Coordinated Specialty Care for First Episode Psychosis (CSC-FEP) program provides outpatient mental health treatment to persons experiencing an early onset of psychosis. Services are provided to empower the person’s ability to lead a self-directed life within the community. In Texas, CSC-FEP programs use a holistic approach. The multidisciplinary team includes a psychiatrist, licensed therapist, family partner, peer partner, case manager, and supportive employment and education specialist.
CSC-FEP program includes the following services:
- Psychotherapy, including cognitive behavioral therapy for psychosis;
- Family education, support, and involvement;
- Support from peers in recovery from mental illness;
- Psychotropic medications prescribed by a psychiatrist;
- Support for education and employment goals.
CSC-FEP services are for people ages 15–30 who have a psychotic disorder diagnosed within the past two years. Qualified applicants may have private insurance, Medicaid, Medicare, or no health insurance at all. People seeking CSC-FEP services can use the link https://mentalhealthtx.org to locate their local mental health authority or local behavioral health authority and to determine if there is a CSC-FEP provider in their area.
As of February 2022, the following CSC-FEP providers serve about 165 counties across the state.
- Andrews Center Behavioral Healthcare
- Betty Hardwick Center
- Bluebonnet Trails Community Services
- Border Region Behavioral Health Center
- Burke Center
- Camino Real Community Services
- Center for Health Care Services
- Center for Life Resources
- Central Counties Services
- Coastal Plains Center
- Community Healthcore
- Denton County MHMR
- Emergence Health Network
- The Harris Center
- Heart of Texas Region MHMR Center
- Hill Country Mental Health & Developmental Disabilities Centers
- Integral Care
- LifePath Systems
- Metrocare Services
- MHMR of Tarrant County
- Nueces Center for Mental Health and Intellectual Disabilities
- Pecan Valley Centers
- Spindletop Center
- Starcare Specialty Health System
- Texana Center
- Texoma Community Center
- Tri County Behavioral Health
- Tropical Texas Behavioral Health
- West Texas Centers
Level of Care: Early Onset (LOC- EO)
People enrolled in CSC receive mental health services through an LOC created specifically for early-onset psychosis. Adults receive an LOC-Adult Early Onset (LOC-AEO) and children receive an LOC-Children Early Onset (LOC-CEO). Enrolled persons must deviate into LOC-EO based on their age. The CSC model is team-based and provides comprehensive treatment and support services to keep people on the path to recovery. These services follow HHSC’s Texas Resilience and Recovery Utilization Management guidelines: Adult Mental Health (PDF)
Texas Administrative Code
- 26 TAC, Section 301.331 (relating to Competency and Credentialing)
- 26 TAC, Section 301.335 (relating to Utilization Management)
- 26 TAC, Section 306.311 (relating to Service Authorization and Recovery Plan)
Training and Resources
- IDD-BH CSC for Psychosis Brochure (PDF in English)
- IDD-BH CSC for Psychosis Brochure (PDF in Spanish)
- OnTrackNY: program manuals and training material used in CSC
- Initial Evaluation of First Episode Psychosis Early Intervention Programs in Texas 2017 (PDF)
- Recovery After an Initial Schizophrenia Episode (RAISE) Early Treatment Program Manuals and Program Resources: NAVIGATE is a Coordinated Specialty Care treatment model developed by the RAISE Early Treatment Program and was one of two such models tested as part of the RAISE research study.
- NIMH RAISE-related Webinars: NIMH » Recovery After an Initial Schizophrenia Episode (RAISE) (nih.gov)
- Centralized Training Infrastructure for Evidence-Based Practices
- National Registry of Evidence-based Programs and Practices
- Coordinated Specialty Care – Get with the Program (PDF)
- Voices of Recovery Video Series: A series of 24 vignettes of clients and family members, the videos share inspiring and informative recovery stories focusing on different topics. A manual is also available to help use the videos in treatment and training.
- South Southwest Mental Health Training and Technology Center
Email: FEP@hhs.texas.gov with any questions.