PIER 2017-10-19T09:09:00+00:00

Welcome to the Portland Identification and Early Referral (PIER) Program. We are dedicated to helping Maine youth achieve positive clinical outcomes when treated for early symptoms of psychosis.

The PIER Program has achieved national and international prominence as a model program in early intervention. PIER is a transdisciplinary treatment team made up of social workers, psychiatrist, occupational therapist, educational/vocational specialist, care manager and peer support partners. PIER has a twelve-year record of community education and advanced treatment with demonstrated outcomes and results in the greater Portland area.  Early detection makes a difference.

The PIER Program is part of the Department of Child and Adolescent Psychiatry and the Maine Medical Center Research Institute.


Hear stories of strength and hope at strong365.org


Working with Young People and Families to Set Individualized Goals Through:

• Comprehensive assessment
• Individual counseling
• Family counseling
• Multifamily groups
• Medication management
• Employment/Education support
• Care management
• Peer mentoring
• Reducing stigma with outreach and education in the community

Early Intervention Makes a Difference Through:

• More rapid and complete recovery
• Preservation of brain functioning
• Preservation of psycho-social skills
• Decreased needs for intensive treatments
• Maintained connections with supports
• Reduced stigma and perception of rejection

Who Can Participate?

Adolescents or young adults, ages 15-26, experiencing some of the following difficulties that have begun or worsened in the past year:

• Feeling “something’s not quite right”
• Having trouble thinking clearly, focusing, or concentrating
• Worrisome drop in school or work performance
• Unusual thoughts and confusion
• Fearful for no good reason
• Difficulty communicating and understanding
• Suspiciousness, fears, or uneasiness with others
• Mood instability
• Declining interest in people, activities and self-care
• Hearing sounds/voices that are not there
• Pervasive anxiety
• Disrupted sleep patterns

Maine Medical Center
66 Bramhall Street
Portland, Maine 04102

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