38.100 --> 00:24:39.560
early intervention for schizophrenia.

NOTE Confidence: 0.9461158

00:24:42.100 --> 00:24:43.060
A little bit more of

NOTE Confidence: 0.9461158

00:24:43.060 --> 00:24:43.720
just principles

NOTE Confidence: 0.9671635

00:24:44.660 --> 00:24:46.040
within the kind of psychotherapy

NOTE Confidence: 0.9671635

00:24:46.180 --> 00:24:47.640
domain, but I think really

NOTE Confidence: 0.9671635

00:24:47.700 --> 00:24:49.465
across all of the core

NOTE Confidence: 0.9671635

00:24:49.465 --> 00:24:49.965
elements

NOTE Confidence: 0.8308228

00:24:50.424 --> 00:24:50.924
and

NOTE Confidence: 0.9721003

00:24:51.384 --> 00:24:52.664
all of the interactions that

NOTE Confidence: 0.9721003

00:24:52.664 --> 00:24:53.565
we have with,

NOTE Confidence: 0.9622358

00:24:54.424 --> 00:24:56.585
young people is that we

NOTE Confidence: 0.9622358

00:24:56.585 --> 00:24:57.404
wanna normalize

NOTE Confidence: 0.9988862

00:24:57.784 --> 00:24:59.465
these experiences as much as

NOTE Confidence: 0.9988862

00:24:59.465 --> 00:25:00.125
we can.

NOTE Confidence: 0.9939529

00:25:00.904 --> 00:25:01.404
So,

NOTE Confidence: 0.9378228

00:25:01.865 --> 00:25:04.820
often folks experiencing psychosis or

NOTE Confidence: 0.9378228

00:25:04.820 --> 00:25:05.320
schizophrenia

NOTE Confidence: 0.95629835

00:25:06.179 --> 00:25:07.559
are othered or stigmatized,

NOTE Confidence: 0.983853

00:25:08.820 --> 00:25:09.700
and we can even do

NOTE Confidence: 0.983853

00:25:09.700 --> 00:25:10.679
that as providers,

NOTE Confidence: 0.99818534

00:25:13.059 --> 00:25:15.080
distancing ourselves in some ways.

NOTE Confidence: 0.99818534

00:25:15.220 --> 00:25:15.720
So

NOTE Confidence: 0.99612033

00:25:16.494 --> 00:25:18.255
the psychoeducation piece is just

NOTE Confidence: 0.99612033

00:25:18.255 --> 00:25:19.154
really important.

NOTE Confidence: 0.9063269

00:25:19.534 --> 00:25:20.335
Again, you'd

NOTE Confidence: 0.972863

00:25:20.734 --> 00:25:22.255
someone doesn't necessarily have to

NOTE Confidence: 0.972863

00:25:22.255 --> 00:25:23.695
agree or we don't have

NOTE Confidence: 0.972863

00:25:23.695 --> 00:25:24.975
to have a specific label,

NOTE Confidence: 0.972863

00:25:24.975 --> 00:25:26.335
but but talking about how

NOTE Confidence: 0.972863

00:25:26.335 --> 00:25:27.855
these experiences can occur on

NOTE Confidence: 0.972863

00:25:27.855 --> 00:25:28.414
a continuum,

NOTE Confidence: 0.9732823

00:25:30.580 --> 00:25:32.040
informing people that,

NOTE Confidence: 0.965978

00:25:32.420 --> 00:25:33.460
hey. This is actually more

NOTE Confidence: 0.965978

00:25:33.460 --> 00:25:34.820
common than you think. Like,

NOTE Confidence: 0.965978

00:25:34.820 --> 00:25:36.280
lots of people hear voices

NOTE Confidence: 0.965978

00:25:36.420 --> 00:25:37.540
or lots of people can

NOTE Confidence: 0.965978

00:25:37.540 --> 00:25:39.540
get suspicious or paranoid at

NOTE Confidence: 0.965978

00:25:39.540 --> 00:25:41.540
times. You can provide actual

NOTE Confidence: 0.965978

00:25:41.540 --> 00:25:42.040
statistics,

NOTE Confidence: 0.96891415

00:25:43.300 --> 00:25:44.500
letting folks know that,

NOTE Confidence: 0.97357595

00:25:46.144 --> 00:25:47.904
these experiences can impact all

NOTE Confidence: 0.97357595

00:25:47.904 --> 00:25:49.044
types of people.

NOTE Confidence: 0.96682864

00:25:49.504 --> 00:25:51.125
And then, again, holding hope,

NOTE Confidence: 0.98844224

00:25:51.744 --> 00:25:53.125
for recovery that,

NOTE Confidence: 0.95756656

00:25:54.225 --> 00:25:56.384
it's the the expectation, not

NOTE Confidence: 0.95756656

00:25:56.384 --> 00:25:58.465
the exception, and perhaps even,

NOTE Confidence: 0.95756656

00:25:58.465 --> 00:25:59.284
you know, sharing

NOTE Confidence: 0.9786803

00:25:59.850 --> 00:26:01.290
whether it be statistics about

NOTE Confidence: 0.9786803

00:26:01.290 --> 00:26:03.230
different recovery trajectories or

NOTE Confidence: 0.99475193

00:26:03.850 --> 00:26:04.750
success stories,

NOTE Confidence: 0.99613535

00:26:05.690 --> 00:26:07.049
different things like that. Providing

NOTE Confidence: 0.99613535

00:26:07.049 --> 00:26:08.410
all that information can really

NOTE Confidence: 0.99613535

00:26:08.410 --> 00:26:09.869
be key in the normalization.

NOTE Confidence: 0.963398

00:26:10.490 --> 00:26:11.850
This is really important again

NOTE Confidence: 0.963398

00:26:11.850 --> 00:26:13.230
for families as well.

NOTE Confidence: 0.9922372

00:26:14.595 --> 00:26:15.554
Another great way to do

NOTE Confidence: 0.9922372

00:26:15.554 --> 00:26:17.234
that is connecting folks to

NOTE Confidence: 0.9922372

00:26:17.234 --> 00:26:18.455
others with lived experience.

NOTE Confidence: 0.98139924

00:26:19.875 --> 00:26:21.415
And anytime we're doing normalizing,

NOTE Confidence: 0.98139924

00:26:21.475 --> 00:26:22.595
right, we wanna make sure

NOTE Confidence: 0.98139924

00:26:22.595 --> 00:26:24.615
that we're normalizing, not dismissing.

NOTE Confidence: 0.98139924

00:26:24.755 --> 00:26:25.635
So not just saying, oh,

NOTE Confidence: 0.98139924

00:26:25.635 --> 00:26:27.450
yeah. Well, like, you're stressed

NOTE Confidence: 0.98139924

00:26:27.450 --> 00:26:28.570
out by your voices. Well,

NOTE Confidence: 0.98139924

00:26:28.570 --> 00:26:29.850
lots of people hear voices.

NOTE Confidence: 0.98139924

00:26:29.850 --> 00:26:30.669
Right? Like,

NOTE Confidence: 0.97788036

00:26:31.770 --> 00:26:32.970
doing it's it's that fine

NOTE Confidence: 0.97788036

00:26:32.970 --> 00:26:34.250
balance that I know we

NOTE Confidence: 0.97788036

00:26:34.250 --> 00:26:35.130
all think about,

NOTE Confidence: 0.974489

00:26:36.010 --> 00:26:38.090
as clinicians, but, you know,

NOTE Confidence: 0.974489

00:26:38.090 --> 00:26:39.450
offering the fact that, like,

NOTE Confidence: 0.974489

00:26:39.450 --> 00:26:40.490
this is more common than

NOTE Confidence: 0.974489

00:26:40.490 --> 00:26:41.924
you might think. You're not

NOTE Confidence: 0.974489

00:26:41.924 --> 00:26:42.904
alone in this.

NOTE Confidence: 0.9749363

00:26:43.605 --> 00:26:45.205
And I I really hear

NOTE Confidence: 0.9749363

00:26:45.205 --> 00:26:46.744
that this is your suffering.

NOTE Confidence: 0.9634072

00:26:47.205 --> 00:26:49.125
This is really impactful for

NOTE Confidence: 0.9634072

00:26:49.125 --> 00:26:50.325
you. You can even, of

NOTE Confidence: 0.9634072

00:26:50.325 --> 00:26:51.144
course, check-in.

NOTE Confidence: 0.9822079

00:26:53.284 --> 00:26:54.520
What's this? What's it like

NOTE Confidence: 0.9822079

00:26:54.520 --> 00:26:55.320
to hear this when I

NOTE Confidence: 0.9822079

00:26:55.320 --> 00:26:56.440
give you these stats or

NOTE Confidence: 0.9822079

00:26:56.440 --> 00:26:57.960
share that other people experience

NOTE Confidence: 0.9822079

00:26:57.960 --> 00:26:58.840
this? Is it

NOTE Confidence: 0.9587741

00:26:59.240 --> 00:27:00.600
and kinda leaving that open

NOTE Confidence: 0.9587741

00:27:00.600 --> 00:27:01.880
or or maybe prompting a

NOTE Confidence: 0.9587741

00:27:01.880 --> 00:27:02.619
bit more

NOTE Confidence: 0.951738

00:27:02.920 --> 00:27:03.800
just to make sure that

NOTE Confidence: 0.951738

00:27:03.800 --> 00:27:05.180
someone's feeling like

NOTE Confidence: 0.99950004

00:27:06.274 --> 00:27:07.174
it might be helpful

NOTE Confidence: 0.9779298

00:27:07.475 --> 00:27:08.615
as opposed to

NOTE Confidence: 0.98268235

00:27:09.315 --> 00:27:10.434
you're not getting it, doctor

NOTE Confidence: 0.98268235

00:27:10.434 --> 00:27:12.034
Sykes. Like, this is really

NOTE Confidence: 0.98268235

00:27:12.034 --> 00:27:13.794
awful for me. So as

NOTE Confidence: 0.98268235

00:27:13.794 --> 00:27:15.315
as we would do kind

NOTE Confidence: 0.98268235

00:27:15.315 --> 00:27:16.514
of in any relationship, you

NOTE Confidence: 0.98268235

00:27:16.514 --> 00:27:17.554
know, checking in for that

NOTE Confidence: 0.98268235

00:27:17.554 --> 00:27:18.054
feedback.

NOTE Confidence: 0.7914515

00:27:20.280 --> 00:27:20.780
So

NOTE Confidence: 0.98811287

00:27:21.960 --> 00:27:23.500
other core elements.

NOTE Confidence: 0.96834135

00:27:24.280 --> 00:27:25.800
So we covered psychotherapy a

NOTE Confidence: 0.96834135

00:27:25.800 --> 00:27:28.060
bit, a quick outline of

NOTE Confidence: 0.9998443

00:27:28.440 --> 00:27:28.940
what

NOTE Confidence: 0.9995528

00:27:29.320 --> 00:27:30.359
that might look like in

NOTE Confidence: 0.9995528

00:27:30.359 --> 00:27:31.400
the room, what you might

NOTE Confidence: 0.9995528

00:27:31.400 --> 00:27:32.060
be doing

NOTE Confidence: 0.99213403

00:27:32.455 --> 00:27:33.275
with an individual.

NOTE Confidence: 0.99304575

00:27:35.255 --> 00:27:37.575
Another key element is family

NOTE Confidence: 0.99304575

00:27:37.575 --> 00:27:38.475
support and education.

NOTE Confidence: 0.98129576

00:27:40.215 --> 00:27:40.935
So I know there were

NOTE Confidence: 0.98129576

00:27:40.935 --> 00:27:42.375
some questions about this earlier

NOTE Confidence: 0.98129576

00:27:42.375 --> 00:27:42.875
on,

NOTE Confidence: 0.89100087

00:27:44.550 --> 00:27:45.510
and it can it can

NOTE Confidence: 0.89100087

00:27:45.510 --> 00:27:46.390
it can look a lot

NOTE Confidence: 0.89100087

00:27:46.390 --> 00:27:47.750
of different ways in line

NOTE Confidence: 0.89100087

00:27:47.750 --> 00:27:48.410
with that

NOTE Confidence: 0.9981835

00:27:48.870 --> 00:27:49.930
flexible implementation

NOTE Confidence: 0.9798871

00:27:50.230 --> 00:27:51.510
and and kind of person

NOTE Confidence: 0.9798871

00:27:51.510 --> 00:27:52.890
or family centered care.

NOTE Confidence: 0.950738

00:27:53.910 --> 00:27:55.110
A couple things to think

NOTE Confidence: 0.950738

00:27:55.110 --> 00:27:55.610
about

NOTE Confidence: 0.99483675

00:27:56.150 --> 00:27:57.590
when we're trying to empower

NOTE Confidence: 0.99483675

00:27:57.590 --> 00:27:58.650
or engage families.

NOTE Confidence: 0.95263505

00:28:00.554 --> 00:28:02.155
One thing is certainly trying

NOTE Confidence: 0.95263505

00:28:02.155 --> 00:28:03.535
to set the expectation

NOTE Confidence: 0.99663734

00:28:04.234 --> 00:28:05.615
from the beginning that

NOTE Confidence: 0.99785954

00:28:05.994 --> 00:28:07.595
we'd like families or support

NOTE Confidence: 0.99785954

00:28:07.595 --> 00:28:08.734
people to be involved.

NOTE Confidence: 0.9721312

00:28:09.195 --> 00:28:10.255
Of course, you know,

NOTE Confidence: 0.97431064

00:28:10.875 --> 00:28:12.475
this is largely up to

NOTE Confidence: 0.97431064

00:28:12.475 --> 00:28:14.540
the the young person. Right?

NOTE Confidence: 0.97431064

00:28:14.540 --> 00:28:15.200
They didn't

NOTE Confidence: 0.9703054

00:28:16.140 --> 00:28:17.260
give permission, and we always

NOTE Confidence: 0.9703054

00:28:17.260 --> 00:28:18.140
make sure that we give

NOTE Confidence: 0.9703054

00:28:18.140 --> 00:28:20.060
that kind of autonomy and

NOTE Confidence: 0.9703054

00:28:20.060 --> 00:28:21.200
and power and control

NOTE Confidence: 0.98499423

00:28:21.660 --> 00:28:22.859
that they're the ones in

NOTE Confidence: 0.98499423

00:28:22.859 --> 00:28:23.980
charge of, like, how involved

NOTE Confidence: 0.98499423

00:28:23.980 --> 00:28:25.020
their families might be in

NOTE Confidence: 0.98499423

00:28:25.020 --> 00:28:26.140
their treatment and what's shared

NOTE Confidence: 0.98499423

00:28:26.140 --> 00:28:27.020
and what's not shared.

NOTE Confidence: 0.958656

00:28:27.585 --> 00:28:28.625
But in general, we try

NOTE Confidence: 0.958656

00:28:28.625 --> 00:28:30.005
to offer things that could

NOTE Confidence: 0.958656

00:28:30.145 --> 00:28:30.965
help engage,

NOTE Confidence: 0.9985757

00:28:31.664 --> 00:28:32.405
all families.

NOTE Confidence: 0.99849343

00:28:33.505 --> 00:28:34.885
So it's helpful

NOTE Confidence: 0.9735756

00:28:35.265 --> 00:28:36.705
to engage right away with

NOTE Confidence: 0.9735756

00:28:36.705 --> 00:28:38.145
a family. Like, as soon

NOTE Confidence: 0.9735756

00:28:38.145 --> 00:28:39.424
as someone's intake, we try

NOTE Confidence: 0.9735756

00:28:39.424 --> 00:28:41.184
to whether the family is

NOTE Confidence: 0.9735756

00:28:41.184 --> 00:28:43.000
joining or try to connect

NOTE Confidence: 0.9735756

00:28:43.000 --> 00:28:43.960
with them right away, let

NOTE Confidence: 0.9735756

00:28:43.960 --> 00:28:44.920
them know who they can

NOTE Confidence: 0.9735756

00:28:44.920 --> 00:28:46.860
contact in the clinic, introduce

NOTE Confidence: 0.9735756

00:28:46.920 --> 00:28:48.200
them, try to provide them

NOTE Confidence: 0.9735756

00:28:48.200 --> 00:28:49.740
some education and factual

NOTE Confidence: 0.9557265

00:28:50.280 --> 00:28:50.780
information.

NOTE Confidence: 0.9539575

00:28:52.680 --> 00:28:54.440
Of course, being responsive, offering

NOTE Confidence: 0.9539575

00:28:54.440 --> 00:28:55.500
practical help.

NOTE Confidence: 0.9490469

00:28:57.554 --> 00:28:58.514
Some things that we really

NOTE Confidence: 0.9490469

00:28:58.514 --> 00:28:59.335
focus on.

NOTE Confidence: 0.95702875

00:29:00.115 --> 00:29:01.794
Our strategies to reduce stress

NOTE Confidence: 0.95702875

00:29:01.794 --> 00:29:03.394
and manage difficult situations at

NOTE Confidence: 0.95702875

00:29:03.394 --> 00:29:03.894
home.

NOTE Confidence: 0.97516185

00:29:04.674 --> 00:29:05.635
Of course, that would be,

NOTE Confidence: 0.97516185

00:29:05.635 --> 00:29:06.914
you know, perhaps the family

NOTE Confidence: 0.97516185

00:29:06.914 --> 00:29:08.434
has already interacted with crisis

NOTE Confidence: 0.97516185

00:29:08.434 --> 00:29:09.715
services, but making sure they

NOTE Confidence: 0.97516185

00:29:09.715 --> 00:29:10.615
have that information,

NOTE Confidence: 0.9819686

00:29:11.170 --> 00:29:12.790
but also teaching some skills.

NOTE Confidence: 0.99321055

00:29:13.810 --> 00:29:15.090
There's a couple of resources

NOTE Confidence: 0.99321055

00:29:15.090 --> 00:29:16.150
that I really love.

NOTE Confidence: 0.91754425

00:29:17.410 --> 00:29:19.270
Doctor Emily Klein, who

NOTE Confidence: 0.9881403

00:29:19.890 --> 00:29:21.330
is at Boston Medical Center

NOTE Confidence: 0.9881403

00:29:21.330 --> 00:29:22.530
right now, recently put out

NOTE Confidence: 0.9881403

00:29:22.530 --> 00:29:23.665
a book and has done

NOTE Confidence: 0.9881403

00:29:23.665 --> 00:29:25.845
some research about adapting motivational

NOTE Confidence: 0.9881403

00:29:26.065 --> 00:29:26.565
interviewing

NOTE Confidence: 0.9294326

00:29:27.105 --> 00:29:28.945
strategies. So I think her

NOTE Confidence: 0.9294326

00:29:28.945 --> 00:29:30.705
research study was motivational interviewing

NOTE Confidence: 0.9294326

00:29:30.705 --> 00:29:32.385
for loved ones and, she's

NOTE Confidence: 0.9294326

00:29:32.385 --> 00:29:33.345
got a book about it,

NOTE Confidence: 0.9294326

00:29:33.345 --> 00:29:34.385
like the school of hard

NOTE Confidence: 0.9294326

00:29:34.385 --> 00:29:35.745
talks, I think is what

NOTE Confidence: 0.9294326

00:29:35.745 --> 00:29:37.345
it's called. And it's just

NOTE Confidence: 0.9294326

00:29:37.345 --> 00:29:38.645
got some really rich

NOTE Confidence: 0.9817584

00:29:39.290 --> 00:29:41.470
strategies for really helping families.

NOTE Confidence: 0.9208624

00:29:42.809 --> 00:29:44.090
Yeah. Basically, engage in kind

NOTE Confidence: 0.9208624

00:29:44.090 --> 00:29:45.950
of the motivational interviewing spirit

NOTE Confidence: 0.98512864

00:29:46.410 --> 00:29:47.610
when when working with their

NOTE Confidence: 0.98512864

00:29:47.610 --> 00:29:49.210
young people and recognizing the

NOTE Confidence: 0.98512864

00:29:49.210 --> 00:29:50.110
ways in which

NOTE Confidence: 0.9754937

00:29:50.890 --> 00:29:52.544
they can can talk to

NOTE Confidence: 0.9754937

00:29:52.544 --> 00:29:53.985
their young people differently, but

NOTE Confidence: 0.9754937

00:29:53.985 --> 00:29:55.585
also that they inevitably don't

NOTE Confidence: 0.9754937

00:29:55.585 --> 00:29:56.644
really have control,

NOTE Confidence: 0.9900596

00:29:58.065 --> 00:29:59.585
over the decisions and motivation

NOTE Confidence: 0.9900596

00:29:59.585 --> 00:30:00.945
to change that their their

NOTE Confidence: 0.9900596

00:30:00.945 --> 00:30:01.605
young people,

NOTE Confidence: 0.997246

00:30:02.625 --> 00:30:03.125
have.

NOTE Confidence: 0.99843335

00:30:04.144 --> 00:30:05.445
And another great resource

NOTE Confidence: 0.9016073

00:30:06.144 --> 00:30:08.039
is psychosis reach. I think

NOTE Confidence: 0.9016073

00:30:08.039 --> 00:30:08.539
developed,

NOTE Confidence: 0.9989363

00:30:10.919 --> 00:30:12.139
some folks at Stanford

NOTE Confidence: 0.9432079

00:30:12.679 --> 00:30:13.899
as well as,

NOTE Confidence: 0.8097382

00:30:14.919 --> 00:30:16.139
University of Washington.

NOTE Confidence: 0.9852682

00:30:16.519 --> 00:30:17.259
And it's,

NOTE Confidence: 0.95275563

00:30:17.720 --> 00:30:19.019
so, again, it's called psychosis

NOTE Confidence: 0.95275563

00:30:19.159 --> 00:30:20.600
reach, and it's a a

NOTE Confidence: 0.95275563

00:30:20.600 --> 00:30:21.980
program actually adapting

NOTE Confidence: 0.9955937

00:30:22.995 --> 00:30:24.855
cognitive behavioral therapy for psychosis

NOTE Confidence: 0.97622365

00:30:25.795 --> 00:30:26.855
skills and principles

NOTE Confidence: 0.99303913

00:30:27.155 --> 00:30:28.855
for family members. And

NOTE Confidence: 0.98386735

00:30:29.155 --> 00:30:29.895
it's actually,

NOTE Confidence: 0.995137

00:30:30.515 --> 00:30:31.415
you know, for,

NOTE Confidence: 0.9561368

00:30:32.355 --> 00:30:34.275
the SMI population in general,

NOTE Confidence: 0.9561368

00:30:34.275 --> 00:30:35.575
not just directed at,

NOTE Confidence: 0.972965

00:30:36.769 --> 00:30:37.809
young adults, but a lot

NOTE Confidence: 0.972965

00:30:37.809 --> 00:30:38.929
of great information there. And

NOTE Confidence: 0.972965

00:30:38.929 --> 00:30:39.730
we we pull from a

NOTE Confidence: 0.972965

00:30:39.730 --> 00:30:40.690
lot of that in our

NOTE Confidence: 0.972965

00:30:40.690 --> 00:30:41.669
stepfamily services,

NOTE Confidence: 0.9996558

00:30:42.129 --> 00:30:43.350
those types of interventions.

NOTE Confidence: 0.9419694

00:30:46.129 --> 00:30:47.750
Family members can be key

NOTE Confidence: 0.988582

00:30:48.450 --> 00:30:49.990
at learning to monitor symptoms,

NOTE Confidence: 0.9994605

00:30:50.825 --> 00:30:52.025
looking for those early warning

NOTE Confidence: 0.9994605

00:30:52.025 --> 00:30:52.525
signs,

NOTE Confidence: 0.9658518

00:30:52.905 --> 00:30:54.825
communicating collateral with the team,

NOTE Confidence: 0.9658518

00:30:54.825 --> 00:30:56.265
especially if a young person

NOTE Confidence: 0.9658518

00:30:56.265 --> 00:30:57.565
is in a state of,

NOTE Confidence: 0.99971086

00:30:58.905 --> 00:31:00.045
struggling to recognize

NOTE Confidence: 0.99355

00:31:00.985 --> 00:31:02.184
the the impact of their

NOTE Confidence: 0.99355

00:31:02.184 --> 00:31:02.684
current

NOTE Confidence: 0.97685117

00:31:03.299 --> 00:31:03.799
experiences,

NOTE Confidence: 0.9851411

00:31:05.779 --> 00:31:07.860
on things or struggling to

NOTE Confidence: 0.9851411

00:31:07.860 --> 00:31:09.779
engage families, can can be

NOTE Confidence: 0.9851411

00:31:09.779 --> 00:31:10.519
really huge.

NOTE Confidence: 0.9614538

00:31:12.340 --> 00:31:13.639
So just some other strategies

NOTE Confidence: 0.9614538

00:31:13.700 --> 00:31:15.380
again to to try to

NOTE Confidence: 0.9614538

00:31:15.380 --> 00:31:16.440
do with families

NOTE Confidence: 0.9952818

00:31:16.875 --> 00:31:18.075
to help them support the

NOTE Confidence: 0.9952818

00:31:18.075 --> 00:31:19.515
young person's recovery and really

NOTE Confidence: 0.9952818

00:31:19.515 --> 00:31:20.815
be a unified member

NOTE Confidence: 0.99961823

00:31:21.275 --> 00:31:22.095
of the team.

NOTE Confidence: 0.9788442

00:31:26.635 --> 00:31:27.375
Just like

NOTE Confidence: 0.9827504

00:31:27.835 --> 00:31:29.535
kind of early intervention services

NOTE Confidence: 0.93434525

00:31:29.915 --> 00:31:31.215
in general, there is

NOTE Confidence: 0.99941564

00:31:31.620 --> 00:31:33.000
research support for

NOTE Confidence: 0.9286079

00:31:33.300 --> 00:31:34.980
family support and education and

NOTE Confidence: 0.9286079

00:31:34.980 --> 00:31:36.440
early psychosis care.

NOTE Confidence: 0.9841223

00:31:37.540 --> 00:31:38.820
We recommend it for all

NOTE Confidence: 0.9841223

00:31:38.820 --> 00:31:40.200
families and support people.

NOTE Confidence: 0.905801

00:31:41.300 --> 00:31:42.420
Can have a variety of

NOTE Confidence: 0.905801

00:31:42.420 --> 00:31:42.920
benefits,

NOTE Confidence: 0.9941829

00:31:43.540 --> 00:31:45.380
including folks who have families

NOTE Confidence: 0.9941829

00:31:45.380 --> 00:31:45.880
involved.

NOTE Confidence: 0.9963277

00:31:46.985 --> 00:31:48.185
Research has shown that they

NOTE Confidence: 0.9963277

00:31:48.185 --> 00:31:49.805
might experience fewer symptoms,

NOTE Confidence: 0.9748743

00:31:50.265 --> 00:31:51.165
fewer rehospitalizations

NOTE Confidence: 0.9701135

00:31:51.705 --> 00:31:52.525
or hospitalizations,

NOTE Confidence: 0.98554134

00:31:53.705 --> 00:31:54.845
improvements in functioning,

NOTE Confidence: 0.9706069

00:31:56.825 --> 00:31:58.925
decreased caregiver stress and burden,

NOTE Confidence: 0.9706069

00:31:59.145 --> 00:32:00.745
a lot of potential positive,

NOTE Confidence: 0.9998012

00:32:01.145 --> 00:32:01.645
benefits.

NOTE Confidence: 0.9645985

00:32:03.200 --> 00:32:04.720
So at step, what this

NOTE Confidence: 0.9645985

00:32:04.720 --> 00:32:05.860
actually looks like,

NOTE Confidence: 0.988229

00:32:06.720 --> 00:32:08.000
we offer a variety of

NOTE Confidence: 0.988229

00:32:08.000 --> 00:32:09.920
educational opportunities for families and

NOTE Confidence: 0.988229

00:32:09.920 --> 00:32:10.820
support people,

NOTE Confidence: 0.99118406

00:32:11.440 --> 00:32:13.220
again, based on need, interest,

NOTE Confidence: 0.998404

00:32:13.760 --> 00:32:14.260
accessibility.

NOTE Confidence: 0.9243456

00:32:15.815 --> 00:32:17.255
So at minimum, we're trying

NOTE Confidence: 0.9243456

00:32:17.255 --> 00:32:17.915
to provide,

NOTE Confidence: 0.9691337

00:32:18.455 --> 00:32:19.575
in a lot of different

NOTE Confidence: 0.9691337

00:32:19.575 --> 00:32:22.235
ways, education about psychosis, treatment,

NOTE Confidence: 0.9691337

00:32:22.295 --> 00:32:24.055
recovery, and other important topics.

NOTE Confidence: 0.9691337

00:32:24.055 --> 00:32:25.975
So, again, factual information about

NOTE Confidence: 0.9691337

00:32:25.975 --> 00:32:27.175
kind of what this is

NOTE Confidence: 0.9691337

00:32:27.175 --> 00:32:27.835
at minimum.

NOTE Confidence: 0.9620164

00:32:28.279 --> 00:32:29.080
We provide that in a

NOTE Confidence: 0.9620164

00:32:29.080 --> 00:32:30.360
lot of different ways, welcome

NOTE Confidence: 0.9620164

00:32:30.360 --> 00:32:32.059
packets, website information,

NOTE Confidence: 0.9990301

00:32:32.840 --> 00:32:34.059
educational workshops,

NOTE Confidence: 0.9625673

00:32:34.919 --> 00:32:36.539
individual support with families.

NOTE Confidence: 0.96515375

00:32:37.880 --> 00:32:38.679
Any way that we can

NOTE Confidence: 0.96515375

00:32:38.679 --> 00:32:40.380
kinda help share and disseminate

NOTE Confidence: 0.96515375

00:32:40.440 --> 00:32:41.880
this important information, we're gonna

NOTE Confidence: 0.96515375

00:32:41.880 --> 00:32:42.539
do that.

NOTE Confidence: 0.9850553

00:32:44.175 --> 00:32:45.555
We think that most folks

NOTE Confidence: 0.90948707

00:32:45.855 --> 00:32:47.215
of, families come up with

NOTE Confidence: 0.90948707

00:32:47.215 --> 00:32:48.495
different strengths and different growth

NOTE Confidence: 0.90948707

00:32:48.495 --> 00:32:49.315
areas, but

NOTE Confidence: 0.9508997

00:32:49.615 --> 00:32:51.135
the main focus areas are

NOTE Confidence: 0.9508997

00:32:51.135 --> 00:32:53.075
are on usually communication skills,

NOTE Confidence: 0.97300726

00:32:53.535 --> 00:32:55.315
problem solving, crisis management.

NOTE Confidence: 0.8811144

00:32:56.335 --> 00:32:57.235
And then certainly,

NOTE Confidence: 0.9986227

00:32:57.960 --> 00:32:59.580
encouraging folks to connect with

NOTE Confidence: 0.98108006

00:32:59.960 --> 00:33:01.980
existing local and virtual resources,

NOTE Confidence: 0.98108006

00:33:02.039 --> 00:33:03.720
whether that's a local, you

NOTE Confidence: 0.98108006

00:33:03.720 --> 00:33:04.220
know,

NOTE Confidence: 0.9186353

00:33:04.919 --> 00:33:07.340
NAMI, FAVOR, grassroots organization

NOTE Confidence: 0.952626

00:33:07.960 --> 00:33:09.159
to connect with other family

NOTE Confidence: 0.952626

00:33:09.159 --> 00:33:10.539
members who might be experiencing

NOTE Confidence: 0.952626

00:33:10.600 --> 00:33:11.580
similar things.

NOTE Confidence: 0.92840105

00:33:12.039 --> 00:33:13.179
And then we're also

NOTE Confidence: 0.9952874

00:33:13.745 --> 00:33:15.345
often recommending that family members

NOTE Confidence: 0.9952874

00:33:15.345 --> 00:33:16.865
get their own support or

NOTE Confidence: 0.9952874

00:33:16.865 --> 00:33:18.005
individual therapy,

NOTE Confidence: 0.93555874

00:33:18.625 --> 00:33:20.145
to help cope with kind

NOTE Confidence: 0.93555874

00:33:20.145 --> 00:33:21.345
of the stressful time and

NOTE Confidence: 0.93555874

00:33:21.345 --> 00:33:22.405
the stressful change

NOTE Confidence: 0.99062747

00:33:22.705 --> 00:33:23.525
in their life.

NOTE Confidence: 0.89393383

00:33:24.225 --> 00:33:25.665
If anyone's interested on the

NOTE Confidence: 0.89393383

00:33:25.665 --> 00:33:26.910
slides after, you can,

NOTE Confidence: 0.9772643

00:33:28.030 --> 00:33:29.470
download our our step family

NOTE Confidence: 0.9772643

00:33:29.470 --> 00:33:30.910
packet to see an example

NOTE Confidence: 0.9772643

00:33:30.910 --> 00:33:32.350
of what it's like. It's

NOTE Confidence: 0.9772643

00:33:32.350 --> 00:33:33.470
also on the the Yale

NOTE Confidence: 0.9772643

00:33:33.470 --> 00:33:34.670
step website, and I think

NOTE Confidence: 0.9772643

00:33:34.670 --> 00:33:35.490
it's on our,

NOTE Confidence: 0.97634274

00:33:36.190 --> 00:33:37.630
learning health network website as

NOTE Confidence: 0.97634274

00:33:37.630 --> 00:33:38.130
well.

NOTE Confidence: 0.9736727

00:33:39.424 --> 00:33:40.804
So here's just a look

NOTE Confidence: 0.98987144

00:33:41.424 --> 00:33:42.325
at kind of

NOTE Confidence: 0.9723994

00:33:42.705 --> 00:33:44.145
the different services that we

NOTE Confidence: 0.9723994

00:33:44.145 --> 00:33:45.345
have at at Step. Right?

NOTE Confidence: 0.9723994

00:33:45.345 --> 00:33:46.385
We're we're at least trying

NOTE Confidence: 0.9723994

00:33:46.385 --> 00:33:47.205
to get everyone

NOTE Confidence: 0.97267014

00:33:48.225 --> 00:33:49.505
some type of education through

NOTE Confidence: 0.97267014

00:33:49.825 --> 00:33:51.184
everyone gets a family welcome

NOTE Confidence: 0.97267014

00:33:51.184 --> 00:33:53.445
packet and informational sheets.

NOTE Confidence: 0.9554111

00:33:54.380 --> 00:33:55.660
We're trying to get everyone

NOTE Confidence: 0.9554111

00:33:55.660 --> 00:33:57.180
at least some initial contacts,

NOTE Confidence: 0.9554111

00:33:57.180 --> 00:33:58.460
so whether they're coming to

NOTE Confidence: 0.9554111

00:33:58.460 --> 00:33:59.280
a group orientation

NOTE Confidence: 0.9726017

00:33:59.740 --> 00:34:01.600
or an individual joining session.

NOTE Confidence: 0.9909833

00:34:02.060 --> 00:34:03.200
And then some families,

NOTE Confidence: 0.99295956

00:34:03.820 --> 00:34:05.180
whether based on need or

NOTE Confidence: 0.99295956

00:34:05.180 --> 00:34:07.100
interest, are engaging in individual

NOTE Confidence: 0.99295956

00:34:07.100 --> 00:34:08.380
family support, which can look

NOTE Confidence: 0.99295956

00:34:08.380 --> 00:34:09.420
a lot of different ways.

NOTE Confidence: 0.99295956

00:34:09.420 --> 00:34:10.275
It can look like

NOTE Confidence: 0.9859155

00:34:10.835 --> 00:34:11.815
me meeting with

NOTE Confidence: 0.987602

00:34:12.994 --> 00:34:14.914
parents, caregivers, whomever the support

NOTE Confidence: 0.987602

00:34:14.914 --> 00:34:16.614
people might be individually

NOTE Confidence: 0.8887583

00:34:17.154 --> 00:34:18.194
or a young person.

NOTE Confidence: 0.9736669

00:34:18.594 --> 00:34:19.795
It's we we love when

NOTE Confidence: 0.9736669

00:34:19.795 --> 00:34:20.914
the young person is willing

NOTE Confidence: 0.9736669

00:34:20.914 --> 00:34:22.694
to to join those meetings.

NOTE Confidence: 0.95740706

00:34:24.239 --> 00:34:24.739
So

NOTE Confidence: 0.85911834

00:34:25.760 --> 00:34:27.300
still a look at what,

NOTE Confidence: 0.9794206

00:34:27.840 --> 00:34:29.119
yeah, some of the things

NOTE Confidence: 0.9794206

00:34:29.119 --> 00:34:30.239
from the family packet might

NOTE Confidence: 0.9794206

00:34:30.239 --> 00:34:30.739
include.

NOTE Confidence: 0.98692757

00:34:33.680 --> 00:34:34.800
Alright. So a couple more

NOTE Confidence: 0.98692757

00:34:34.800 --> 00:34:36.020
elements that we're gonna

NOTE Confidence: 0.9984009

00:34:36.400 --> 00:34:37.680
discuss before we open it

NOTE Confidence: 0.9984009

00:34:37.680 --> 00:34:38.880
up for for q and

NOTE Confidence: 0.9984009

00:34:38.880 --> 00:34:39.380
a.

NOTE Confidence: 0.9978504

00:34:40.155 --> 00:34:41.855
So another element of care

NOTE Confidence: 0.99359393

00:34:42.315 --> 00:34:43.055
would be,

NOTE Confidence: 0.9960291

00:34:43.915 --> 00:34:45.614
support for employment and education.

NOTE Confidence: 0.96209514

00:34:47.915 --> 00:34:49.515
So and just the main

NOTE Confidence: 0.96209514

00:34:49.515 --> 00:34:51.455
concept here as many folks

NOTE Confidence: 0.9963531

00:34:51.755 --> 00:34:52.875
are aware of with their

NOTE Confidence: 0.9963531

00:34:52.875 --> 00:34:53.375
different

NOTE Confidence: 0.96697384

00:34:55.480 --> 00:34:57.320
different connections with different supportive

NOTE Confidence: 0.96697384

00:34:57.320 --> 00:34:59.980
employment and education offerings,

NOTE Confidence: 0.9868931

00:35:00.680 --> 00:35:01.580
throughout Connecticut.

NOTE Confidence: 0.93787724

00:35:02.360 --> 00:35:03.880
We think it's really important

NOTE Confidence: 0.93787724

00:35:03.880 --> 00:35:04.540
to help

NOTE Confidence: 0.9939704

00:35:04.920 --> 00:35:06.140
young folks if they've

NOTE Confidence: 0.9450382

00:35:06.840 --> 00:35:08.835
had an interrupted narrative or,

NOTE Confidence: 0.9997951

00:35:09.875 --> 00:35:11.255
if this illness has

NOTE Confidence: 0.9538775

00:35:11.875 --> 00:35:13.875
interrupted their relationships, their school,

NOTE Confidence: 0.9538775

00:35:13.875 --> 00:35:14.535
their work.

NOTE Confidence: 0.9881177

00:35:14.915 --> 00:35:16.055
How can we help them

NOTE Confidence: 0.9938226

00:35:16.355 --> 00:35:16.855
reengage

NOTE Confidence: 0.9941173

00:35:17.795 --> 00:35:18.835
or engage in a different

NOTE Confidence: 0.9941173

00:35:18.835 --> 00:35:20.055
way that's more accessible

NOTE Confidence: 0.96167815

00:35:20.594 --> 00:35:22.775
with important instrumental or expressive

NOTE Confidence: 0.96167815

00:35:22.835 --> 00:35:24.570
roles? So, basically, school or

NOTE Confidence: 0.96167815

00:35:24.570 --> 00:35:25.070
work.

NOTE Confidence: 0.8773435

00:35:27.610 --> 00:35:28.670
So there are formal,

NOTE Confidence: 0.99669534

00:35:32.650 --> 00:35:34.730
kind of, protocols for this,

NOTE Confidence: 0.99669534

00:35:34.730 --> 00:35:35.870
but I think it can

NOTE Confidence: 0.99167645

00:35:36.525 --> 00:35:37.405
be implemented in a lot

NOTE Confidence: 0.99167645

00:35:37.405 --> 00:35:38.844
of different ways. There's,

NOTE Confidence: 0.9362154

00:35:39.484 --> 00:35:41.484
supported employment and education c

NOTE Confidence: 0.9362154

00:35:41.484 --> 00:35:42.385
or IPS.

NOTE Confidence: 0.9381815

00:35:44.684 --> 00:35:45.964
You know, the, a principle

NOTE Confidence: 0.9381815

00:35:45.964 --> 00:35:47.325
of this is that we

NOTE Confidence: 0.9381815

00:35:47.325 --> 00:35:48.780
don't hold people back.

NOTE Confidence: 0.98924524

00:35:49.340 --> 00:35:50.620
Meaning, like, if someone comes

NOTE Confidence: 0.98924524

00:35:50.620 --> 00:35:51.820
in and maybe they're still

NOTE Confidence: 0.98924524

00:35:51.820 --> 00:35:52.320
experiencing

NOTE Confidence: 0.9710625

00:35:53.020 --> 00:35:54.219
a variety of symptoms, but

NOTE Confidence: 0.9710625

00:35:54.219 --> 00:35:55.260
they're like, hey, doctor Seitz.

NOTE Confidence: 0.9710625

00:35:55.260 --> 00:35:56.719
Like, I wanna start working.

NOTE Confidence: 0.99803245

00:35:57.260 --> 00:35:58.219
I really wanna get back

NOTE Confidence: 0.99803245

00:35:58.219 --> 00:35:58.960
to work.

NOTE Confidence: 0.95470583

00:36:00.219 --> 00:36:01.375
You know, we're we're gonna

NOTE Confidence: 0.95470583

00:36:01.375 --> 00:36:02.735
help encourage that or, you

NOTE Confidence: 0.95470583

00:36:02.735 --> 00:36:03.535
know, we're not gonna get

NOTE Confidence: 0.95470583

00:36:03.535 --> 00:36:04.335
in the way of connecting

NOTE Confidence: 0.95470583

00:36:04.335 --> 00:36:05.875
them with the supported employment

NOTE Confidence: 0.95470583

00:36:05.935 --> 00:36:07.155
or education specialist.

NOTE Confidence: 0.9861166

00:36:07.695 --> 00:36:08.515
Of course, there

NOTE Confidence: 0.9557443

00:36:08.975 --> 00:36:10.335
can be considerations of like,

NOTE Confidence: 0.9557443

00:36:10.335 --> 00:36:11.855
hey. Like, is is there

NOTE Confidence: 0.9557443

00:36:11.855 --> 00:36:12.815
anything we think we should

NOTE Confidence: 0.9557443

00:36:12.815 --> 00:36:13.695
work on first or that

NOTE Confidence: 0.9557443

00:36:13.695 --> 00:36:14.755
might get in the way

NOTE Confidence: 0.99240273

00:36:15.055 --> 00:36:16.755
of being successful at work?

NOTE Confidence: 0.9951401

00:36:17.510 --> 00:36:18.469
But the thought is not

NOTE Confidence: 0.9951401

00:36:18.469 --> 00:36:19.290
to kind of,

NOTE Confidence: 0.9767533

00:36:20.150 --> 00:36:22.390
pigeonhole them or or put

NOTE Confidence: 0.9767533

00:36:22.390 --> 00:36:24.230
folks in a restrictive environment,

NOTE Confidence: 0.9767533

00:36:24.230 --> 00:36:25.670
but really help them reengage

NOTE Confidence: 0.9767533

00:36:25.670 --> 00:36:26.170
with,

NOTE Confidence: 0.9995347

00:36:27.829 --> 00:36:28.890
competitive employment,

NOTE Confidence: 0.9800079

00:36:29.755 --> 00:36:31.594
competitive education, what whatever it

NOTE Confidence: 0.9800079

00:36:31.594 --> 00:36:33.114
is that, you know, their

NOTE Confidence: 0.9800079

00:36:33.114 --> 00:36:33.994
goals are and they might

NOTE Confidence: 0.9800079

00:36:33.994 --> 00:36:35.055
be interested in.

NOTE Confidence: 0.9704535

00:36:40.555 --> 00:36:42.075
And just another word to

NOTE Confidence: 0.9704535

00:36:42.075 --> 00:36:43.230
this, I can say that

NOTE Confidence: 0.9704535

00:36:43.310 --> 00:36:44.069
a lot of times when

NOTE Confidence: 0.9704535

00:36:44.069 --> 00:36:45.230
we're in that engagement phase

NOTE Confidence: 0.9704535

00:36:45.230 --> 00:36:46.350
and we're first meeting a

NOTE Confidence: 0.9704535

00:36:46.350 --> 00:36:47.010
young person,

NOTE Confidence: 0.99913764

00:36:47.950 --> 00:36:48.830
there might not be any

NOTE Confidence: 0.99913764

00:36:48.830 --> 00:36:49.330
agreement

NOTE Confidence: 0.99655885

00:36:50.590 --> 00:36:51.890
or, you know, shared understanding

NOTE Confidence: 0.99655885

00:36:52.030 --> 00:36:52.530
of

NOTE Confidence: 0.9535137

00:36:52.910 --> 00:36:53.950
illness or it's like, hey,

NOTE Confidence: 0.9535137

00:36:53.950 --> 00:36:55.310
doctor Sykes. I don't you

NOTE Confidence: 0.9535137

00:36:55.310 --> 00:36:56.830
know, I have no idea

NOTE Confidence: 0.9535137

00:36:56.830 --> 00:36:58.050
why I'm here.

NOTE Confidence: 0.95409757

00:36:58.605 --> 00:36:59.585
This is all a misunderstanding,

NOTE Confidence: 0.9898438

00:36:59.965 --> 00:37:00.844
but, like, you know what?

NOTE Confidence: 0.9898438

00:37:00.844 --> 00:37:01.744
Okay. I do

NOTE Confidence: 0.9535326

00:37:02.445 --> 00:37:03.484
I do wanna get back

NOTE Confidence: 0.9535326

00:37:03.484 --> 00:37:05.165
to to school. That's super

NOTE Confidence: 0.9535326

00:37:05.165 --> 00:37:06.364
important to me. Like, whatever

NOTE Confidence: 0.9535326

00:37:06.364 --> 00:37:07.484
happened or, like, I was

NOTE Confidence: 0.9535326

00:37:07.484 --> 00:37:09.325
wrongfully hospitalized or whatever is

NOTE Confidence: 0.9535326

00:37:09.325 --> 00:37:10.285
going on, the stress I'm

NOTE Confidence: 0.9535326

00:37:10.285 --> 00:37:11.484
experiencing has gotten the way

NOTE Confidence: 0.9535326

00:37:11.484 --> 00:37:12.545
of school. So, like,

NOTE Confidence: 0.9902215

00:37:12.969 --> 00:37:13.930
how can you help me

NOTE Confidence: 0.9902215

00:37:13.930 --> 00:37:15.050
do that? And that's the

NOTE Confidence: 0.9902215

00:37:15.050 --> 00:37:16.090
way to find that common

NOTE Confidence: 0.9902215

00:37:16.090 --> 00:37:17.150
ground. And

NOTE Confidence: 0.9661538

00:37:17.610 --> 00:37:18.570
then so we we start

NOTE Confidence: 0.9661538

00:37:18.570 --> 00:37:19.610
talking about school or we

NOTE Confidence: 0.9661538

00:37:19.610 --> 00:37:20.430
get them connected

NOTE Confidence: 0.9253182

00:37:21.130 --> 00:37:22.890
to an education specialist and

NOTE Confidence: 0.9253182

00:37:22.890 --> 00:37:23.390
then,

NOTE Confidence: 0.9897356

00:37:23.770 --> 00:37:24.890
you know, maybe start talking

NOTE Confidence: 0.9897356

00:37:24.890 --> 00:37:26.190
about some of the experiences.

NOTE Confidence: 0.97160435

00:37:26.745 --> 00:37:28.425
Maybe their sleep is preventing

NOTE Confidence: 0.97160435

00:37:28.425 --> 00:37:29.225
them from being able to

NOTE Confidence: 0.97160435

00:37:29.225 --> 00:37:30.845
stay awake in class or

NOTE Confidence: 0.93980235

00:37:31.305 --> 00:37:32.985
maybe the voices are distracting

NOTE Confidence: 0.93980235

00:37:32.985 --> 00:37:34.605
and then there's ways in.

NOTE Confidence: 0.94284886

00:37:35.305 --> 00:37:36.265
A lot of times though,

NOTE Confidence: 0.94284886

00:37:36.265 --> 00:37:37.625
it is about reengaging in

NOTE Confidence: 0.94284886

00:37:37.625 --> 00:37:38.765
these important roles.

NOTE Confidence: 0.99816483

00:37:41.140 --> 00:37:41.640
So

NOTE Confidence: 0.9970908

00:37:42.020 --> 00:37:42.900
I think this is the

NOTE Confidence: 0.9970908

00:37:42.900 --> 00:37:44.020
last one we're gonna talk

NOTE Confidence: 0.9970908

00:37:44.020 --> 00:37:44.920
about today.

NOTE Confidence: 0.99858516

00:37:46.180 --> 00:37:47.940
Another major element of care

NOTE Confidence: 0.99858516

00:37:47.940 --> 00:37:48.440
is

NOTE Confidence: 0.99381167

00:37:48.739 --> 00:37:50.680
coordination with community supports.

NOTE Confidence: 0.97680736

00:37:52.855 --> 00:37:53.815
And so there's a a

NOTE Confidence: 0.97680736

00:37:53.815 --> 00:37:54.695
lot of different things to

NOTE Confidence: 0.97680736

00:37:54.695 --> 00:37:55.995
potentially cover here.

NOTE Confidence: 0.85226774

00:37:58.455 --> 00:37:58.955
So

NOTE Confidence: 0.9508082

00:37:59.495 --> 00:38:01.355
coordination with community supports,

NOTE Confidence: 0.99925077

00:38:01.895 --> 00:38:02.855
there's a lot of different

NOTE Confidence: 0.99925077

00:38:02.855 --> 00:38:03.915
elements of this.

NOTE Confidence: 0.9675455

00:38:05.489 --> 00:38:06.950
I think, you know, coordination

NOTE Confidence: 0.9675455

00:38:07.090 --> 00:38:08.310
is it's in the name,

NOTE Confidence: 0.98376197

00:38:08.690 --> 00:38:10.770
CSC, coordinated specialty care. So

NOTE Confidence: 0.98376197

00:38:10.770 --> 00:38:12.070
we do lots of coordination

NOTE Confidence: 0.8332665

00:38:14.130 --> 00:38:15.190
within the team,

NOTE Confidence: 0.99657357

00:38:15.570 --> 00:38:17.170
which the team, you know,

NOTE Confidence: 0.99657357

00:38:17.170 --> 00:38:18.450
can be defined different ways

NOTE Confidence: 0.99657357

00:38:18.450 --> 00:38:19.350
within the immediate

NOTE Confidence: 0.96662086

00:38:19.730 --> 00:38:20.710
treatment team.

NOTE Confidence: 0.9450725

00:38:21.185 --> 00:38:23.185
So between primary clinician and

NOTE Confidence: 0.9450725

00:38:23.185 --> 00:38:25.585
prescriber and supported education person

NOTE Confidence: 0.9450725

00:38:25.585 --> 00:38:27.344
and senior specialist, all of

NOTE Confidence: 0.9450725

00:38:27.344 --> 00:38:28.725
those people, lots of communication

NOTE Confidence: 0.97102934

00:38:29.344 --> 00:38:31.105
is necessary, but also including

NOTE Confidence: 0.97102934

00:38:31.105 --> 00:38:32.065
the young people and their

NOTE Confidence: 0.97102934

00:38:32.065 --> 00:38:32.565
families

NOTE Confidence: 0.99553657

00:38:32.945 --> 00:38:33.685
as key

NOTE Confidence: 0.99410784

00:38:34.520 --> 00:38:35.420
key actors,

NOTE Confidence: 0.99856806

00:38:35.800 --> 00:38:36.619
on this team.

NOTE Confidence: 0.98002154

00:38:37.719 --> 00:38:38.599
So that's kind of our

NOTE Confidence: 0.98002154

00:38:38.599 --> 00:38:39.500
within team

NOTE Confidence: 0.9092728

00:38:39.880 --> 00:38:40.380
communication,

NOTE Confidence: 0.964253

00:38:41.079 --> 00:38:42.119
which takes up a lot

NOTE Confidence: 0.964253

00:38:42.119 --> 00:38:42.920
of you know, can take

NOTE Confidence: 0.964253

00:38:42.920 --> 00:38:43.719
up a lot of time.

NOTE Confidence: 0.964253

00:38:43.719 --> 00:38:44.700
Sometimes that,

NOTE Confidence: 0.9840681

00:38:45.560 --> 00:38:47.180
somewhat unbillable time.

NOTE Confidence: 0.9851479

00:38:48.425 --> 00:38:51.065
And then there's liaising with

NOTE Confidence: 0.9851479

00:38:51.065 --> 00:38:53.145
existing community supports, which a

NOTE Confidence: 0.9851479

00:38:53.145 --> 00:38:54.205
lot of folks maybe

NOTE Confidence: 0.9771693

00:38:54.585 --> 00:38:55.625
can think about some of

NOTE Confidence: 0.9771693

00:38:55.625 --> 00:38:57.305
the the case management type

NOTE Confidence: 0.9771693

00:38:57.305 --> 00:38:57.805
things,

NOTE Confidence: 0.9919968

00:38:58.905 --> 00:39:00.025
that folks engage in. But

NOTE Confidence: 0.9919968

00:39:00.025 --> 00:39:01.465
we also think it's it's

NOTE Confidence: 0.9919968

00:39:01.465 --> 00:39:01.965
crucial

NOTE Confidence: 0.8957275

00:39:02.585 --> 00:39:03.405
to be,

NOTE Confidence: 0.959815

00:39:05.090 --> 00:39:06.710
be educators, be informing,

NOTE Confidence: 0.97745407

00:39:08.050 --> 00:39:09.250
you know, be connected with

NOTE Confidence: 0.97745407

00:39:09.250 --> 00:39:10.370
schools if our young people

NOTE Confidence: 0.97745407

00:39:10.370 --> 00:39:11.330
are in schools, if they're

NOTE Confidence: 0.97745407

00:39:11.330 --> 00:39:12.950
in high school or college,

NOTE Confidence: 0.98283315

00:39:13.650 --> 00:39:14.550
with their permission.

NOTE Confidence: 0.99857336

00:39:15.489 --> 00:39:16.530
How can we support them

NOTE Confidence: 0.99857336

00:39:16.530 --> 00:39:17.730
and advocate for them in

NOTE Confidence: 0.99857336

00:39:17.730 --> 00:39:18.390
those settings?

NOTE Confidence: 0.99952006

00:39:19.025 --> 00:39:19.825
How can we,

NOTE Confidence: 0.8950367

00:39:20.945 --> 00:39:22.864
you know, potentially be someone

NOTE Confidence: 0.8950367

00:39:22.864 --> 00:39:23.364
who's

NOTE Confidence: 0.9992987

00:39:23.985 --> 00:39:24.485
educating

NOTE Confidence: 0.9058853

00:39:24.945 --> 00:39:26.005
a a key person,

NOTE Confidence: 0.96972376

00:39:26.305 --> 00:39:27.685
helping the special education,

NOTE Confidence: 0.99904126

00:39:29.745 --> 00:39:30.245
coordinator

NOTE Confidence: 0.96977454

00:39:30.705 --> 00:39:32.565
understand the specifics of psychosis

NOTE Confidence: 0.96977454

00:39:32.625 --> 00:39:33.605
and what accommodations,

NOTE Confidence: 0.94406766

00:39:34.420 --> 00:39:35.540
our young person might need

NOTE Confidence: 0.94406766

00:39:35.540 --> 00:39:36.920
to benefit from and

NOTE Confidence: 0.98591053

00:39:37.219 --> 00:39:37.960
maybe helping

NOTE Confidence: 0.9466187

00:39:38.340 --> 00:39:40.340
the school understand that, okay,

NOTE Confidence: 0.9466187

00:39:40.340 --> 00:39:41.080
just because

NOTE Confidence: 0.98975694

00:39:41.460 --> 00:39:41.960
someone's

NOTE Confidence: 0.9857358

00:39:42.500 --> 00:39:44.100
experiencing voices or having an

NOTE Confidence: 0.9857358

00:39:44.100 --> 00:39:45.460
uptick in symptoms doesn't mean

NOTE Confidence: 0.9857358

00:39:45.460 --> 00:39:46.820
they immediately need to call

NOTE Confidence: 0.9857358

00:39:46.820 --> 00:39:47.620
two one one or go

NOTE Confidence: 0.9857358

00:39:47.620 --> 00:39:48.440
to the hospital

NOTE Confidence: 0.881015

00:39:48.755 --> 00:39:50.355
and sharing safety plans and

NOTE Confidence: 0.881015

00:39:50.355 --> 00:39:51.495
and just finding ways

NOTE Confidence: 0.99495494

00:39:52.035 --> 00:39:52.515
to help,

NOTE Confidence: 0.99720067

00:39:52.995 --> 00:39:54.435
our young people access and

NOTE Confidence: 0.99720067

00:39:54.435 --> 00:39:55.175
be successful

NOTE Confidence: 0.95195067

00:39:55.795 --> 00:39:57.715
in these existing community environments.

NOTE Confidence: 0.95195067

00:39:57.715 --> 00:39:59.655
Right? Because, again, the goal

NOTE Confidence: 0.91424435

00:40:00.195 --> 00:40:01.335
wanting to be reintegrating

NOTE Confidence: 0.7781097

00:40:01.715 --> 00:40:02.215
folks,

NOTE Confidence: 0.93499225

00:40:03.789 --> 00:40:06.109
with age appropriate institutions and

NOTE Confidence: 0.93499225

00:40:06.109 --> 00:40:06.609
supports,

NOTE Confidence: 0.99942017

00:40:07.230 --> 00:40:07.730
not

NOTE Confidence: 0.9976046

00:40:08.190 --> 00:40:10.210
just things connected to,

NOTE Confidence: 0.976647

00:40:11.069 --> 00:40:12.509
the mental health organization. Right?

NOTE Confidence: 0.976647

00:40:12.509 --> 00:40:13.650
We wanna get them back,

NOTE Confidence: 0.95494205

00:40:14.829 --> 00:40:16.190
if possible, to to things

NOTE Confidence: 0.95494205

00:40:16.190 --> 00:40:16.989
that they were working on

NOTE Confidence: 0.95494205

00:40:16.989 --> 00:40:18.450
before, if that was mainstream

NOTE Confidence: 0.95494205

00:40:18.589 --> 00:40:20.075
school or main stream work.

NOTE Confidence: 0.97777784

00:40:20.535 --> 00:40:21.895
Of course, it's it's absolutely

NOTE Confidence: 0.97777784

00:40:21.895 --> 00:40:23.494
appropriate if folks are are

NOTE Confidence: 0.97777784

00:40:23.494 --> 00:40:25.015
not in those settings and

NOTE Confidence: 0.97777784

00:40:25.015 --> 00:40:26.055
not everyone is in the

NOTE Confidence: 0.97777784

00:40:26.055 --> 00:40:26.875
first place.

NOTE Confidence: 0.9968891

00:40:27.575 --> 00:40:29.114
But wanting folks to

NOTE Confidence: 0.9619285

00:40:31.830 --> 00:40:33.350
have that opportunity to to

NOTE Confidence: 0.9619285

00:40:33.350 --> 00:40:34.630
give back and finding ways

NOTE Confidence: 0.9619285

00:40:34.630 --> 00:40:35.930
to support them in that.

NOTE Confidence: 0.9810526

00:40:36.390 --> 00:40:37.770
So, again, lots of coordination

NOTE Confidence: 0.98138523

00:40:38.310 --> 00:40:39.510
just as everyone else is

NOTE Confidence: 0.98138523

00:40:39.510 --> 00:40:40.330
doing with

NOTE Confidence: 0.99115306

00:40:40.710 --> 00:40:42.489
other types of community supports,

NOTE Confidence: 0.99758637

00:40:43.110 --> 00:40:45.130
crisis services, jail diversion.

NOTE Confidence: 0.973007

00:40:46.464 --> 00:40:48.065
We we coordinate very closely

NOTE Confidence: 0.973007

00:40:48.065 --> 00:40:48.565
with

NOTE Confidence: 0.9994349

00:40:49.025 --> 00:40:49.765
the local

NOTE Confidence: 0.9955047

00:40:50.065 --> 00:40:52.325
crisis intervention unit or psychiatric

NOTE Confidence: 0.83739126

00:40:52.625 --> 00:40:54.244
ER and then patient units.

NOTE Confidence: 0.9951558

00:40:55.425 --> 00:40:56.625
If we if we're the

NOTE Confidence: 0.9951558

00:40:56.625 --> 00:40:57.125
ones

NOTE Confidence: 0.9528973

00:40:57.585 --> 00:40:58.645
sending our folks,

NOTE Confidence: 0.99952775

00:40:59.460 --> 00:41:00.580
or if we get word

NOTE Confidence: 0.99952775

00:41:00.580 --> 00:41:01.080
that

NOTE Confidence: 0.9545411

00:41:01.780 --> 00:41:03.300
something has happened and and

NOTE Confidence: 0.9545411

00:41:03.300 --> 00:41:04.420
they're they're back in the

NOTE Confidence: 0.9545411

00:41:04.420 --> 00:41:05.460
hospital or they're in the

NOTE Confidence: 0.9545411

00:41:05.460 --> 00:41:06.580
hospital for the first time

NOTE Confidence: 0.9545411

00:41:06.580 --> 00:41:07.460
and they're trying to send

NOTE Confidence: 0.9545411

00:41:07.460 --> 00:41:08.580
them to stuff, lots of

NOTE Confidence: 0.9545411

00:41:08.580 --> 00:41:09.080
coordination,

NOTE Confidence: 0.99743515

00:41:10.900 --> 00:41:12.360
within those organizations.

NOTE Confidence: 0.9942759

00:41:14.535 --> 00:41:15.734
And then, of course, not

NOTE Confidence: 0.9942759

00:41:15.734 --> 00:41:16.875
to be ignoring

NOTE Confidence: 0.98923445

00:41:17.175 --> 00:41:19.335
the practical practical case management

NOTE Confidence: 0.98923445

00:41:19.335 --> 00:41:19.835
needs

NOTE Confidence: 0.9791553

00:41:20.135 --> 00:41:21.015
that so many of our

NOTE Confidence: 0.9791553

00:41:21.015 --> 00:41:21.335
folks,

NOTE Confidence: 0.98966444

00:41:22.535 --> 00:41:24.214
would benefit from and those

NOTE Confidence: 0.98966444

00:41:24.214 --> 00:41:26.535
important, social determinants of mental

NOTE Confidence: 0.98966444

00:41:26.535 --> 00:41:27.869
health that we can try

NOTE Confidence: 0.98966444

00:41:27.869 --> 00:41:28.910
to have an impact on

NOTE Confidence: 0.98966444

00:41:28.910 --> 00:41:30.130
by supporting folks

NOTE Confidence: 0.99670947

00:41:30.589 --> 00:41:32.029
to engage in such benefits

NOTE Confidence: 0.99670947

00:41:32.029 --> 00:41:33.710
and entitlements that that might

NOTE Confidence: 0.99670947

00:41:33.710 --> 00:41:35.230
help their trajectory in various

NOTE Confidence: 0.99670947

00:41:35.230 --> 00:41:35.730
ways.

NOTE Confidence: 0.9731862

00:41:39.405 --> 00:41:40.545
Gonna cover this

NOTE Confidence: 0.9968359

00:41:41.165 --> 00:41:42.844
pretty quickly of just a

NOTE Confidence: 0.9968359

00:41:42.844 --> 00:41:44.305
little bit more about coordination.

NOTE Confidence: 0.9968359

00:41:44.525 --> 00:41:45.025
So

NOTE Confidence: 0.99496466

00:41:45.565 --> 00:41:46.525
we talked about some of

NOTE Confidence: 0.99496466

00:41:46.525 --> 00:41:47.425
the main elements.

NOTE Confidence: 0.9877041

00:41:48.045 --> 00:41:49.565
So this part kinda gets

NOTE Confidence: 0.9877041

00:41:49.565 --> 00:41:50.864
into some of the processes

NOTE Confidence: 0.9881532

00:41:51.645 --> 00:41:53.405
of, like, what coordination within

NOTE Confidence: 0.9881532

00:41:53.405 --> 00:41:54.545
a team looks like.

NOTE Confidence: 0.9966139

00:41:56.460 --> 00:41:56.960
So,

NOTE Confidence: 0.9975375

00:41:58.140 --> 00:41:59.660
you know, within team, as

NOTE Confidence: 0.9975375

00:41:59.660 --> 00:42:00.320
I mentioned,

NOTE Confidence: 0.99620724

00:42:01.100 --> 00:42:01.840
there's gonna

NOTE Confidence: 0.98993564

00:42:03.260 --> 00:42:04.620
be lots of communication between

NOTE Confidence: 0.98993564

00:42:04.620 --> 00:42:05.820
the primary clinician and the

NOTE Confidence: 0.98993564

00:42:05.820 --> 00:42:07.020
prescriber. That's gonna be the

NOTE Confidence: 0.98993564

00:42:07.020 --> 00:42:07.520
main

NOTE Confidence: 0.99954784

00:42:08.035 --> 00:42:08.835
treatment team.

NOTE Confidence: 0.9952238

00:42:10.435 --> 00:42:12.375
In in early intervention services,

NOTE Confidence: 0.9952238

00:42:12.435 --> 00:42:13.795
you typically have, you know,

NOTE Confidence: 0.97037554

00:42:14.515 --> 00:42:15.895
the prescriber being,

NOTE Confidence: 0.96553427

00:42:16.435 --> 00:42:17.715
I would say, probably more,

NOTE Confidence: 0.96553427

00:42:17.715 --> 00:42:18.995
you know, more involved than

NOTE Confidence: 0.96553427

00:42:18.995 --> 00:42:20.195
is is typical on the

NOTE Confidence: 0.96553427

00:42:20.195 --> 00:42:20.695
chronic

NOTE Confidence: 0.9918831

00:42:22.170 --> 00:42:23.290
basis. There's a lot more

NOTE Confidence: 0.9918831

00:42:23.290 --> 00:42:24.190
frequent meetings,

NOTE Confidence: 0.97324586

00:42:25.290 --> 00:42:27.210
more flexibility with prescribers to

NOTE Confidence: 0.97324586

00:42:27.210 --> 00:42:28.430
kinda be pulled in

NOTE Confidence: 0.95609564

00:42:28.810 --> 00:42:30.489
as needed, particularly early in

NOTE Confidence: 0.95609564

00:42:30.489 --> 00:42:31.690
a course where when someone's

NOTE Confidence: 0.95609564

00:42:31.690 --> 00:42:32.830
in that acute phase,

NOTE Confidence: 0.99490875

00:42:33.450 --> 00:42:34.489
to be able to make

NOTE Confidence: 0.99490875

00:42:34.489 --> 00:42:36.750
quick medication adjustments or

NOTE Confidence: 0.9993477

00:42:38.395 --> 00:42:39.694
to consult on a case

NOTE Confidence: 0.9296912

00:42:41.674 --> 00:42:43.515
with family and patient. Right?

NOTE Confidence: 0.9296912

00:42:43.515 --> 00:42:44.734
You wanna make sure you're

NOTE Confidence: 0.99963856

00:42:45.355 --> 00:42:45.855
available

NOTE Confidence: 0.93582773

00:42:46.234 --> 00:42:47.694
answering questions, concerns,

NOTE Confidence: 0.99588037

00:42:48.954 --> 00:42:49.934
gathering collateral,

NOTE Confidence: 0.999759

00:42:51.170 --> 00:42:52.310
making sure that

NOTE Confidence: 0.9763762

00:42:53.170 --> 00:42:54.850
concerns are being addressed and

NOTE Confidence: 0.9763762

00:42:54.850 --> 00:42:56.690
relayed about any medication side

NOTE Confidence: 0.9763762

00:42:56.690 --> 00:42:57.190
effects.

NOTE Confidence: 0.93009925

00:42:58.690 --> 00:43:00.290
We've discussed the various community

NOTE Confidence: 0.93009925

00:43:00.290 --> 00:43:01.989
supports, various case management.

NOTE Confidence: 0.9314551

00:43:03.985 --> 00:43:05.125
So within step,

NOTE Confidence: 0.9677172

00:43:05.425 --> 00:43:07.364
one of our our processes

NOTE Confidence: 0.9677172

00:43:07.505 --> 00:43:08.805
or or ways that,

NOTE Confidence: 0.9706189

00:43:09.745 --> 00:43:10.864
you know, we we have

NOTE Confidence: 0.9706189

00:43:10.864 --> 00:43:11.364
coordination.

NOTE Confidence: 0.99867535

00:43:13.265 --> 00:43:14.245
We have a

NOTE Confidence: 0.992341

00:43:14.625 --> 00:43:16.065
a daily huddle, which I'll

NOTE Confidence: 0.992341

00:43:16.065 --> 00:43:17.105
talk a little bit about

NOTE Confidence: 0.992341

00:43:17.105 --> 00:43:17.844
that. So

NOTE Confidence: 0.9950425

00:43:18.469 --> 00:43:19.829
instead of, like, one long

NOTE Confidence: 0.9950425

00:43:19.829 --> 00:43:20.950
team meeting every week, we

NOTE Confidence: 0.9950425

00:43:20.950 --> 00:43:22.469
have a it's supposed to

NOTE Confidence: 0.9950425

00:43:22.469 --> 00:43:23.529
be kind of a quick

NOTE Confidence: 0.97214776

00:43:23.989 --> 00:43:25.109
can be however long it

NOTE Confidence: 0.97214776

00:43:25.109 --> 00:43:26.230
needs to take, but can

NOTE Confidence: 0.97214776

00:43:26.230 --> 00:43:27.589
be from five minutes to

NOTE Confidence: 0.97214776

00:43:27.589 --> 00:43:28.410
thirty minutes.

NOTE Confidence: 0.97477853

00:43:28.710 --> 00:43:29.750
Rarely, it goes a little

NOTE Confidence: 0.97477853

00:43:29.750 --> 00:43:30.410
bit longer,

NOTE Confidence: 0.9517263

00:43:31.094 --> 00:43:31.815
but a kind of a

NOTE Confidence: 0.9517263

00:43:31.815 --> 00:43:32.555
quick meeting

NOTE Confidence: 0.96126837

00:43:32.935 --> 00:43:34.475
where we're huddling around,

NOTE Confidence: 0.9866249

00:43:35.975 --> 00:43:37.255
the needs for that day

NOTE Confidence: 0.9866249

00:43:37.255 --> 00:43:37.755
and

NOTE Confidence: 0.99462336

00:43:38.215 --> 00:43:40.055
coordination needs, checking in on

NOTE Confidence: 0.99462336

00:43:40.055 --> 00:43:40.555
acute

NOTE Confidence: 0.9595732

00:43:41.015 --> 00:43:42.855
patients, and various things. I'll

NOTE Confidence: 0.9595732

00:43:42.855 --> 00:43:43.975
go into more detail of

NOTE Confidence: 0.9595732

00:43:43.975 --> 00:43:44.400
it.

NOTE Confidence: 0.9809397

00:43:46.239 --> 00:43:47.440
Being able to kind of

NOTE Confidence: 0.9809397

00:43:47.440 --> 00:43:48.960
check-in with one another, whether

NOTE Confidence: 0.9809397

00:43:48.960 --> 00:43:50.500
that's in person or virtually.

NOTE Confidence: 0.9384933

00:43:52.160 --> 00:43:53.119
So it's just kinda really

NOTE Confidence: 0.9384933

00:43:53.119 --> 00:43:54.000
talking about the kind of

NOTE Confidence: 0.9384933

00:43:54.000 --> 00:43:54.660
the culture

NOTE Confidence: 0.9889183

00:43:54.960 --> 00:43:55.839
of the team and and

NOTE Confidence: 0.9889183

00:43:55.839 --> 00:43:57.279
how it's helpful when everyone

NOTE Confidence: 0.9889183

00:43:57.279 --> 00:43:57.839
is in the same

NOTE Confidence: 0.97993433

00:43:59.225 --> 00:44:00.185
I mean, we've managed to

NOTE Confidence: 0.97993433

00:44:00.185 --> 00:44:01.225
do this in a hybrid

NOTE Confidence: 0.97993433

00:44:01.225 --> 00:44:01.725
model.

NOTE Confidence: 0.9413159

00:44:02.665 --> 00:44:04.025
But sometimes teams are made

NOTE Confidence: 0.9413159

00:44:04.025 --> 00:44:04.665
up of, you know, we

NOTE Confidence: 0.9413159

00:44:04.665 --> 00:44:05.625
got a prescriber at a

NOTE Confidence: 0.9413159

00:44:05.625 --> 00:44:06.985
different site or things like

NOTE Confidence: 0.9413159

00:44:06.985 --> 00:44:08.105
that that can make things

NOTE Confidence: 0.9413159

00:44:08.105 --> 00:44:08.605
challenging.

NOTE Confidence: 0.96276575

00:44:09.625 --> 00:44:10.665
But that's where maybe you'd

NOTE Confidence: 0.96276575

00:44:10.665 --> 00:44:12.505
use emails or phone calls

NOTE Confidence: 0.96276575

00:44:12.505 --> 00:44:13.805
or or Zoom calls.

NOTE Confidence: 0.98245645

00:44:14.969 --> 00:44:16.350
So lots of different ways

NOTE Confidence: 0.98245645

00:44:16.650 --> 00:44:18.090
that we promote communication on

NOTE Confidence: 0.98245645

00:44:18.090 --> 00:44:19.230
the team and that it's

NOTE Confidence: 0.98245645

00:44:19.450 --> 00:44:20.110
an expected

NOTE Confidence: 0.99976563

00:44:20.969 --> 00:44:22.110
part of the culture

NOTE Confidence: 0.92486995

00:44:22.890 --> 00:44:23.770
and the part of kind

NOTE Confidence: 0.92486995

00:44:23.770 --> 00:44:24.969
of caring for folks that

NOTE Confidence: 0.92486995

00:44:24.969 --> 00:44:25.469
although

NOTE Confidence: 0.98652494

00:44:26.410 --> 00:44:27.850
the primary clinician is usually

NOTE Confidence: 0.98652494

00:44:27.850 --> 00:44:29.230
the main point of contact

NOTE Confidence: 0.9543577

00:44:29.885 --> 00:44:31.645
for the young person in

NOTE Confidence: 0.9543577

00:44:31.645 --> 00:44:33.265
a early intervention service

NOTE Confidence: 0.92251

00:44:33.805 --> 00:44:34.765
that they are a part

NOTE Confidence: 0.92251

00:44:34.765 --> 00:44:35.565
of the team. Right? That's

NOTE Confidence: 0.92251

00:44:35.565 --> 00:44:37.005
specially team based care where

NOTE Confidence: 0.92251

00:44:37.005 --> 00:44:38.625
you're consulting with other members.

NOTE Confidence: 0.97248596

00:44:39.244 --> 00:44:39.744
You're,

NOTE Confidence: 0.9893048

00:44:40.765 --> 00:44:42.125
pulling in other team members

NOTE Confidence: 0.9893048

00:44:42.125 --> 00:44:43.165
to to kinda help with

NOTE Confidence: 0.9893048

00:44:43.165 --> 00:44:43.825
the care.

NOTE Confidence: 0.9949395

00:44:45.400 --> 00:44:46.360
So a bit more about

NOTE Confidence: 0.9949395

00:44:46.360 --> 00:44:47.100
what Huddl

NOTE Confidence: 0.98913944

00:44:47.719 --> 00:44:48.460
looks like.

NOTE Confidence: 0.94745517

00:44:48.840 --> 00:44:49.980
Right? Perhaps folks

NOTE Confidence: 0.9863118

00:44:50.440 --> 00:44:51.180
have these,

NOTE Confidence: 0.9989114

00:44:53.000 --> 00:44:53.660
you know,

NOTE Confidence: 0.98278755

00:44:54.040 --> 00:44:55.000
same type of things, but

NOTE Confidence: 0.98278755

00:44:55.000 --> 00:44:56.280
it's, again, it's our daily

NOTE Confidence: 0.98278755

00:44:56.280 --> 00:44:57.180
morning meeting

NOTE Confidence: 0.9955843

00:44:58.055 --> 00:44:59.415
with the the function of

NOTE Confidence: 0.9955843

00:44:59.415 --> 00:45:02.075
providing promoting efficient team coordination,

NOTE Confidence: 0.99302655

00:45:02.855 --> 00:45:04.614
clinical care coordination, as well

NOTE Confidence: 0.99302655

00:45:04.614 --> 00:45:06.235
as team cohesion and connection.

NOTE Confidence: 0.9653275

00:45:08.614 --> 00:45:10.375
It's a structured opportunity for

NOTE Confidence: 0.9653275

00:45:10.375 --> 00:45:11.675
team members to communicate,

NOTE Confidence: 0.99751675

00:45:12.420 --> 00:45:15.059
collectively strategize about managing daily

NOTE Confidence: 0.99751675

00:45:15.059 --> 00:45:15.960
client needs.

NOTE Confidence: 0.8190942

00:45:17.940 --> 00:45:18.599
So usually,

NOTE Confidence: 0.9826829

00:45:18.900 --> 00:45:19.940
right, we kinda have a

NOTE Confidence: 0.9826829

00:45:19.940 --> 00:45:21.380
little working agenda through it.

NOTE Confidence: 0.9826829

00:45:21.380 --> 00:45:22.359
We start with

NOTE Confidence: 0.9126612

00:45:22.900 --> 00:45:23.719
okay. Like,

NOTE Confidence: 0.89347917

00:45:24.020 --> 00:45:25.780
right. Morning, everyone. Like, who

NOTE Confidence: 0.9503379

00:45:26.585 --> 00:45:27.384
we don't run through the

NOTE Confidence: 0.9503379

00:45:27.384 --> 00:45:28.825
whole pace load, but we

NOTE Confidence: 0.9503379

00:45:28.825 --> 00:45:30.585
check-in, like, okay. Any new

NOTE Confidence: 0.9503379

00:45:30.585 --> 00:45:32.344
hospitalizations or let's check-in on

NOTE Confidence: 0.9503379

00:45:32.344 --> 00:45:33.305
our folks that might be

NOTE Confidence: 0.9503379

00:45:33.305 --> 00:45:35.625
currently hospitalized or experiencing acute

NOTE Confidence: 0.9503379

00:45:35.625 --> 00:45:37.244
symptoms and we're concerned about.

NOTE Confidence: 0.967536

00:45:38.505 --> 00:45:39.704
And then any more, like,

NOTE Confidence: 0.967536

00:45:39.704 --> 00:45:42.099
acute coordination needs or okay.

NOTE Confidence: 0.967536

00:45:42.099 --> 00:45:42.820
You know what? I've got

NOTE Confidence: 0.967536

00:45:42.820 --> 00:45:43.940
this person coming in today,

NOTE Confidence: 0.967536

00:45:43.940 --> 00:45:45.219
and I'm pretty concerned about

NOTE Confidence: 0.967536

00:45:45.219 --> 00:45:45.719
them.

NOTE Confidence: 0.99476075

00:45:46.339 --> 00:45:47.380
I think I might need

NOTE Confidence: 0.99476075

00:45:47.380 --> 00:45:47.880
backup

NOTE Confidence: 0.95962894

00:45:48.579 --> 00:45:50.020
at this time, or I'm

NOTE Confidence: 0.95962894

00:45:50.180 --> 00:45:51.000
I might need

NOTE Confidence: 0.9974244

00:45:51.619 --> 00:45:53.320
to initiate a mobile crisis

NOTE Confidence: 0.9874154

00:45:53.975 --> 00:45:55.094
call. So, like, we're we're

NOTE Confidence: 0.9874154

00:45:55.094 --> 00:45:56.614
kind of talking, planning ahead,

NOTE Confidence: 0.9874154

00:45:56.614 --> 00:45:57.835
supporting each other

NOTE Confidence: 0.92156875

00:45:58.614 --> 00:45:59.114
emotionally,

NOTE Confidence: 0.995054

00:46:00.055 --> 00:46:00.555
clinically,

NOTE Confidence: 0.96072215

00:46:01.175 --> 00:46:02.155
but also practically.

NOTE Confidence: 0.9569521

00:46:04.535 --> 00:46:05.495
It does kinda turn into

NOTE Confidence: 0.9569521

00:46:05.495 --> 00:46:07.175
a peer supervision at times.

NOTE Confidence: 0.9569521

00:46:07.175 --> 00:46:07.675
So

NOTE Confidence: 0.9107148

00:46:08.130 --> 00:46:09.730
sometimes it'll evolve into kind

NOTE Confidence: 0.9107148

00:46:09.730 --> 00:46:10.469
of consultation,

NOTE Confidence: 0.9968691

00:46:11.730 --> 00:46:13.089
within the team on clients

NOTE Confidence: 0.9968691

00:46:13.089 --> 00:46:14.309
with complex needs.

NOTE Confidence: 0.9943501

00:46:15.329 --> 00:46:16.789
We'll discuss new clients,

NOTE Confidence: 0.9526085

00:46:17.650 --> 00:46:18.849
or anyone who's like we've

NOTE Confidence: 0.9526085

00:46:18.930 --> 00:46:19.890
we just heard from the

NOTE Confidence: 0.9526085

00:46:19.890 --> 00:46:20.930
hospital that there's a new

NOTE Confidence: 0.9526085

00:46:20.930 --> 00:46:21.430
potential

NOTE Confidence: 0.94449705

00:46:21.825 --> 00:46:23.125
eligible step patient.

NOTE Confidence: 0.96545756

00:46:23.505 --> 00:46:25.205
We're starting to engage them.

NOTE Confidence: 0.9906725

00:46:25.585 --> 00:46:26.385
Wanna let you know that

NOTE Confidence: 0.9906725

00:46:26.385 --> 00:46:26.885
they're,

NOTE Confidence: 0.970229

00:46:27.984 --> 00:46:29.105
might be getting discharged in

NOTE Confidence: 0.970229

00:46:29.105 --> 00:46:30.325
a couple days. So

NOTE Confidence: 0.98060715

00:46:30.945 --> 00:46:32.464
who's gonna who's next up

NOTE Confidence: 0.98060715

00:46:32.464 --> 00:46:33.125
to take

NOTE Confidence: 0.93108654

00:46:33.505 --> 00:46:34.464
a a new client? Do

NOTE Confidence: 0.93108654

00:46:34.464 --> 00:46:35.344
you wanna engage in the

NOTE Confidence: 0.93108654

00:46:35.344 --> 00:46:36.810
discharge meeting at the hospital?

NOTE Confidence: 0.93108654

00:46:36.810 --> 00:46:37.850
If so, so we we've

NOTE Confidence: 0.93108654

00:46:37.850 --> 00:46:38.510
got engagement

NOTE Confidence: 0.9843648

00:46:39.050 --> 00:46:40.750
and coordination within our outreach

NOTE Confidence: 0.8642303

00:46:41.690 --> 00:46:42.810
intake team. They join the

NOTE Confidence: 0.8642303

00:46:42.810 --> 00:46:43.630
huddle and

NOTE Confidence: 0.89752114

00:46:44.010 --> 00:46:45.150
kinda talk about that.

NOTE Confidence: 0.96198624

00:46:45.850 --> 00:46:46.810
So in addition to all

NOTE Confidence: 0.96198624

00:46:46.810 --> 00:46:49.310
these, like, practical clinical things,

NOTE Confidence: 0.99344295

00:46:50.170 --> 00:46:51.210
it's also just a way

NOTE Confidence: 0.99344295

00:46:51.210 --> 00:46:52.270
to kinda have some

NOTE Confidence: 0.99447125

00:46:52.704 --> 00:46:54.145
daily contact, not feel so

NOTE Confidence: 0.99447125

00:46:54.145 --> 00:46:55.364
siloed and isolated.

NOTE Confidence: 0.9877815

00:46:56.704 --> 00:46:57.665
You know, we we try

NOTE Confidence: 0.9877815

00:46:57.665 --> 00:46:59.424
to check-in. It doesn't become

NOTE Confidence: 0.9877815

00:46:59.585 --> 00:47:00.704
you know, there there's always,

NOTE Confidence: 0.9877815

00:47:00.704 --> 00:47:02.224
like, some elements of kind

NOTE Confidence: 0.9877815

00:47:02.224 --> 00:47:02.885
of social

NOTE Confidence: 0.9668882

00:47:03.344 --> 00:47:05.204
check ins about it or,

NOTE Confidence: 0.9668882

00:47:05.415 --> 00:47:06.325
you know, we're,

NOTE Confidence: 0.9924894

00:47:07.150 --> 00:47:08.430
you know, checking in if

NOTE Confidence: 0.9924894

00:47:08.430 --> 00:47:09.250
anyone has

NOTE Confidence: 0.94340575

00:47:09.630 --> 00:47:10.989
has needs. Does anyone have

NOTE Confidence: 0.94340575

00:47:10.989 --> 00:47:11.790
a out for a doctor's

NOTE Confidence: 0.94340575

00:47:11.790 --> 00:47:12.910
appointment today and they need

NOTE Confidence: 0.94340575

00:47:12.910 --> 00:47:14.850
extra support or they're

NOTE Confidence: 0.9832956

00:47:15.230 --> 00:47:16.590
managing hybrid with a sick

NOTE Confidence: 0.9832956

00:47:16.590 --> 00:47:17.710
kid at home or something

NOTE Confidence: 0.9832956

00:47:17.710 --> 00:47:18.590
like that? And it's a

NOTE Confidence: 0.9832956

00:47:18.590 --> 00:47:20.175
way to you know, again,

NOTE Confidence: 0.9832956

00:47:20.175 --> 00:47:21.215
that's part of that team

NOTE Confidence: 0.9832956

00:47:21.215 --> 00:47:23.215
culture of, like, supporting one

NOTE Confidence: 0.9832956

00:47:23.215 --> 00:47:23.715
another,

NOTE Confidence: 0.9614951

00:47:25.375 --> 00:47:26.995
trying to kind of limit

NOTE Confidence: 0.93217

00:47:27.455 --> 00:47:28.975
in work burnout, and and

NOTE Confidence: 0.93217

00:47:28.975 --> 00:47:30.255
really helping folks feel kind

NOTE Confidence: 0.93217

00:47:30.255 --> 00:47:31.635
of connected and supported

NOTE Confidence: 0.99888283

00:47:32.255 --> 00:47:33.555
in this, you know,

NOTE Confidence: 0.9851326

00:47:33.940 --> 00:47:34.680
high stress,

NOTE Confidence: 0.99832344

00:47:36.580 --> 00:47:38.020
occupation that all of us

NOTE Confidence: 0.99832344

00:47:38.020 --> 00:47:39.400
are finding ourselves in.

NOTE Confidence: 0.9967736

00:47:40.900 --> 00:47:42.680
So I'm not gonna go

NOTE Confidence: 0.9967736

00:47:42.900 --> 00:47:44.680
into this in-depth, but one

NOTE Confidence: 0.9967736

00:47:44.820 --> 00:47:46.739
actual communication strategy that we

NOTE Confidence: 0.9967736

00:47:46.739 --> 00:47:47.864
tend to use to streamline

NOTE Confidence: 0.9967736

00:47:47.864 --> 00:47:49.065
a lot of these clinical

NOTE Confidence: 0.9967736

00:47:49.065 --> 00:47:50.765
discussions is the SBAR technique.

NOTE Confidence: 0.982525

00:47:51.785 --> 00:47:53.225
So these slides will be

NOTE Confidence: 0.982525

00:47:53.225 --> 00:47:54.665
referenced, but this is a

NOTE Confidence: 0.982525

00:47:54.665 --> 00:47:56.445
technique frequently used in hospitals

NOTE Confidence: 0.9438244

00:47:56.825 --> 00:47:58.525
for handoffs that shift changes,

NOTE Confidence: 0.9438244

00:47:58.745 --> 00:47:59.785
and we find it really

NOTE Confidence: 0.9438244

00:47:59.785 --> 00:48:00.925
effective to communicate.

NOTE Confidence: 0.99764043

00:48:01.869 --> 00:48:02.609
So you briefly

NOTE Confidence: 0.98760563

00:48:02.910 --> 00:48:04.390
provide an update about the

NOTE Confidence: 0.98760563

00:48:04.390 --> 00:48:05.170
the situation,

NOTE Confidence: 0.99559623

00:48:06.109 --> 00:48:08.770
relevant background, not completely comprehensive

NOTE Confidence: 0.99559623

00:48:08.830 --> 00:48:09.330
background,

NOTE Confidence: 0.9854041

00:48:09.950 --> 00:48:11.630
your current assessment, and then

NOTE Confidence: 0.9854041

00:48:11.630 --> 00:48:13.550
your recommendation or response. So

NOTE Confidence: 0.9854041

00:48:13.550 --> 00:48:14.430
it's a way to say,

NOTE Confidence: 0.9854041

00:48:14.430 --> 00:48:14.930
like,

NOTE Confidence: 0.8209339

00:48:16.344 --> 00:48:16.844
hey.

NOTE Confidence: 0.99292797

00:48:17.625 --> 00:48:18.364
You know,

NOTE Confidence: 0.9181753

00:48:18.665 --> 00:48:19.945
John Smith is twenty four

NOTE Confidence: 0.9181753

00:48:19.945 --> 00:48:21.165
year old white male.

NOTE Confidence: 0.9133485

00:48:21.625 --> 00:48:23.485
He's got persistent auditory hallucinations

NOTE Confidence: 0.9133485

00:48:23.625 --> 00:48:24.364
in SI.

NOTE Confidence: 0.9849408

00:48:24.665 --> 00:48:25.864
I'm concerned about their risk

NOTE Confidence: 0.9849408

00:48:25.864 --> 00:48:27.305
for self. They're coming in

NOTE Confidence: 0.9849408

00:48:27.305 --> 00:48:28.525
today at two o'clock.

NOTE Confidence: 0.97645664

00:48:29.580 --> 00:48:31.020
Background, they've had some suicide

NOTE Confidence: 0.97645664

00:48:31.020 --> 00:48:32.700
attempts, etcetera. They've recently stopped

NOTE Confidence: 0.97645664

00:48:32.700 --> 00:48:33.440
their antipsychotics.

NOTE Confidence: 0.97275734

00:48:34.060 --> 00:48:34.880
My assessment,

NOTE Confidence: 0.9600576

00:48:36.460 --> 00:48:37.580
I think they're at increased

NOTE Confidence: 0.9600576

00:48:37.580 --> 00:48:39.340
risk of suicide based on

NOTE Confidence: 0.9600576

00:48:39.340 --> 00:48:40.400
x, y, and z.

NOTE Confidence: 0.9721769

00:48:41.735 --> 00:48:42.315
And then

NOTE Confidence: 0.94014

00:48:42.935 --> 00:48:45.355
there's a, you know, recommendation

NOTE Confidence: 0.94014

00:48:45.495 --> 00:48:46.375
or kind of a call

NOTE Confidence: 0.94014

00:48:46.375 --> 00:48:47.594
for support. Like,

NOTE Confidence: 0.9808363

00:48:47.895 --> 00:48:48.614
how do we think we

NOTE Confidence: 0.9808363

00:48:48.614 --> 00:48:49.655
should handle this? What do

NOTE Confidence: 0.9808363

00:48:49.655 --> 00:48:50.614
folks think? And then you

NOTE Confidence: 0.9808363

00:48:50.614 --> 00:48:51.815
kinda develop that together. So

NOTE Confidence: 0.9808363

00:48:51.815 --> 00:48:52.935
it's an efficient way to

NOTE Confidence: 0.9808363

00:48:52.935 --> 00:48:53.435
communicate

NOTE Confidence: 0.98199093

00:48:54.350 --> 00:48:55.390
in a a, you know,

NOTE Confidence: 0.98199093

00:48:55.390 --> 00:48:56.510
a time limited manner and

NOTE Confidence: 0.98199093

00:48:56.510 --> 00:48:57.469
to kinda get all of

NOTE Confidence: 0.98199093

00:48:57.469 --> 00:48:57.969
the,

NOTE Confidence: 0.9996561

00:48:59.469 --> 00:49:01.330
important clinical information across.

NOTE Confidence: 0.99771

00:49:04.030 --> 00:49:04.530
Alright.

NOTE Confidence: 0.94816095

00:49:06.110 --> 00:49:07.550
So I didn't leave much

NOTE Confidence: 0.94816095

00:49:07.550 --> 00:49:08.370
time for