This guide answers frequently asked questions about what specialty care is, what it offers, how it works, and more, so you feel more prepared, supported, and in control of your care.
Getting started with specialty care: what you should know
What is specialty care for psychosis?
Michigan specialty care teams, called NAVIGATE and ACT Early, offer multispecialty programs for people who are early in their experience with psychosis. The programs use an evidence-based model of care called “coordinated specialty care,” which focuses on recovery, rapid access to care, and shared decision-making among participants, their families and the care team. Specialty care teams are trained to provide a range of supports that will look different for each person depending on individual goals and needs. The program is designed to help you understand what’s going on, feel better, and get back to what matters most to you—whether that’s school, work, relationships, or just feeling more grounded.
You can read more about psychosis and specialty care here.
How do I know if this program is right for me?
Our programs are for anyone experiencing early signs of psychosis, whether that’s a one-time episode or something that’s still unfolding. If you think you may be experiencing psychosis, your first step is to contact the team closest to you, and we’ll schedule an assessment appointment. This is a conversation with a licensed therapist to understand what you’ve been experiencing and whether our program is a good fit.
Many people aren’t sure how to describe what they’re going through, and that’s okay. We’ll figure it out together.
If it turns out that another type of care is a better match, we’ll help you get connected.
How much does it cost?
Our programs accept many types of insurance, and we offer services regardless of your ability to pay. If you don’t have insurance, we’ll still work with you to get the care you need.
I’m not sure I need help or that this will help me. Should I still come?
Yes. Many people feel unsure at first. You don’t need to have it all figured out to get support. You’re welcome here even if you’re still sorting through what’s happening.
What happens once I decide to participate in the program?
After our initial conversation, the next step is a first appointment to talk more deeply about what’s been going on for you, learn about your goals, and start building a plan together. We’ll also explain more in depth about the different services that the program offers, and determine how you’d like to get started.
How long will I be in the program?
Many people find that remaining connected to the program for about two years is helpful, but it’s flexible. Some programs also have more formalized transition programs, easing the transition from engaging in services to more infrequent check-ins. You’ll work with the team to figure out what makes sense for you based on how you’re feeling, as well as progress toward your goals in terms of school, work, or whatever is important to you. If you ever need ongoing support after finishing the program, we’ll help you connect with community resources.
The Care Team & How It Works
Who will be on my care team?
You’ll have a dedicated team that may include a therapist, psychiatrist or nurse practitioner, case manager, peer support specialist, and someone to help with work or school (called a Supported Education and Employment Specialist). Support is also available for family members and other supporters, since having people in your corner who understand what you’re going through is important. You don’t have to meet with everyone right away—and your care plan is personalized to the things that you’d like to prioritize.
What kinds of services are offered, and how do I know which ones are right for me?
Our program is holistic, which means we try to support your overall well-being, in addition to treating symptoms. Some of the services you might try include:
- Individual therapy focused on identifying strengths, healing from difficult experiences, and learning new coping skills
- Peer Support & Family Peer Support
- Support with school or work
- Family education (tools to help families understand, support, and communicate better)
- Medication management (if you choose)
- Substance use support, when helpful
You don’t have to do everything. We’ll help you explore what’s available and decide what fits best with your goals.
Do I have to use all the services?
Not at all. You’re in charge of your care. We recommend meeting with each team member – particularly the therapist – at the start to learn more about how they can support you. But how much you engage and what you focus on is totally up to you.
How often do I meet with the team?
That depends on what you’re working on. Most people start with weekly therapy and regular check-ins with other team members. Services like peer support or help with school and work are offered as often as you find helpful. Over time, you and your team can adjust based on what feels right.
Do I have to talk about everything right away?
Not at all. You can take your time. You’re in control of how much you share and when. We’ll follow your lead.
Will I have to take medication?
Some people decide not to use medication, or to use it only during certain times. Others find that a combination of meds and therapy works best. There is no one-size-fits-all path, and each participant is encouraged to explore treatment options and make their own decisions about their care plan.
We encourage you to speak openly with your care team about your concerns. They can help you understand the risks and benefits, explore other supports (like therapy or peer support), and come up with a plan that feels right for you. You can read more about medications for psychosis and how we approach medication management here.
What if I don’t get along with someone on the team?
That’s okay—and something we take seriously. If you’re not clicking with someone, let us know. We’ll work with you to sort it out.
Safety, Privacy & Parental Involvement
Will I be hospitalized if I say I’m hearing voices or seeing things?
No, we will never recommend hospitalization unless you’re in immediate danger. We know that hearing voices or having unusual beliefs are part of many people’s experience with psychosis. Our program is specifically designed as a safe space to explore these experiences openly, with compassion.
Do my parents or family have to be involved?
It’s your choice. If you want family involved, we’ll include them in a way that feels helpful to you. For some, having the support of a family member or close friend can be an important part of their recovery journey. However, everyone’s preferences and situations are different, and we respect your decisions on who to include and how.
Is what I say private?
Yes. Your conversations with your care team are confidential, with a few exceptions for safety. We’ll always talk with you about what might be shared and why.
What if I’ve used drugs or alcohol—will I get in trouble?
No. This is a judgment-free space. We understand that many people use substances for different reasons. Because substance use can affect mental health, it’s important to talk about it with your therapist. We’re here to support you without pressure or shame.
Can I bring a friend or someone I trust to appointments?
Absolutely. If it helps you feel more comfortable, you can bring a support person to visits — whether that’s a friend, partner, parent, or someone else you trust.
Other Common Questions
What if I’m worried about getting labeled or diagnosed?
You’re not alone in feeling that way. Getting care doesn’t mean you’re defined by a label. Our approach focuses on what you’re experiencing and what supports you need—not just what box you fit in.
What if I’ve had a bad experience with mental health care before?
We hear that a lot. You deserve care that feels respectful, collaborative, and centered around your needs. We’ll go at your pace, listen to your concerns, and build trust over time.
What if I start to feel better and want to stop treatment?
That’s something we can talk about. We want you to feel empowered to make decisions about your care. If you’re doing well and thinking about stopping or changing your plan, we’ll work with you to do that safely and intentionally.
What if I need help outside of regular office hours?
If you’re in immediate crisis, you can call or text 988 for free, 24/7 support from the Suicide & Crisis Lifeline. Your care team can also help you build a safety plan so you know what to do and who to reach out to in tough moments. You can read more about how we approach crisis planning here.
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Do you have a question here that we haven’t answered yet? Please don’t hesitate to reach out to your team contact, or ask a question here.