Prevention and Recovery in Early Psychosis


PREP is a program for young people aged 16-30 who are experiencing changes or have been struggling with changes in their thoughts, feelings or behaviors which are making it difficult to do the things of everyday life, like school, work or relationship, that may be signs of psychosis.


Is PREP for me?

Do you or someone you care about have these experiences?


  • Having little energy or motivation
  • Having difficulty concentrating
  • Feeling overwhelmed or scared by everyday sort of things
  • Having a hard time figuring things out the same way you could before
  • Finding that you can't do things the way you used to
  • Spending more and more time alone
  • Finding it hard to trust other people
  • Thinking more often that other people are trying to hurt you
  • Feeling like your mind is sped up, slowed down, or just not working quite right
  • Finding that your thoughts are becoming strange or frightening
  • Hearing or seeing things that other people don't hear or see


Some terms you may have heard to describe these experiences include psychosis, schizophrenia, bipolar disorder with psychotic features, schizoaffective disorder, depression with psychotic features, or psychosis NOS (not otherwise specified).

If you are having these kinds of experiences, PREP might be a good program for you.


What is PREP?
Early signs of psychosis can be confusing, but you don't have to be alone. PREP provides a place for you to come learn about these changes, be with others experiencing the same or similar things and develop skills to manage these changes in your life. We provide expert evaluation and comprehensive services for young people like you.

We work with you to get good treatment and prevent a single episode of psychosis from becoming a chronic, debilitating illness.

PREP is designed to help you get your life back on track.


PREP helps you maintain


  • relationships with friends and family

  • educational and vocational prospects

  • motivation and self-esteem

  • physical health


PREP seeks to enhance your


  • understanding of psychosis

  • social life

  • strategies to cope with stress

  • ability to focus, remember, think flexibly, and problem-solve

  • independence and the achievement of your full potential


PREP emphasizes the reduction/prevention of


  • psychiatric relapse

  • suicide

  • associated conditions such as substance abuse, anxiety, and depression

  • medical conditions linked with serious mental illness and its treatment, such as obesity and diabetes


PREP is a collaborative effort of the Outpatient Clinic of the Massachusetts Mental Health Center and the Commonwealth Research Center. The program is jointly sponsored by the Massachusetts Department of Mental Health and Harvard Medical School.


What does PREP provide?
When you enter the PREP program, you are partnering with us. Our work together builds on a combination of your strengths and our clinical expertise. We will engage in an open dialogue with you and any loved ones you would like to be involved to help you make sense of the current situation and work towards your hopes and dreams. We will give you the resources to make informed choices no matter where you are in the recovery process. You will be joining a thriving community of young adults learning from and supporting each other.

PREP services are based on treatments established by scientific evidence and clinical experience. They include:


  • individualized treatment planning

  • psychopharmacologic treatment ( Medication)

  • individual therapy informed by evidenced based practices such as Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy (DBT)

  • intensive case management

  • family support, education, and problem solving through single-family and multi-family group treatment
  • a peer group program promoting healthy living
  • Group programming schedule [link to schedule]
  • neuropsychological evaluation

  • preventative health counseling

  • liaison with community resources for returning to work or school, obtaining housing, or accessing state or federal benefits

All treatments are aimed at helping young people and their families get their interrupted lives back on track.


Do I qualify for PREP?
Any resident of the Commonwealth between age 16 and 30 experiencing an early episode of psychotic illness is eligible. (Individuals over thirty are encouraged to apply for special consideration.)


Can I afford PREP?
The PREP program is open to all regardless of economic means. Your health insurance may be billed if there is coverage, otherwise our flexible needs-based payment system ensures that no family or young person will be charged more than they can afford.


Can I help?
Optional opportunities to participate in safe and innovative research, assessments and treatments at the Commonwealth Research Center may be offered to PREP members. The decision to become a study participant is entirely voluntary and does not affect an individual's treatment at PREP.


PREP Schedule

See PREP Schedule>


PREP Brochure

Brochure PDF >


Current research opportunities
see website >


For more information
For intakes, inquires, and information regarding the PREP program, please contact:
Tom Monteleone, LICSW, PREP Team Leader
Email Tom > or call (617) 516-5105