Family Initiated Treatment (FIT)

FIT was developed, based in part on recommendations made by the Parent Initiated Treatment (PIT) Stakeholder Advisory Group that included youth, parents, clinicians, hospitals/emergency departments, and child systems advocates. PIT for acute inpatient evaluation and treatment is long standing and has evolved into FIT, which provides an avenue for outpatient evaluation and treatment as well as additional guidelines associated with the FIT legislation. The stakeholder group’s findings and recommendations were delivered to the Children’s Mental Health Work Group on December 1, 2018. In 2019, the Legislature enacted Engrossed Second Substitute House Bill 1874.

Parents may consent on behalf of adolescents who meet medical necessity. Consent of the adolescent is not required. The family initiated treatment (FIT) process creates an additional access point but does not guarantee care on demand for adolescents admitted through FIT. Providers will have individual processes and requirements for evaluation and admission to services.

This website is dedicated to provide Washington residents access to an engaging, self-paced online eLearning opportunity to learn more about FIT. The learning program is a series of 3 modules that provide the following topics:

  1. FIT Overview
  2. Admissions Process
  3. Engaging Youth

The combined program is estimated at 160 minutes and can be completed over multiple sessions as your progress is saved automatically where you leave off.
Note: Your FIT Washington Bridge username will be your email address used to register.

There are a series of 3 FIT online learning modules.

  • The FIT modules are available in English and Spanish at no charge for Washington residents interested in learning more, through funding from the Health Care Authority/Division of Behavioral Health and Recovery.
  • The online modules can be accessed through the LMS system called Bridge at the Training Tab located at the top of the screen.


For additional information and questions regarding FIT Washington, please visit the FIT page on the Washington Health Care Authority (HCA) Website:

xThis website was developed by En Route, LLC with funds from the Washington State Health Care Authority, Division of Behavioral Health and Recovery (HCA/DBHR)

En Route, LLC | (503) 941-0692 | admin@enroutecoaching.com