An official State of Texas website.
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 clinician, certified family partner, certified peer specialist, 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 diagnosis of psychotic disorder, regardless of the age of the person at the onset. Qualified applicants may have private insurance, Medicaid, Medicare, or no health insurance at all. People seeking CSC-FEP services can visit Mental Health TX 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.
Current Providers
The following CSC-FEP providers serve about 171 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
- Gulf Coast Center
- The Harris Center
- Heart of Texas Region MHMR Center
- Hill Country Mental Health & Developmental Disabilities Centers
- Integral Care
- Lakes Regional Community Center
- LifePath Systems
- Metrocare Services
- MHMR of Tarrant County
- Nueces Center for Mental Health and Intellectual Disabilities
- Pecan Valley Centers
- PermiaCare
- 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)
- Coordinated Specialty Care for First Episode Psychosis Map (PDF)
- 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.
Contact Us
Email FEP with any questions.