Wellness and Recovery After Psychosis (WRAP) Program

Medication Management

Our team of psychiatrists and nurse practitioners (NPs) regularly evaluate symptoms and prescribe medications to treat symptoms of psychosis. Our goal is to use the minimal effective dose of medications. We prioritize ongoing physical health monitoring (blood glucose, cholesterol, weight), and monitoring closely for side effects. We also make sure there has been an appropriate medical work-up of symptoms.

Specialized Medication Services:

• Long-Acting Antipsychotics: For individuals who prefer not to take medications by mouth or who struggle to take daily medications, we offer long-acting antipsychotic treatment options. Many individuals find this medication option is more convenient and helps adherence.
• Clozapine is a medication that is often used to treat persistent psychotic symptoms despite multiple medication trials. Especially at the start of treatment, close side effect monitoring is required. We offer this specialized clinic for regular check-ins, lab-work, and appropriate medication titration all in one visit.

Family Support and Education

• WRAP offers both individual family support and education and peer support through virtual groups for family members of loved one's with psychosis.
• We offer one virtual group in English and one in Spanish.
• Family education is individualized to a family's needs, but often includes: education on psychosis, treatment options, and strategies to support their loved ones through the recovery process.
• Our team has expertise in helping parents and other family members strengthen communication skills with their teen or young adults.
• Motivational Interviewing for Loved One’s (MILO)
  • We offer parents or other family caregivers 4-5 sessions of coaching on how to approach communication with adolescents and young adults suffering from psychosis or other mental health difficulties.
  • Email LearnAboutMILO@bmc.org if you would like to work with a MILO coach to have better conversations with your family. Participation can be either on Zoom or in person.

Psychotherapy

• Our team of social workers, psychology interns, and psychologists use talk therapy to help treat psychosis, depression, anxiety, and other symptoms.
• Talk therapy can also be used to help build self-esteem, problem-solve around stressors, strengthen coping mechanisms, and improve social and community functioning.
• Types of therapy include supportive, Individual Resiliency Training (IRT), and Cognitive Behavioral Therapy (CBT), and more.

Peer Support

• Peer support specialists are mental health professionals who provide support to individuals by using their own lived experience with psychosis to help others.
• Peer support specialists can help advocate for people in recovery, provide mentorship, help with setting goals, share resources, help with building skills.
• Peer support specialists can meet with young adults virtually, at the clinic, or often in the community.
   

Young Adult Group Therapy

• We offer weekly group therapy for young adults with psychosis
  • This virtual groups allow individuals to talk to and connect with peers who are facing similar challenges or who have gone through a shared experience.
  • Participants develop new skills that help them achieve their goals. The group is led by two clinicians experienced in group therapy.

Community-Based Care for Adolescents and Young Adults with substance use and psychosis

• The Wellness and Recovery After Psychosis (WRAP) Without Walls (WWW) Program is a new clinical program funded by the Jack Satter Foundation targeted towards adolescents and young adults with frequent substance use and psychosis symptoms. WWW is made up of a multidisciplinary team providing community-based services including individual therapy, family psychoeducation, medication management, peer support, advocacy, and patient navigation. Our model for WWW is an adaptation of Assertive Community Treatment (ACT) model. WRAP Without Walls is led by psychosis and substance use disorder experts who are leaders of specialized programs at BMC.

Community Advisory Board 

• We are interested in your insights on how community health workers can better serve your community and increase access to mental healthcare! If you're interested in learning more about the CAB please click the link here for our interest form!

Support Education & Employment (SEE) Support

• Using an individualized, strengths-based approach, SEE specialists provide practical support including job searching, resume building, interview preparation, enrollment in educational programs, and navigating workplace or academic accommodations

Physical Health Care /Nutrition Support

• In partnership with BMC’s Teaching Kitchen we offer regular nutrition groups for patients and their families. Visit the WRAP/Teaching Kitchen Website to learn more! Our patients are also eligible to receive food from BMC’s Preventative Food Pantry.  
• We also collaborate closely with primary care providers who are located in our clinic through the PRIME (Psychiatric Reverse Integration for Medical Expertise). PRIME doctors are dually trained in both family medicine and psychiatry and are uniquely trained to work with individuals with complex mental and physical health needs. 

Looking to refer to WRAP? Click "Refer a Patient" at the top of this page