The CReW (Counseling, Recovery and Wellness) Program is a state licensed outpatient mental health and substance use treatment provider within King County. We seek to assist adults with mental health, substance use, or co-occurring challenges to improve their quality of life and achieve increasing levels of stability in recovery. We believe that this work is done best by developing collaborative goals with individuals, rather than dictating what we think is best, for what could lead them towards a happier and healthier life, whatever that may look like. We understand that there’s no one-size-fits-all type of treatment, so we tailor our services based on the individual’s unique strengths and barriers.

Our team of mental health counselors, chemical dependency counselors, peer specialists, case managers, nursing support and psychiatric prescribers offer a range of services with a frequency based on individual choice and requests. Services may include: comprehensive assessment, individual treatment planning, case management, medication management, therapeutic counseling, group treatment, care coordination, and peer support. Providing integrated treatment is critical to providing holistic care, 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 promote supportive connections with others in the community, create linkages to needed resources, 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 substance use services.

Because the people we serve may be living on the streets or in shelters, may be in housing throughout King County, or may be frequent visitors of the local jails or hospitals, they may also have difficulty with having the resources to navigate public transportation or keeping consistent appointments at an office-based setting. We want to reduce the barriers to care, so we aim as much as possible to bring services to the shelters, supportive housing programs and day centers where people live or visit. Our services are provided in a variety of settings in the downtown Seattle area as well as larger King County community.

In addition to our outpatient treatment services, CReW is now operating the following projects:

  • In collaboration with Health Care for the Homeless Network, CREW is providing Outreach services in South King County and to Families in Shelter. Our Outreach Specialists offer community based outreach and engagement services to people who are living in homelessness, primarily in the areas of Federal Way, Kent, Burien, South Seattle and Tukwila. Outreach workers will meet people literally where they are at and assist with identifying needed resources and make linkages for housing, health care, and benefits wherever possible. Services are prioritized for people who have had frequent inpatient hospitalizations and/or incarcerations over the last year.
  • As part of the Washington State Medicaid Transformation Project, CREW is also providing Foundational Community Supports which includes Supportive Housing and Supportive Employment Services. This Medicaid project aims to increase the case management, skill building and overall support to individuals who are looking for work or a place to live while also experiencing a number of complex health and risk factors. For more information about Foundational Community Supports, including eligibility criteria, please visit the Health Care Authority website:


To enroll for CReW outpatient treatment 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 Outreach services in South King County, priority is given to individuals who are homeless, in transitional housing or in permanent supportive housing specifically for people who are formerly homeless, or at imminent risk of becoming homeless.

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

Questions about South King County Outreach can also be directed straight to our Outreach Program Manager at 206-530-0113


Click here for answers to Frequently Asked Questions!


“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