Early Psychosis Programs
Funded through MHSA/Prop 63, the SacEDAPT Clinic represents a unique collaboration between UC Davis Department of Psychiatry and Sacramento County Mental Health to provide state-of-the-art care to transition-age youth who are experiencing the earliest stages of psychosis.
Who is eligible for SacEDAPT?
- Males and females, ages 12-30
- Sacramento County residents - Medi-Cal eligible OR uninsured
- Experiencing the symptoms of early psychosis, including:
- Onset of psychotic symptoms in the past two years
- Subthreshold symptoms of psychosis
- Recent deterioration in youth with a parent/sibling with a psychotic disorder
If you or someone you know is interested in clinical services through EDAPT or would like to learn more about our clinic, please contact:
SacEDAPT and EDAPT Clinics
If you are experiencing symptoms but are unsure whether our clinical services are right for you, please take this 21-question screening survey:
Click HERE to take the screening survey
UCDMC Physicians: How to Refer via EPIC
Our recovery based treatment approach provides services for 2 years focusing on 1) reducing and managing symptoms and distress and 2) improving individuals' ability to achieve success in independent roles through appropriate education and employment opportunities.
Comprehensive Psychiatric Assessment
State-of-the-art clinical assessment tools are used to evaluate each client to determine the appropriate diagnosis in order to guide treatment. Assessments of psychosocial functioning also determine areas where targeted treatment is needed.
Regular and frequent appointments with a psychiatrist, tailored to control and alleviate symptoms with the fewest amount of side effects.
Each client has a clinical case manager who helps to identify the client's unique needs and recovery goals, which will be used to develop a treatment plan that encourages the client to build upon their strengths and take an active role in treatment decisions.
Individual Psychoeducation and Support Groups
Weekly groups for clients are designed to provide support and improve understanding of the illness, develop stress and symptom management techniques, and enhance communication and problem solving skills. Specific groups include:
- Peer Symptom Management group
- Substance Abuse Management group
- Family Member Support group
- Creative Arts group
Multi-family Psychoeducation and Support Groups
Weekly multi-family groups for 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.
Supported Education and Employment
Supported Education and Employment services are provided within the client's home, school or workplace to improve everyday functioning and help clients achieve their goals of social, academic and occupational recovery.
Peer and Family Advocate Support
With the knowledge of their own lived experience, our Peer and Family Advocates provides direct services to clients and families within the clinic and the surrounding community. The Peer and Family Advocate’s work targets both mental health and functioning treatment goals, as well as assisting clients and families in accessing benefits and services in the community.
Our Clinical Team
|Dr. Cameron Carter|
|Dr. Carter is a Professor of Psychiatry and has been involved in the care of early schizophrenia for the past 12 years. He directs the SacEDAPT Clinic and the Psychosis Research and Education Program in the Department of Psychiatry at UC Davis Medical Center as well as the UC Davis Imaging Research Center.|
|Dr. Tara Niendam|
|Dr. Niendam is an Associate Professor in Psychiatry and a licensed clinical psychologist with specialized training in psychodiagnositic and cognitive assessment in youth at risk for or in the early stages of psychosis. As the Executive Director, Dr. Niendam supervises clinic activities and staff and coordinates outreach and educational presentations within the community. She also serves as the Co-Director for our HRSA funded pre-doctoral Trauma and Adolescent Mental Illness (TAMI) internship, which is a collaboration with the UC Davis CAARE Center to provide evidence-based trauma informed care to youth with early psychosis. In her research, Dr. Niendam is interested in understanding how deficits in cognition can influence an individual's ability to maintain age-appropriate social and work/school functioning, as well as how the use of smartphones can improve clinical care for youth with psychosis.|
|Dr. Paula Wadell|
|Dr. Wadell is an Associate Physician at UC Davis and the Medical Director of the UC Davis Early Psychosis programs. She is both an adult psychiatrist and a child and adolescent psychiatrist. She completed her medical school, residency and fellowship at UC Davis. Through these training programs she has experience with most inpatient and outpatient treatment programs in the Sacramento area. She has past research experience in genetics and social deficits in developmental disorders. As Medical Director, she provides psychiatric care and develops systems of care to ensure that all clients are receiving the best treatment possible.|
|Dr. Shapiro is a Clinical Psychologist and the Director of Operations for the UC Davis Early Psychosis Program (SacEDAPT and EDAPT). He completed his doctoral training at Emory University and a specialized fellowship in the practice and dissemination of Cognitive Behavioral Therapy at the University of Pennsylvania. He comes to UC Davis after filling similar leadership roles in Massachusetts and Georgia, deepening his expertise in the assessment and treatment of early psychosis, as well as more broad cognitive behavioral strategies for change. Dr. Shapiro is particularly interested in understanding how the things that make us each different affect the way we process and understand our experiences, then how they affect change when these ways get us stuck. He is also passionate about teaching and training in these areas and is an avid runner and music enthusiast.|
|Dr. Laura Tully|
|Dr. Tully is an Assistant Professor in the UC Davis Psychiatry Department and the Director of Clinical Training at the UC Davis Early Psychosis Program (SacEDAPT and EDAPT clinics). Dr. Tully provides instruction in evidence-based treatment and assessment approaches for early psychosis youth, with an emphasis on CBT for psychosis. Dr. Tully’s research includes the use of smartphone technologies, such as mobile health applications, as add-on tools for symptom management and treatment in early psychosis care. In particular, Dr. Tully is interested in how to improve emotion regulation skills using smartphone app technology in order to reduce stress and symptom exacerbations.|
|Dr. Kathleen Marshall|
|Dr. Marshall is an Associate Physician at UC Davis. She completed medical school at Pennsylvania State University and her residency in General Psychiatry at UC Davis. Her training and work experience at SacEDAPT, local inpatient psychiatric hospitals, and the county-operated Adult Psychiatric Support Services clinic have provided her with extensive experience working with young adults and adults with a variety of mental health challenges.|
|Dr. Carol Chen, M.D.|
|Dr. Chen is a second-year resident in the Department of Psychiatry at UC Davis. She completed medical school training at Eastern Virginia Medical School in Norfolk, Virginia. Dr. Chen is interested in working with children, young adults, and their families and is excited to join the SacEDAPT team by providing medication management care and participating in early psychosis research.|
|Khalima A. Bolden, Ph.D.|
|Dr. Khalima A. Bolden is a licensed clinical psychologist and the Assistant Director of Clinical Training in the UC Davis Early Psychosis Program. Dr. Bolden received her Ph.D. in Clinical Psychology from the San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology after completing her internship at UCLA in the Adolescent Serious Mental Illness track. She went on to complete a postdoctoral fellowship in Clinical Psychology at Vanderbilt University Medical Center in the Psychosis track. During her fellowship she focused on clinical and neuropsychological assessment and intervention of individuals with suspected psychosis spectrum disorders. In her role at SacEDAPT, Dr. Bolden provides service and supervision of evidence-based treatment and assessment approaches for early psychosis youth, with an emphasis on Family Focused Therapy and Cognitive Remediation. Her current research interests concern assessing and improving clinical practices in the treatment of individuals at high risk for or experiencing their first episode of psychosis with a focus on cultural and psychosocial factors affecting treatment engagement.|
|Dr. Karina Muro|
|Dr. Karina Muro is a Clinical Psychology Post-Doctoral Fellow. She received her Ph.D. in Clinical Psychology from Fuller Graduate School of Psychology. Her dissertation focused on understanding the impact of immigration enforcement on citizen-children. She completed her pre-doctoral internship at the University of California, Davis SacEDAPT Clinic and the University of California Davis CAARE Diagnostic and Treatment Center and provided evidence-based trauma-informed clinical care to youth experiencing early psychosis. Dr. Muro has also worked in diverse clinical settings including LAC + USC Medical Center and Children's Hospital Los Angeles administering assessments and providing psychotherapy to children and adolescents. As a post-doctoral fellow, she completes assessments for adolescents and young adults that are experiencing symptoms of early psychosis and provides evidence-based treatments including CBT for psychosis, TF-CBT, and Trauma Informed Care for psychosis in Spanish and English. Additionally, she participates in leading symptom-management therapy groups. Dr. Muro is a bicultural and bilingual Spanish/English clinician who also takes an interest in providing Spanish services to monolingual Spanish speaking families and mixed-status families (i.e., unauthorized, history of detention and/or deportation).|
|Chelsea Acker, M.S.|
|Chelsea Acker is a clinical psychology intern in the Trauma-Adolescent Mental Illness track of the UC Davis Medical Center predoctoral internship program. Her week is split between SacEDAPT, where she provides individual and group therapy to individuals presenting with early psychosis, and the CAARE Center, where she works with trauma-exposed children and families. She is currently a fifth-year doctoral student at the PGSP-Stanford Psy.D. Consortium and is completing her dissertation on the relationship between changes in children's trauma narratives and their response to treatment. She is passionate about work with marginalized or underserved communities and is excited to learn more about early psychosis, particularly its relationship to trauma and other life stressors. In her personal life, Chelsea enjoys hiking and is decidedly a dog person.|
|Jacqueline E. Hapenny, M.S.|
|Jacqueline (Jackie) Hapenny is fifth-year clinical psychology doctoral student from Baylor University, joining the UC Davis Medical Center as a predoctoral clinical psychology intern. She splits her time between SacEDAPT, where she provides individual and group therapy to individuals presenting with early psychosis, and the CAARE Center, where she works with trauma-exposed children and families. Prior to joining SacEDAPT, Jackie centered her clinical work on caring for adolescents affected by their trauma and/or juvenile justice histories. Her dissertation aims to relate psychological inflexibility to sociocognitive correlates of suicidality, within a juvenile justice sample. Through her position here, she has sought to gain better understanding of common considerations and misconceptions related to psychosis and to effectively detect, differentiate, and treat early psychosis and related symptoms. In her personal life, Jackie enjoys supporting Boston sports teams and enduring the sass people inevitably give her due to her Boston fandom.|
|Leslie Gilhooly is a UC Davis graduate and third-year clinical psychology doctoral student at California School of Professional Psychology, Alliant International University, Sacramento. She will be working in the UC Davis Medical Center Early Psychosis Programs doing both assessment and intervention in the 2018-2019 year. Leslie has worked in various treatment settings, including the UC Davis MIND Institute, where she led skills-training groups for individuals with neurodevelopmental disorders and their families, as well as St. HOPE Public Schools and the Gender Health Center, where she had the opportunity to provide individual therapy to diverse clients of underserved populations. Leslie is particularly passionate about working with adolescents and young adults and their families. She is thrilled to have the opportunity to work in this capacity at EDAPT and SacEDAPT this year.|
|Renata Botello is excited to assist as a clinic coordinator at the UC Davis Early Psychosis Programs. She will also participate as a junior specialist at the UC Davis Imaging Research Center with Dr. Tara Niendam looking at treatment outcomes and barriers of the programs. Renata graduated from UC Berkeley with a B.A. in Psychology and Disability Studies. She hopes to obtain a Ph.D. in Clinical Psychology with the purpose of researching ways to reduce stigma and barriers to social interaction in people with early psychosis and schizophrenia. Renata aspires to contribute to the EDAPT and Sac EDAPT clinics by making the programs more inclusive for Spanish speaking and culturally diverse families. Renata enjoys learning from her teammates as well as connecting and developing positive relationships with families and patients!|
|Mary Ortiz, B.A.|
|Mary is the SacEDAPT bilingual Peer Case Manager. Mary received her Bachelor's of Social Work from California State University, Sacramento. As a student, she worked in public school settings as an advocate to educate students and encourage and empower young people as active leaders in their own communities. Prior to joining the UC Davis Health System, Mary provided case management services in probation agencies and group home settings. Mary has also worked with the disabled population in providing vocational opportunities and job skill building to adults with disabilities who may communicate their needs through behaviors. Mary looks forward to supporting SacEDAPT clients and families.|
|Brenda received her Bachelor of Arts degree in Sociology at Stanislaus State. She works as part of the SacEDAPT Team to provide Supported Education and Employment services. Brenda works closely with clients, helping the client improve their everyday functioning and achieve their goals of social, academic and occupational recovery. Brenda's goal is to ensure the client is receiving the appropriate accommodations in the school and work setting and works as a liaison between the client's school and their families.|
|Yovanna Aguilera, B.S., B.A.|
|Yovanna is one of the SacEDAPT clinic coordinators. She graduated from UC Davis with a Bachelors of Science in Psychology with a biological emphasis, as well as with a Bachelors of Arts in Chicano Studies. Yovanna has worked with student-run clinics such as Clinica Tepati, which serves the uninsured Latina/o population in Sacramento, as well as with the California Coalition for Youth as a Bilingual Crisis Counselor. Throughout her undergrad work Yovanna has been affiliated with various volunteer organizations that center around community involvement, especially when it comes to serving the underserved. She is looking forward to being a part of the team and believes in the strength and resilience of those clients SacEDAPT aims to serve.|
|Ryan Shickman graduated from UCLA with a B.S. in Psychobiology and is currently working on his doctoral degree in Clinical Psychology (Psy.D.) at Alliant International University, Sacramento. Ryan brings to the SacEDAPT team a passion for mentorship from his time at UCLA where he was dedicated to the Mentorship program, a student-run organization which assisted youth from an underserved area as they strove to reach their goals related to higher education. This focus forms the basis of his recovery-oriented approach to working with individuals and families. For the past four years, Ryan worked at the UC Davis MIND Institute where he had the opportunity to travel around the United States and provide therapeutic intervention aimed at improving memory and attention, skills for getting back to school and/ or work, and lead groups aimed at increasing social skills and peer relationships. He is excited and determined to make a difference for clients and families through collaborative care.|
|Martha Greenburg serves as part of the SacEDAPT Team to provide Supported Education and Employment services. Martha works closely with clients, helping them improve their everyday functioning and achieve their goals of social, academic and occupational recovery. Martha works to ensure each client is receiving the appropriate accommodations in the school and work setting, acting as a liaison between the client's school and their families. She received her B.A. from UC Davis in Communication with a minor in Community Regional Development. Prior to SacEDAPT, Martha worked as a Peer Specialist for Sacramento County's Community Support Team. When she's not at the clinic, Martha is a certified life empowerment coach, a yoga teacher, and a proud and passionate advocate for mental health.|