In S.T.R.I.D.E. (Step Toward, Recovery, Insight, Development, & Empowerment) provides service delivery on the fundamental belief that early intervention and outreach are essential when working with young adults who are experiencing their first episodes of psychoses. The program strives to foster a treatment environment that promotes the attitude that desired outcomes and recovery are possible. The model is based on a System of Care perspective which outlines the following principles: interagency collaboration, individual strengths-based care, cultural competence, family and youth (young adult) involvement, community based services and accountability.
DESCRIPTION OF SERVICES
In S.T.R.I.D.E. is a program designed to build therapeutic relationships and provide early intervention to individuals between the ages of 16 and 25, who are experiencing early symptoms of psychosis. The team will provide intensive intervention, education and support to prevent these symptoms from becoming disabling over time. In S.T.R.I.D.E. will strive to enhance the individual’s quality of life by assisting them with improving their ability to work, go to school, live independently and have enjoyable relationships.
Location of Services
2010 Bremo Rd, Suite 122
Henrico, VA 23226
Hours and Days of Operation
Monday – Thursday: 8:00am – 8:00pm
Friday – Saturday: 8:00am – 4:30pm
On call coverage is provided
- Assessment and evaluation
- Individual and family therapy
- Group therapy, including education and WRAP groups
- Psychiatric services
- Case management
- Vocational services
- Crisis Intervention
- Skills Building
Every effort is made to accommodate individuals with special needs. Interpreters are hired for the hearing impaired when necessary. Volunteer or paid interpreters are sought for individuals whose primary language is not English and who have difficulty communicating in English.
Initial Requests or Requests to Change Case Manager
Initial requests and/or requests to change a client’s Case Manager will be given serious consideration. Every attempt will be made to honor reasonable requests that ensure effective service delivery within available resources.
- Henrico Recreation and Parks
- Capital Region Work Force
The In S.T.R.I.D.E. team serves Eastern and Western Henrico, as well as Charles City and New Kent County. The team includes the following staff:
- Clinical Supervisor, the clinical and administrative supervisor of the team. The clinical supervisor is a licensed mental health professional who has experience working with individuals with serious mental illness. The Clinical Supervisor leads the effort to engage clients in treatment. The Clinical Supervisor provides support, education, consultation, and basic services to clients and their families.
- Clinician, a licensed mental health professional with experience working with individuals with serious mental illness. The clinician assists the clients in developing strategies to manage symptoms related to their illness and cope with stressors typically faced by young adults – peer and family conflicts, independent living skills, and identifying positive support systems.
- Vocational case manager, a bachelor’s level professional with experience providing supported employment services. The vocational case manager supports clients in their efforts to continue or resume their education and/or seek employment. They provide work force developmental training, job placement, and follow along services. The vocational case manager links clients with resources in the community to assist in assessment and job development.
- Case managers, a bachelor’s level professional with experience working with and assessing individuals with serious mental illness. The case manager develops and maintains relationships, provides education and links clients with appropriate services in the community.
- Peer Recovery Specialist who has lived experience, training, and shares their recovery with persons served. Provides support in a mutual manner providing effective and positive strategies for developing coping skills. Peer Recovery Specialists also provide essential expertise and consultation to the entire team to promote a culture in which each client’s point of view and preferences are recognized, understood, respected and integrated into treatment. They also provide training, advocacy, linkage to resources, and educational/wellness tools such as WRAP.
- A part time Psychiatrist has experience working with older youth and young adults who have experienced serious and persistent mental illness. The psychiatrist is responsible for the diagnosis and medication management of clients. The psychiatrist will assist in monitoring clinical status and response to treatment. The psychiatrist will also participate in one of the two weekly treatment team meetings and is available by phone for ongoing consultation.
The team members carry a caseload of no more than 1:20 (staff/client ratio). Each team member is responsible for all the clients on the team although staff will have primary relationships with some clients more than others based on their specific role.
A team approach to treatment is utilized with weekly staff meetings occurring at least 2 times a week. During these meetings the status of all individuals receiving services is reviewed. Treatment plans are also reviewed and changes are made on an as needed basis.
- To increase community integration
- To ensure quality services to meet recovery goals
- There will be a decrease in the number of hospitalizations from recipients as compared to the previous year. (per consumer report)
- Consumers referred the program will be seen, on average, within 7 days of acceptance of the referral.
- Consumers will participate at least quarterly in activities within their community such as vocational, educational, or recreational.
- Consumer’s families/identified primary support system will complete a service satisfaction survey to rate the services being provided to their family members.
Primary services for this program are funded through grant monies from the Department of Behavioral Health and Development Services. For individuals who have insurance coverage, such as Medicaid or private insurance, fees are collected for the specific mental health service provided. No one is denied services due to an inability to pay.
PROCEDURES FOR REFERRAL, SCREENING, ADMISSION AND RE-ADMISSION
Clients come from various referral sources to include, self, family, schools, Jails, Detention, Social Services, local hospitals and other community providers. In addition, referrals come from interagency programs; specifically Adult Recovery Services (ARS) and Youth and Family Services (Y&FS). Once the referral is received the Clinical Supervisor or Clinician will assess the individual to determine if he/she is appropriate for the program.
Admission/Re-admission/Continued Stay/Exclusion Criteria
- Young adults between the ages of 16-25
- Must be a resident of Henrico, Charles City and New Kent County
- Has a mental health diagnosis of: Schizophrenia, Schizoaffective, Delusional disorder, Psychosis NOS and Major Depressive disorder or Bipolar disorder with psychotic features
- Symptoms occurring for more than 1 week and less than 2 years
- The psychosis cannot be substance induced
ORIENTATION OF CLIENTS TO THE PROGRAM
During the initial contacts with the client, staff educates the client about the In S.T.R.I.D.E. program including the multidisciplinary approach, types of services provided, hours of operation, important telephone numbers (crisis and office numbers), etc. The assessment and treatment planning is discussed. Functioning level and acceptance of mental health diagnosis may impact how much information a client is able to process; therefore, orienting a client to the program involves an on-going discussion educating clients and their families about the program.
EMERGENCY CLINICAL CONSULTATION
The Clinical Supervisor and the In S.T.R.I.D.E. team are available by telephone for clinical consultation. Emergency Services are used as backup for emergency clinical consultation during non-office hours.
Transfer to another service within the agency may occur if there is a clinical need that warrants such a decision. During the weekly treatment team meetings the team along with the client will make decisions regarding the status of the services, which may include a step down of services. A client is discharged from services if they have moved out of the catchment area, withdraw from services or has successfully completed their treatment goals.