What does PIER offer?

The PIER Program uses a comprehensive, personalized approach to support individuals experiencing early psychosis and their families. We seek to support young people across all aspects of their lives with a focus on helping each person meet their goals.

Multifamily Group (MFG)

Multifamily group offers a different way of approaching recovery – alongside other participants and families. In this safe space, we explore confusing symptoms and experiences, what helps and hurts, and the family’s important role in better understanding how to help. The group is structured with a focus on problem solving and thoughtful planning toward goals. It is a rolling group and allows for more senior members to share with newer members what they have learned from their lived experience.

Involving Family and
Key Supports in treatment

One of the hallmarks of care at PIER is the involvement of loved ones in treatment. The more that loved ones understand the relationship between stress and symptoms, the more that they are able to respond in a helpful way.

Cognitive Behavioral Therapy for Psychosis

CBTp provides tools to make sense of the thoughts and perceptual experiences that participants are having within the context of their lives. It is an individualized approach that normalizes experiences along a spectrum. CBTp teaches cognitive flexibility and other skills to manage experiences that interfere with functioning.

Peer Support

A “peer” is someone who has personally experienced challenges related to their mental health. Many peers have engaged in mental health treatments themselves, so they understand both the challenges and benefits. Peer support focuses on building mutually supportive relationships, exploring the shared experience of learning how to move forward in the midst of struggle.

Care Management

The Care Manager helps the participant and family build a long term plan to identify and access community resources needed to achieve their goals. The Care Manager works with participants to move toward independence through exploring medical and housing needs, assisting with health insurance and Mainecare, and other community supports.

Educational Support

Educational support provides assistance to students so they can successfully return to or stay in school. The Education Specialist meets with the client and family, PIER staff, and appropriate school staff to: develop educational goals, a step-by-step plan, explain how to identify and request helpful accommodations, assist with organizational skills development, provide guidance on disclosure of mental health condition and provide IEP preparation and support.

Employment Support

Vocational support assists clients (and members of their families) in finding and keeping a job that pays a competitive wage, capitalizes on personal strengths, and provides the support necessary to be successful in the workplace.
Examples of specific services include, but are not limited to: finding a job, keeping a job, connection to resources, an updated résumé, on-site job coaching, and improving interview skills.

Psychiatric Consultation and
Medication Management

The Psychiatrist’s role on the team is more involved than just diagnosis or medication management. The Psychiatrist rules out medical causes and interfaces with other medical providers in addressing the overall health of the client.

Community members (e.g., teachers, faith community leaders, pediatricians, etc.) are encouraged to request more information and/or a presentation from the PIER team.

Request a Community Presentation

PIER & Resilience Monthly Workshop

We have a monthly opportunity to meet (Over zoom for now) with young people and family members about their experiences with psychosis and what they found helpful. Please sign up here to receive a call back from our outreach and referral coordinator.

Request an invite


We are offering the a portion of the PIER/Resilience Community and Family Education workshop online. Click play to view.

Maine Medical Center Research Institute
PIER Program

Maine Medical Center 66 Bramhall Street Portland, Maine 04102

The PIER Program is part of the Maine Medical Center Department of Psychiatry and Maine Medical Center Research Institute.
Funding for PIER comes from the Mental Health Block Grant through the Department of Health and Human Services.