Early intervention in first-episode psychosis is critical for positive long-term outcomes. This Psychosis Early Intervention Assessment Form template helps mental health clinics, specialty care programs, and coordinated specialty care (CSC) teams efficiently screen, assess, and enroll individuals experiencing their first episode of psychosis while gathering essential information about family support and education needs.

Designed specifically for mental health professionals working in early psychosis intervention programs, this form captures comprehensive clinical information including symptom presentation, duration of untreated psychosis (DUP), functional impairment, and risk factors—all crucial data points for treatment planning and care coordination.

The template includes sections for demographic information, presenting symptoms, psychiatric and medical history, substance use screening, family history, current functioning levels, and family education preferences. It's structured to support the evidence-based coordinated specialty care model that includes medication management, psychotherapy, case management, family education and support, and supported employment/education services.

Paperform makes it easy to create professional, HIPAA-aware mental health intake forms that match your clinic's branding while maintaining the clinical rigor needed for specialty psychiatric care. With conditional logic, you can customize the assessment flow based on symptom severity or referral source, and use Papersign to collect required consents and treatment agreements electronically, keeping everything connected to the initial assessment.

Integration with your EHR system via Stepper means assessment data flows directly into patient records, triggers care coordination workflows, and notifies your clinical team instantly when urgent interventions are needed. This streamlines the critical early intervention period when rapid engagement can make the difference in treatment outcomes.

Whether you're running a dedicated early psychosis program, a community mental health center offering specialty services, or a university counseling center with coordinated care capabilities, this template provides a solid foundation for standardized, comprehensive first-episode assessments that support evidence-based treatment planning and family engagement.