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In federal fiscal year 2014, Congress directed SAMHSA to require state behavioral health authorities to set aside five percent of their Community Mental Health Services Block Grant (MHBG) “to support evidence-based programs that address the needs of individuals with serious mental illness, including psychotic disorders. This original directive suggested that states focus their efforts on the treatment of first episode psychosis (FEP), and encouraged states to consider developing coordinated specialty care (CSC) programs with their additional MHBG funds. In December 2015, Congress directed SAMHSA to double the Set Aside funds from five percent to 10 percent.

Since 2014, NRI has worked closely with SAMHSA and the state behavioral health authorities to implement and improve the delivery of CSC services for individuals experiencing FEP. Together with NASMHPD, NRI has created and supported the development of a variety of technical assistance and informational resources for stakeholders, including SBHAs, providers, educators, and families. NRI was also instrumental as a subcontractor to Westat in the implementation of the Mental Health Block Grant Ten Percent Set Aside National Evaluation, sponsored by SAMHSA, NIMH, and ASPE.

On this page, you will find a comprehensive list of technical assistance and informational resources developed by NRI and its partners related to FEP and the implementation of CSC programs.

Results from the MHBG Ten Percent Set Aside National Evaluation

As of September 6, 2019, the national Mental Health Block Grant Ten Percent Set Aside (MHBG 10%) Study for addressing first episode psychosis (FEP) is complete. The three-year study focused on how the MHBG 10% Set Aside impacted access to essential services for individuals with FEP. As part of the end-of-study conclusion, in August 2019, study sites and behavioral health authorities were invited to participate in an interactive webinar to hear about preliminary study findings. The handouts distributed during the webinar are provided below.

  • Brief Report: National Overview of CSC Programs, August 2019
  • Brief Report: State Involvement in CSC Programs, August 2019
  • Brief Report: Financing and Funding for CSC Programs, August 2019
  • Brief Report: Staff Teams in CSC Programs, August 2019
  • Brief Report: Client Transitions and Discharges, August 2019
  • Brief Report: Peer Support in CSC Programs, August 2019
  • Brief Report: Change in Client Outcomes Over Time, August 2019
  • Brief Report: Participant Perspectives on Change, August 2019
  • Brief Report: Program Fidelity and Participant Outcomes, August 2019

Technical Assistance and Informational Materials for FEP Stakeholders:

  • 2018 Snapshot of State Plans for Using the Community Mental Health Block Grant 10 Percent Set-Aside to Address First Episode Psychosis
  • 2017 Snapshot of State Plans for Using the Community Mental Health Block Grant 10 Percent Set-Aside to Address First Episode Psychosis
  • 2016 and 2017 Snapshot of State Plans for Using the Community Mental Health Block Grant 10 Percent Set-Aside for Early Intervention Programs
  • 2017: An Inventory and Environmental Scan of Evidence-Based Practices for Treating Persons in Early Stages of Serious Mental Disorders
  • 2015: An Inventory and Environmental Scan of Evidence-Based Practices for Treating Persons in Early Stages of Serious Mental Disorders
  • Information Guide: Use of Performance Measures in Early Intervention Programs
  • Information Brief: Use of Medicaid to Finance Coordinated Specialty Care Services for First Episode Psychosis
  • Fact Sheet: Cognitive Behavioral Therapy for Psychosis (CBT-p)
  • Guidance Document: Supporting Students Experiencing Early Psychosis in Middle School and High School
  • Fact Sheet: Trauma, PTSD, and First Episode Psychosis
  • Family Tip Sheet: Helping Families Understand Services for Persons with Early Serious Mental Illness
  • Tip Sheet: Engaging with Schools to Support Your Child with Psychosis
  • Clinician’s Tip Sheet: Family Involvement in Programming for Early Serious Mental Illness
  • Issue Brief: Coordinated Specialty Care for Persons with First Episode Psychosis: Assessing Fidelity to the Model
  • Issue Brief: Addressing Trauma and PTSD in First Episode Psychosis Programs
  • Early Serious Mental Illness Guide for Faith Communities
  • Guidance Document: Transitioning Clients from Coordinated Specialty Care: A Guide for Clinicians
  • Issue Brief: Understanding and Addressing the Stigma Experienced by People with First Episode Psychosis
  • Issue Brief: Supported Education for Persons Experiencing a First Episode of Psychosis
  • Fact Sheet: Building Upon Existing Programs and Services to Meet the Needs of Persons Experiencing a First Episode of Psychosis
  • Guidance Manual: Peer Involvement and Leadership in Early Intervention in Psychosis Services: From Planning to Peer Support and Evaluation
  • Fact Sheet: Supporting Student Success in Higher Education Beyond the Clinic: The Opportunity for Early Intervention Programs
  • Policy Brief: Coordinated Specialty Care – First Episode Psychosis Programs: Why Specialty Early Interventions are a Smart Investment
  • Back to School: Toolkits to Support the Full Inclusion of Students with Early Psychosis in Higher Education – Campus Staff and Administrator Version
  • Back to School: Toolkits to Support the Full Inclusion of Students with Early Psychosis in Higher Education
  • Issue Brief: What Comes After Early Intervention? Step-Down, Discharge and Continuity of Care in Early Intervention in Psychosis Programs for First Episode Psychosis
  • Guidance Manual: Educating Communities to Identify and Engage Youth in the Early Phases of an Initial Psychosis: A Manual for Specialty Programs
  • Issue Brief: Treating Affective Psychosis and Substance Use Disorders within Coordinated Specialty Care
  • Issue Brief: Substance-Induced Psychosis in First Episode Programming
  • Issue Brief: Measuring the Duration of Untreated Psychosis within First Episode Psychosis Coordinated Specialty Care
  • Information Brief: Outreach for First Episode Psychosis: Examples from the Field for State and Agency Roles
  • Information Brief: First-Episode Psychosis: Considerations for the Criminal Justice System
  • Brochure: Right from the Start – Keeping Your Body in Mind
  • Issue Brief: Workforce Development in Coordinated Specialty Care Programs
  • Issue Brief: Age and Developmental Considerations in Early Psychosis
  • Distance Education Course: A Family Primer on Psychosis

Archived Webinars

2014

2015

2016