Our Services

What We Provide
The First Hope Program provides the best in evidence-based treatment and support for youth and families. We are a innovative treatment program that provides comprehensive diagnostic and
treatment services for Contra Costa County adolescents and young adults between the ages of 12 and 25, who are having significant psychological symptoms and a decrease in usual functioning, suggesting they may be at risk for developing psychosis. This period of time is referred to as “Clinical High Risk (CHR)”. We provide psychosocial intervention, supported education and employment, case management services and targeted medications, with the goals of early diagnosis, treatment, and disability prevention.
Young people and their families referred to the program will receive an initial interview and assessment to determine whether they are at risk for developing psychosis. The assessment is based on the Structured Interview for Psychosis-Risk Syndromes, developed by the Prevention through Risk Identification, Management and Education (PRIME) research team at Yale University. The results of this assessment will help us determine whether our program is the best treatment, or whether a referral to another program would be most helpful.
Family Aided Community Treatment
Family Aided Community Treatment (FACT) is an innovative treatment modality providing integrated, family-focused treatment and support services. FACT teams are multi-disciplinary and highly coordinated to provide intensive care targeted toward each client’s individual goals. The specialized expertise of each team member allows the program to respond flexibly to clients’ and families’ needs. By integrating the family as treatment partners, FACT increases the effectiveness of Assertive Community Treatment (ACT) interventions. Outreach, in-home coaching, a coordinated treatment team approach, proactive and highly individualized treatment and rehabilitation planning, on-the-job training, frequent contact and site-specific job preparation are key elements of the model.
Multi-family Psychoeducation and Support Groups
Bi-weekly multi-family groups for youth and their families are based upon the PIER treatment model. Psychoeducation and support are provided to increase understanding about the illness, improve stress management and communication skills within the family, and develop problem solving skills.

Using this evidence-based model First Hope can provide rapid initiation of treatment, psychoeducational multifamily groups, and case management using key Assertive Community Treatment (ACT) methods, outreach as needed, continuous case review, and supported employment and education. Our multi-disciplinary team also allows us to collaborate with schools, colleges, and employers.

We initially work with the client and family to help them understand the nature and effects of CHR symptoms. These include changes in emotion, motivation, thinking, perception and behavior. The clinicians at First Hope (Psychiatrists, Psychologists, Marriage and Family Therapists, Occupational Therapists, Social Workers, and Education & Employment Specialists) will provide a range of treatment options for individuals and their families.
Medication Management
Regular appointments with our psychiatrists are tailored to assess the need for medication. Participation in the program is not contingent upon taking medication.

Supported Education and Employment
Supported Education and Employment services are provided within the client's home, school or workplace to improve everyday functioning to help the clients achieve their goals of social, academic and occupational recovery. Our specialists can perform cognitive assessments to further assist in supporting school or work success.