Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? Make sure your address and phone number are up to date so you can stay enrolled. Report a change.

HCA’s lobby is now open for walk-in customer service. Learn about customer service options.

Early psychosis

Psychotic disorders rarely emerge suddenly. Most often, the symptoms evolve and become gradually worse over a period of months or even years.

Early intervention with evidence-based treatment decreases the duration of untreated psychosis (DUP), improving outcomes over a lifetime, resulting in reduced health care costs, and improved quality of life for individuals and their families.

New Journeys coordinated specialty care

New Journeys coordinated specialty care (NJ CSC) is a treatment curated to meet the needs of those experiencing a first episode of psychosis with treatment services of a higher intensity than those offered in regular outpatient settings. Treatment provides evidence-based health and recovery support interventions for youth and young adults when first diagnosed with psychosis.

How does NJ CSC work?

NJ CSC services are delivered by multi-disciplinary mental health professionals who work as a team and provide the treatment, rehabilitation, and support services for individuals to achieve their own goals.

The service array is provided on an outpatient basis with options for home and community settings, based on the individual’s own needs and what they identify as helping them achieve a more meaningful life.

Service components include:

Individual and/or group psychotherapy
Supported employment and education
Family psychoeducation and support
Psychiatry
Peer support

New Journeys through video

Learn about New Journeys through a series of short videos from Washington's Center of Excellence.

New Journeys Programs (1-minute overview)

Hear from providers

Importance of Treatment (4:21)
Components of New Journeys (2:31)
Family and Loved Ones Matter (3:36)
Rewards of Coordinated Specialty Care (CSC) for First-Episode Psychosis (FEP) (2:11)

New Journeys locations

New Journeys is currently available in the following areas:

Behavioral health resources (Grays Harbor and Olympia)
Catholic Charities (Chelan, Douglas, and Wenatchee)
Comprehensive Healthcare (Yakima)
Comprehensive Life Resources (Pierce County)
First episode psychosis (FEP) Comprehensive (Franklin County)
First episode psychosis (FEP) SeaMar (Clark County)
Frontier Behavioral Health (Spokane)
Harborview Step Team (King County)
Kitsap Mental Health services (Kitsap County)
Ryther (Seattle)
Valley Cities Behavioral Health Care (Renton)

For more information, visit the New Journeys website.

New Journeys eligibility criteria

Age range	15-40 years old
Diagnosis	Schizophrenia Schizoaffective disorder Schizophreniform disorder Brief psychotic disorder Delusional disorder Other specified schizophrenia spectrum Other psychotic disorder
Duration of illness / Onset of illness	Greater than or equal to (>) 1 week Less than or equal to (<) 2 years
Exclusionary criteria	A current Diagnosis of: Mood disorder with psychotic features Pervasive developmental disorder and/or Autism Spectrum Disorder Psychotic disorder due to another medical condition Substance/Medication induced psychotic disorder Documented IQ of less than (<) 70