PIER Program

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PIER – Portland Identification and Early Referral Program

What is PIER?

PIER is a researched and validated model that identifies and treats adolescents and young adults who are at risk of developing a mental illness associated with psychotic symptoms.

Who Does PIER Work With?

  • Adolescents and Young Adults between the ages of 12 and 25 years old at risk of developing psychosis.
  • Individuals who have experienced their first psychotic episode within 30 days.
  • Individuals who have genetic factors (having a parent, sibling or child with a psychotic disorder) and a decline in functioning.
  • Individuals who have been diagnosed with bipolar disorder or depressive episodes with psychotic symptoms.

Signs and Symptoms

Positive Symptoms:

  • Thinking that others are hearing their thoughts
  • Suspiciousness/guarded
  • Inability to control thoughts

Negative Symptoms:

  • Withdrawal/isolation
  • Changes in expression of emotions
  • Difference in the experience of emotions

Disorganization Symptoms:

  • Trouble with focus and attention
  • Changes in personal hygiene
  • Decrease in memory

General Symptoms:

  • Sleep disturbance
  • Feeling of sadness
  • Motor disturbances

Services Offered

  • Screening and Assessment for clinical high risk
  • Family Education delivered in three stages:
    • Engagement
    • In-Depth Education
    • Reversing Symptoms
  • Medication Support Services
  • Supported Education and Employment

Who makes Up the Pier Team

  • Case Managers/Counselors
  • Clinicians
  • Education and Employment Specialists
  • Peer Advocate
  • Community Workers
  • Psychiatric Nurse Practitioners

Contact Us

  • Are you interested in learning more about our services?
  • Do you have contacts that would benefit from a PIER educational presentation for programs that work with youth ages 12-25?
  • Do you know of someone who would benefit from the PIER team services?

The PIER program is funded through the Los Angeles County Department of Mental Health, Prevention and Early Intervention Plan.

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