For peer support teams, EAP, IAFF locals & FOP

SUD treatment built for the people who can't disappear for 30 days.

Virtual Intensive Outpatient (ASAM 2.1) for first responders. PHP-intensity (2.5) hour expansion case-by-case under payer authorization for members on leave or light duty. Ambulatory withdrawal management for low-risk alcohol or opioid withdrawal where appropriate. No facility footprint. No FMLA paperwork on the chief's desk before the member is ready. 42 CFR Part 2 protected. Clinicians who actually understand shift work, mandatory overtime, line-of-duty trauma, and the difference between AA and what a 22-year veteran needs.

Refer a member confidentially Schedule a 20-min call Call the peer line
DHCS-licensed (CA Cert 191663AP)
42 CFR Part 2 protected
Trauma-informed, FR-experienced clinicians
Credentialing in process, single-case agreements available now
Aetna
Anthem CA
Blue Shield CA
Carelon
Cigna / Evernorth
ComPsych
Health Net
Humana BH
Kaiser NorCal
Magellan
MultiPlan / PHCS
Optum / UHC

Most municipal, federal, and Taft-Hartley plans use one of the carriers above. Medi-Cal pending county MOU; Medicare not accepted.

How we work with peer teams & EAP

Three steps from your call to care that doesn't blow up his career.

A peer support team member, EAP coordinator, or chaplain can connect a member without anything being filed through HR.

1

You call. We answer live.

Direct line to a clinician who's worked with first responders. No call center. No "press 2 for substance use." Members can also call themselves.

2

Confidential ASAM assessment

ASAM Criteria 4th edition assessment by phone or video, scheduled around the member's shift rotation. We verify union or commercial benefits without contacting HR.

3

IOP from home, around the schedule

Evening IOP (2.1) cohorts so the member can stay on or near duty. PHP-intensity (2.5) hour expansion case-by-case under payer authorization for members on light duty or medical leave. Ambulatory withdrawal management available for low-risk withdrawal. No facility, no pager exposure, no department vehicle in the parking lot.

No chief notification

Care is between the member and clinician. We do not contact a department, hall, or chain of command. Period.

42 CFR Part 2

SUD treatment records are federally protected. Subpoena resistance is meaningfully stronger than under HIPAA alone.

No facility footprint

We don't operate residential or inpatient. Member attends from home, kitchen table, bedroom, anywhere with privacy. Nobody at the firehouse, station, or precinct sees the member walk into a building.

Who it's for

Career members. Pre-retirement members. Members who've been around long enough to know.

Alcohol use disorder is the most common. Opioid use disorder after a line-of-duty injury. Stimulant use to cover overtime hours. Polysubstance use layered on top of untreated PTSD. We see the version that doesn't show up in a brochure.

FR-experienced clinicians

Therapists with prior clinical work in fire/EMS/LE populations. Not just "trauma-informed", culturally fluent.

Schedule built for shift work

Evening IOP cohorts so the member stays on or near duty. PHP-intensity (2.5) hour-expansion cohorts for members on a 24/72 or 4/3 rotation when authorized.

Family programming

Spouses and adult family invited to weekly family sessions when clinically indicated.

Co-occurring trauma treatment

Integrated PTSD-aware care alongside SUD programming. EMDR and CPT available where clinically indicated.

Refer a member confidentially

For peer support, EAP, chaplains, union officers, and chiefs. We respond within one business hour. Do not include the member's name, secure intake follows by phone.

For peer support, EAP, chaplain, and union/department staff. Do not enter member identifiers or PHI on this form. Member treatment records are protected under 42 CFR Part 2; release of information requires the member's written consent. Privacy policy.

Shift Support Network (Vanguard Labs LLC) is licensed by the California Department of Health Care Services (DHCS Cert 191663AP) for ASAM Outpatient (1.0), Intensive Outpatient (2.1), and ambulatory withdrawal management, with PHP-intensity (2.5) hour expansion case-by-case under payer authorization. We do not provide residential, inpatient, or medically managed withdrawal services. Substance use treatment records are protected under 42 CFR Part 2; release of information to a department, union, or family member requires the member's written consent. We do not pay for referrals and we do not accept payment for them. Coverage is verified before admission and is not a guarantee of payment.

DHCS Cert 191663AP HIPAA 42 CFR Part 2 LegitScript pending