The CReW (Counseling, Recovery and Wellness) Program is licensed as an outpatient mental
health and substance use provider within the King County Behavioral Health Organization (BHO). Our purpose is to assist adults with mental health, substance use, or co-occurring challenges to improve their quality of life. The individuals we serve may be living on the streets or in shelters, may be in housing throughout King County, or may be ready for release from jails or hospitals.

Our services are provided in a variety of settings in the downtown Seattle area, including individuals’ homes, permanent supportive housing, transitional housing, homeless shelters and the streets. Our team of mental health professionals, chemical dependency professionals, peer support, and psychiatric prescribers offer assessment and individual service planning, case management, medication management, therapeutic counseling, and peer support. Crisis response is also available 24/7 for individuals connected with mental health services; after hours coverage is provided by Sound Mental Health at 1-877-435-7054.

CReW services are uniquely tailored to meet each person’s holistic needs and support is offered in multiple life domains such as symptom management, social skills training, and relapse prevention. Counselors and case managers assist individuals on setting and achieving goals to make connections with others in the community, maintain or improve physical health, apply for housing or benefits, or pursue vocational interests. CReW counselors are also able to make referrals to inpatient treatment or detox for individuals in need of residential services.


To enroll for CReW services, individuals must be 18 and older, be covered by Washington Apple Health (Medicaid), live in King County, and have significant challenges in maintaining life skills. Our staff requires a full name and date of birth to screen for eligibility.

For all referrals or general questions regarding the program, please call 206-956-9570.


I don’t have Apple Health. Do you take Medicare or private insurance?

We are not presently able to bill Medicare or other private insurance providers. Please call 2-1-1 for resources for people with Medicare or other health insurance in King County.

Does CReW provide housing? 

Our staff can connect individuals with resources in the community to apply for transitional and long term housing and find shelter. Unfortunately CReW does not have any set-aside or priority units at apartment buildings in Seattle or King County.

How long before I can meet with someone? 

Generally, our intake appointments happen within 2 weeks of the request for services or sooner. Most often, your intake staff will be your ongoing counselor and will continue to work with you for as long as you are interested in services.

How can I see a psychiatrist?

Individuals need to complete an intake appointment with a CReW counselor prior to being given an appointment for psychiatric assessment. Usually the wait time after seeing a counselor is a month or less.

Do you do couples counseling? 

At this time we are only able to provide 1:1 counseling and support for individuals.

Do you have any support groups? 

Yes! We are now ready to offer Intensive Outpatient Treatment services, which include 6 hours of group treatment each week. IOP (Level 2.1) Substance Use Treatment classes will be held on Mondays, Tuesdays and Thursdays from 3-5pm. Additionally, our mental health counselors are offering weekly Therapy Skills Groups to focus on coping strategies to reduce stress and improve relationships, and our case managers are offering Art Therapy workshops to hold creative space and artistic expression.

“Thank you for hooking me up with CReW. It is great for me. I love [my counselor], and she is helping me a lot more than I realized I needed, and I am learning a lot about myself.”

– CReW client and CHS resident