What conditions do you treat?

We specialize in psychosis, schizophrenia, autism, and OCD — along with co-occurring mood and anxiety conditions. Our team is trained in the latest evidence-based approaches for each, from early intervention to complex, later-stage care.

We specialize in teens (13–17) and young adults (18–35) with early or established thought disorders, including co-occurring conditions like Autism, OCD, anxiety, and depression.

What is Coordinated Specialty Care (CSC)?

CSC is an evidence-based, team-delivered model validated by the NIMH RAISE studies. It combines psychiatry, individual therapy, family psychoeducation, supported employment/education, and case management.

Do you accept insurance?

We are out-of-network, although we work with most major commercial plans. Contact our team for a free benefits check and consultation.

Do you offer telehealth?

Yes. Many services are available via secure telehealth across California, alongside in-person programming at our Los Angeles offices.

How do I get started?

Call 888-710-PAND or request a free consultation. We'll help you understand what you are seeing and match you to the right care pathway.

Out-of-network with most major insurers — talk with our admissions team to get started.

WHAT IS CSC?

Redefining Recovery in Early Psychosis

Coordinated Specialty Care (CSC) is a paradigm shift from reactive crisis management to proactive, recovery-oriented intervention. This report walks through the transition from the foundational RAISE/NAVIGATE model to a holistic ecosystem of care.

Coordianted Specialty Care (CSC): Why?

Coordinated Specialty Care (CSC) was developed because the traditional mental health care system was largely failing young people experiencing their first episode of psychosis. In the traditional system, people often experienced psychosis for months or even years before receiving help. This gap is known as the Duration of Untreated Psychosis (DUP). The system was highly reactive, usually only stepping in when a person reached an absolute crisis point (e.g. such as an emergency room visit or an encounter with law enforcement) and after that care was fragmented, minimal and narrowly focused on disability, rather than recovery. The end was result was high degree treatment dropout and the consequent devastation of lives.

74 Weeks

Historical Median DUP

Duration of Untreated Psychosis in the US before widespread CSC adoption.

24×

Mortality Risk

Elevated risk of death in the first year after diagnosis vs. age-matched peers.

$281.6 Billion

Schziophrenia Cost (US 2020)

Schizophrenia, and related illnesses costs, including health care, incarceration, lost wages, supportive housing, etc.

Coordianted Specialty Care (CSC): what is it?

CSC was developed as an alternative care delivery model that was a proactive, evidence-based treatment model designed for youth and young adults experiencing a first episode of psychosis (FEP). It shifted away from traditional crisis-driven care, CSC utilizes a multidisciplinary, team-based approach centered on early intervention and shared decision-making. By integrating five core components—personalized medication management, recovery-oriented psychotherapy, family education and support, supported education and employment, and dedicated case management—the model creates a comprehensive and cohesive care plan. Ultimately, CSC addresses the whole person rather than just their symptoms, empowering individuals to manage their health, stay in school or the workforce, and pursue their life goals with the expectation of long-term functional recovery.

The Foundational NAVIGATE Framework

The RAISE initiative formalized the first-episode psychosis treatment standard through the NAVIGATE model. These four pillars stabilize symptoms and re-engage young adults with their communities through shared decision-making and strength-based support.

Personalized Medication

Unlike chronic care, FEP medication management prioritizes minimizing side effects to prevent treatment dropout. Working together, prescribers and clients use shared decision-making to find the lowest effective dose.

● Low-dose antipsychotics to maximize tolerance
● Emphasis on minimizing metabolic & extrapyramidal effects
● Data-driven tracking of side effect burden

Clinical Outcomes: CSC vs. Traditional Care

The RAISE-ETP trial (N=404) demonstrated that participants in coordinated care stayed in treatment longer and achieved better functional quality of life.

Improvement Benchmarks

Data visualized from RAISE-ETP results. Normalized scale for comparison.

Quality of Life (QLS)

NAVIGATE participants showed significantly higher scores in "Sense of Purpose" and "Role Functioning" over 24 months.

Retention Advantage

Engagement remains the single biggest challenge. CSC's youth-friendly approach significantly delays treatment disengagement.

The Critical Window

Participants with a DUP < 74 weeks responded far more robustly, highlighting the neurobiological necessity of rapid intervention.

OnTrackNY: The Systemic Success

Coordinated Specialty Care (CSC) models like OnTrackNY integrate cognitive health into a multidisciplinary team. By addressing cognition early (First-Episode Psychosis), outcomes shift from chronic disability to active community participation.

Hospitalization Reduction

Dramatic reduction from 74% to 10% within the first year of intervention.

Functional Enrollment

School and work participation nearly doubles (43% to 70%) through supported education.

The Functional Recovery Gap

Despite the success of NAVIGATE, data showed that 50% of participants remained functionally disabled after two years. While symptoms stabilized, the "cognitive architecture" — memory, focus, and social reasoning — remained damaged. This realization catalyzed the current expansion of the CSC model.

Addressing the Unmet Needs

Cognitive Impairment prevalence in FEP participants (90%+)

Co-occurring Substance Use (50%+)

Psychosis Spectrum

Co-occurring Conditions