Early-onset schizophrenia (EOS) is a serious psychotic disorder that affects children as young as 12 years of age. Although EOS is typically diagnosed in the specialty mental health sector, increasing the mental health literacy of school personnel is a Tier 1 intervention that can help identify youth at high risk. Tier 2 intervention could include group psychoeducation for youth at high risk and their families. Mental health treatment of EOS occurs in acute, stabilization, and maintenance phases. Youth who are experiencing EOS likely will need accommodations in school. School mental health personnel should educate teachers about accommodations and help them prepare to identify and avoid distressing stimuli, allow alternative schoolwork and activities to avoid provoking delusions, and provide safety for de-escalation. Collaboration with parents and community providers also is critical for students with EOS. A case example illustrates multitiered supports for an adolescent from diagnosis to returning to core classes.
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