A Stitch in Time: Interventions for Young People at Ultra High Risk of Psychosis

This manual is aimed at mental health professionals working with young people who are at high risk of developing psychotic disorders, and individuals responsible for early psychosis service development.

Young people who are at high risk of developing psychosis are referred to as having an ‘at risk mental state’ (ARMS) and those who meet a specific set of criteria are referred to as being at ultra high risk of psychosis (UHR). This manual covers assessment, engagement and formulation, case management, clinical interventions for ultra high risk.

It also discusses service level considerations aimed at both clinicians and services. The content of this manual has been derived from international research evidence and extensive clinical experience of delivering services to young people and their families.

This manual has been developed in collaboration with senior clinical and research staff at the Personal Assessment and Crisis Evaluation (PACE) clinic at Orygen Youth Health Clinical Program, the first clinic to provide a clinical research service for young people identified as being at UHR of psychosis.