California Coordinated Specialty Care for Adults 18–35
The most intensive adult coordinated specialty care in Los Angeles — and a long-term Work/Study aftercare program that walks with you back into a real life.
Your existing psychiatrist, therapist, or primary care doctor keeps their seat at the table — we bring the specialty layer thought-disorder recovery calls for and coordinate around them. Think of us as the missing specialist, not a replacement for the people who already know you.
One team. A family of California OnTrack programs.
Pand Health is the only provider of the nationally-recognized California OnTrack programs for teens, adults, and families. These Coordinated Specialty Care Programs strictly adhere to all standards of care and provide an array of individual and group therapies not found elsewhere. Adults typically begin in the intensive California OnTrack for Adults program and then step into the long-term Work/Study aftercare program with the same team. Anyone can start with a low-cost Early Assessment.
CSC ≠ IOP
People assume we're an IOP. We aren't — and for an adult life, that difference matters.
A traditional intensive outpatient program hands you a block of hours and asks the rest of your life to move around it. Coordinated Specialty Care runs the other direction: psychiatry, therapy, and groups get built around your classes, your job, and your family — so recovery happens inside a real adult week, not instead of one.
You set the schedule
Psychiatry, therapy, and group times you choose — not a rigid block staff hands to you.
Stay in college
Take your classes. Come for skills, groups, psychiatry, and individual therapy around them.
Stay at work
Hold your job. Build the cognitive and social capacity to keep building a career.
More life, not less
Our goal is for you to be out, involved, and living — not sitting in treatment all day, every day.
Two stages, one continuous team
A program that grows with you
You don't graduate out of care — you graduate into the next phase of it. The intensive program builds the foundation. The Work/Study program walks with you as you return to a full life.
Intensive California OnTrack for Adults
Typically 1-3 days / week · 4–6 months
The most intensive adult coordinated specialty care in Los Angeles. Five hours of structured programming per day plus our Clubhouse hours, weekly individual therapy, expert psychiatry, daily cognitive remediation, and intensive social skills training. Built for early- and later-stage psychosis and the cognitive and social challenges that often come with it.
- Daily cognitive remediation + fitness
- SCIT, MCT, CBT-p, DBT-p
- Weekly individual therapy & psychiatry
- Behavioral Multi-Family Group Therapy
California OnTrack Work/Study
Long-term aftercare · Indefinite
The long-term aftercare program that keeps you connected to care as you return to school, work, and daily life. You set the schedule around your real commitments. Specialty groups, supported employment and education, psychiatry, and individual therapy stay available — for as long as you want them.
- Schedule built around school & work
- Continued supported education & employment
- Ongoing peer and family support
- Same team, same continuity of care
Participants graduate from the intensive program into the Work/Study program — never to a new team, never to a goodbye.
"I finished my semester while I was in the intensive program. Now I'm working full time and still see my same psychiatrist and therapist through Work/Study. Nothing about my care ever felt like it stopped."
— Pand Health participant
Components of the Program
California OnTrack is built on the NY OnTrack framework and augmented with the specialty modalities that help people with co-occurring conditions — the patients other programs often rule out.
Daily Cognitive Remediation
Twice-daily computer-assisted brain training paired with high-intensity fitness to target memory, attention, processing speed, and executive function.
Intensive Social Skills Training
SCIT (Social Cognition and Interaction Training) plus our Clubhouse model gives adults real, repeated practice with social cognition in real-world contexts.
Metacognitive Training (MCT)
Evidence-based group work that targets the thinking biases that drive delusional belief and reasoning errors in psychosis.
CBT for Psychosis & DBT
Individualized therapy for hallucinations, delusions, distress tolerance, and emotion regulation.
Expert Psychiatry
In-person and telehealth psychiatry from clinicians who specialize in early psychosis and schizophrenia spectrum disorders — scheduled around your week.
Supported Education & Employment
The single intervention most predictive of recovery. We coach school re-entry, course selection, resumes, interviews, and workplace advocacy.
Family Behavioral Therapy
Structured psychoeducation and communication coaching for the people who love you — voluntary, but powerfully correlated with success.
Compensatory Cognitive Training
Practical tools and scaffolds that help thinking work in the world: planners, reminders, routines, and the habits that make them stick.
Peer Support
Mentorship and groups with people who have walked this road — a quiet, powerful counterweight to isolation.
What a day looks like
Exceptional additions to ordinary care transform real outcomes.
Morning
Cognitive remediation
Computer-assisted brain training to build mental speed, working memory, and focus.
Midday
Individual therapy & psychiatry
Weekly individual therapy plus medication planning and management with our psychiatrist.
Afternoon
Skills & social practice
Second cognitive session, group therapy, and coached practice of real-world social skills — hygiene, communication, workplace norms.
Daily
Fitness, family & work/school coaching
Private trainer available daily; 16-week multifamily course; academic and vocational coaching to help students and workers re-enter their lives.
LISTEN IN TO OUR PODCAST
Adult recovery, on The Mind Exposed.
Short clips from the podcast — the science and clinicians behind our adult program.
The overlap that gets missed
Autism & Psychosis
The Mind Exposed
A featured recovery conversation
Read about us in The Wall Street Journal.
WSJ covered our successful outcomes in a lengthy front-page feature story.
Read the article →