The PIER Program is currently recruiting participants as part of a longitudinal monitoring program. Eligible participants will complete a clinical interview followed by assessments to address current functioning in multiple domains (cognitive, social, sleep, etc.). 

The aim of this study is to identify risk and protective factors in those who may be at high risk for developing a psychotic disorder. Eligible participants will receive free risk assessments during this study.

Who is eligible?

Those between the ages of 12-45 who are experiencing early warning signs may contact the clinic for a phone screener to determine further eligibility for an in-person risk assessment. 

Early Warning Signs:

  • Sudden changes in thoughts, mood, and perceptions
  • The feeling that usual things are unusual or strange
  • The feeling of being watched and/or that others want to harm you
  • Hearing, seeing, and feeling things that others do not (e.g., voice, whispers, shadows, foul odors)
  • A decline in school and/or work functioning
  • Spending a lot more time alone than usual
  • A decline in self-care or personal hygiene 

If you or a loved one is experiencing the above symptoms contact our program for a phone screening assessment. 


Are you interested to see if you may qualify for either clinical research services or our research study?

Free Risk Assessment

Free Risk Assessment:

  • The PIER program aims to provide risk assessments for young people to determine if they are at high risk for developing psychosis or are experiencing early warning signs. 
  • This 2-hour assessment consists of a clinical interview to gather background information on the individual and their family along with a symptom questionnaire, and memory and attention skills assessment. This session will be followed by a review with the family and the PIER program team
  • We also offer home-based sleep studies.

Clinical Evaluation:

  • This evaluation is included in the free risk assessment for individuals experiencing symptoms. 


  • Psychoeducation to assist families in understanding risk factors, stress management, and effective communication skills.

Psychiatric Referral:

  • The PIER program collaborates with the psychiatry clinic at UIHC as well as a variety of community-based resources.