Who Is Eligible?
Eligibility at a Glance
The PIER Program works with adolescents and young adults ages 12 to 35 who have begun to experience changes in thinking, mood, or behavior that raise concern for early psychosis. We work with individuals who may be unsure about what they are experiencing, and with families or providers who have noticed changes and want guidance.
One participant shares what it felt like when thoughts first started to change. A powerful reminder of why early support matters.
When to Consider a Referral
A young person may be eligible if they are experiencing one or more of the following changes within the past year, such as:
- Feeling that something is “not quite right”
- Trouble thinking clearly or concentrating
- Decline in school or work performance
- Unusual or confusing thoughts
- Feeling fearful or suspicious without a clear reason
- Difficulty communicating or understanding others
- Mood swings or increased irritability
- Withdrawing from friends, family, or activities
- Hearing or seeing things others do not
- Changes in sleep patterns or anxiety levels
These signs can have many causes. A referral does not require a diagnosis. The PIER team helps determine whether early psychosis may be present and what support is appropriate.
Do Symptoms Have to Be Severe?
No. Many young people come to PIER with mild or early changes. Early evaluation helps prevent symptoms from becoming more disruptive and gives families a clear path forward.
Do I Need Insurance?
PIER bills insurance or MaineCare when possible and also provides services that are not covered. No one is turned away because of insurance status.
Who Can Make a Referral?
Referrals may come from:
- Families
- Schools
- Medical or mental health providers
- Community partners
- Individuals can self-refer
If you are unsure whether someone fits the criteria, we encourage you to contact us. Our team can help determine next steps.
