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Overview

The Program for Specialized Treatment Early in Psychosis (STEP) is a public-academic collaboration between Connecticut’s Department of Mental Health & Addiction Services and Yale University’s Department of Psychiatry. The STEP Program, housed within the Connecticut Mental Health Center acts as the organizing and expert hub (STEP-Hub) within the STEP Learning Collaborative, while also hosting a clinical site (STEP Clinic), which models best practice care for the rest of the partner sites, and continues to conduct research to develop or improve interventions.

Vision: To transform the capabilities of emerging adults experiencing psychotic disorders.

Related to this, we will initiate and collaborate in research that will translate to improved treatments. We will educate the healthcare workforce and all relevant stakeholders. We will advocate for policies at the state, national and international levels to advance this vision.

Mission: The STEP Program will work towards this vision along the following broad domains of activity:

  • Modeling and disseminating best practice clinical care: STEP’s pioneering clinical service, the STEP Clinic, delivers and refines best practice approaches to early detection and first-episode psychosis treatment, pilots empirically-based interventions and delivers this within a Population Health framework.
  • Translational Research: STEP is active in a range of research across the translational continuum from studies relevant to the etiology and pathophysiology of psychotic illnesses to efforts to improve the clinical treatment, and design of systems of care for schizophrenia spectrum disorders. The overall goal in this domain is addressing gaps in knowledge or 'learning what to do.'
  • Workforce Development and Community Education: STEP is active in creating an engaged and educated workforce and public across Connecticut through various offerings – including structured curricula, educational webinars and workshops, the STEP Consultation Service, and other educational resources
  • Policy: STEP engages with various stakeholders and lawmakers at the State and Federal level, advocacy and consumer organizations and agencies charged with funding or administering mental health services (across the public and private sectors) to advance its vision.

Evaluation & Initiation of Treatment

As with a physical illness, treatment early in the course of a mental illness, such as psychosis, can lead to better outcomes. The STEP Clinic aims to reduce the impact of early psychosis through symptom alleviation and reintegration back into the community. At STEP, patients and loved ones have the opportunity to:

  • Discuss their concerns
  • Get practical support
  • Undergo a detailed clinical assessment
  • Receive STEP care
  • Participate in research studies

The STEP Clinic Team

  • Vinod H. Srihari, MD

    Director, Principal Investigator, Attending Psychiatrist

    Professor of Psychiatry; Director, STEP Program; Fellow, Davenport College

  • Sarah Riley, MD

    Medical Director and Attending Psychiatrist

    Assistant Professor of Psychiatry; Medical Director, Specialized Treatment Early in Psychosis (STEP) Program, Psychiatry

  • Shannon Imetovski, RN, MPH

    Clinical Team Leader, Nurse Clinician

    Registered Nurse 2

  • Nina Levine, LMSW, MPH

    STEP Program Coordinator

    STEP Program Coordinator

  • Laura Yoviene Sykes, PhD

    Psychologist

    Assistant Professor of Psychiatry; Director, STEP Learning Collaborative

  • Josina James, LCSW

    Clinical Social Worker

    Social Worker 1

  • Aaron Seltzer

    Clinical Social Worker

    Assistant Clinical Professor of Social Work

  • Carrie Veillette, MS, LCSW

    Clinical Social Worker

    Social Worker 1; STEP Learning Collaborative Liaison to First Responders, Psychiatry

  • Philip Markovich

    Outreach and Admissions Coordinator

    Research Associate 3, HSS

  • Jose Calderon, MD

    Psychiatry Resident

  • Katherine Meidl

    Instructor

  • Hena Yakoob, MD

    Instructor

  • Javier Ponce Terashima

    Assistant Professor of Psychiatry

Map & Directions

Directions

Click here for directions for traveling to Connecticut Mental Health Center by car.

Free Parking

Free Parking at the Air Rights Garage: Enter from North or South Frontage Roads, or York Street. Ask STEP staff about how to get your parking stub validated at the end of your visit.

Map