A program for substance use and co-occurring mental health. Keep your job, your home, and your routine while you get well.
Residential treatment asks you to disappear for thirty days. For someone holding down a job, a home, custody of their kids, or a pension’s worth of hours, that’s not a real option, so they don’t go. Shift delivers IOP and PHP-intensity hour expansion as hybrid care: most sessions virtual, with in-person intensives in California when the work calls for that level of structure. The schedule fits a working life, and the rhythm makes room for rest, family, and the rest of being a person. The people who most need treatment can finally get it.
California-licensed clinical leadership with documented supervisory chains for every associate-level clinician (ACSW, AMFT, APCC) per California Board of Behavioral Sciences requirements.
Medical Director
California-licensed physician (CA medical license A152831, NPI 1255726485, CAQH 16086333). ASAM-trained. Oversees prescribing of buprenorphine, naltrexone, and Vivitrol, medical necessity determinations, and ambulatory withdrawal management protocols.
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Co-Founder
Co-Founder
Operators building the clinical and technology infrastructure behind Shift. All clinical care is directed and supervised by our Medical Director.
We are licensed in California. Patient testimonials, outcomes data, and peer-reviewed publications will be added here as those become available with consent. We will not invent them in the meantime.
Dated, verifiable, no inflated numbers. We do not publish patient counts because consent under 42 CFR Part 2 has not been collected for that purpose. Everything below is independently auditable on the public web.
Certification 191663AP, effective 04/15/2026 through 04/30/2028 for ASAM Outpatient (1.0), Intensive Outpatient (2.1), and ambulatory withdrawal management. Verifiable in the California DHCS provider directory.
One page per commercial carrier and union health fund we verify benefits against. Anthem, BCBS, Cigna, Aetna, UnitedHealthcare and UMR, Geisinger, FEHB, AFM Musicians, SAG-AFTRA, Taft-Hartley funds, and more. Each is a real artifact, not a doorway page.
The 4th edition is the current published standard. Shift was designed around it from the first intake, so every patient's level-of-care decision rests on the most recent ASAM placement framework rather than the legacy 2013 edition.
Substance use and co-occurring mental health, treated together, by one team, from home. Here’s how it works and who it’s for.
Individual and group therapy, medication-assisted treatment, family programming, and the documentation courts and employers ask for. ASAM 1.0 through 2.5-intensity and ambulatory withdrawal management, all telehealth.
See what we do How it worksCheck your benefits, a short clinical screen, then start: morning, afternoon, or evening cohort, weekdays, all via telehealth. Usually within a day or two. We step you up or down as you need.
See the process Who we serveFor yourself or a family member. For a clinician with a patient who needs IOP/PHP. For unions, funds, and employers whose members can’t take a 30-day leave. Pick the path that fits you.
See who we serve CoverageWe verify your benefits and tell you, in plain English, what you would owe before you commit. No surprise bills.
See coverageTreatment around your work, not instead of it. Job, housing, custody, pension hours, all preserved.
Most sessions are virtual, with in-person intensives in California when the level of structure calls for it. Works whether you’re home, on the road, wintering in another state, or away at school.
Substance use and mental health treated together, by the same team, not bounced between providers.
42 CFR Part 2 protects your records. Court-ready documentation when you need it, and only then.
Same-day benefit check. Next-business-day intake on most cases. We keep the gap between deciding and starting short.
We verify your benefits and tell you, in plain English, what you would owe before you commit. No surprise bills.
Recovery is more than abstinence. We work on sleep, nutrition, family relationships, work-life rhythm, and the parts of well-being that hold a person up when cravings come back.
We do not run on a fax machine. The clinical work is human. The plumbing around it is a modern platform.
Most programs make you wait three to five days. We pull benefits the same day, often inside an hour. You get a one-page plain-English estimate before you commit.
Schedule, attendance, secure messaging with your clinician, plan progress, MAT refill flow. Mobile-first. Built for the people who keep their phone in their pocket while they’re at work.
PHQ-9, GAD-7, AUDIT-C, and ASAM dimension scores tracked across the episode. Caseload-level views for outcomes review. Referring clinicians get a read-only view of their patient with written consent.
Attendance and clinical milestones at the level the third party is actually entitled to. No PHI bleed. The court gets enough to keep a person out of jail. The employer gets enough to keep them employed. The fund gets enough to keep them covered. Nothing more.
Most IOPs build a program that traps the patient inside it. Shift does the opposite. We get you back to a sustainable level of care, and we hand you to the right person to keep going.
If you had a community-based therapist before Shift, we coordinate your discharge with them, share the relevant clinical context with your written consent, and step you down to a cadence they can hold.
If you do not have a therapist, we hand-pick one. We know the in-network outpatient clinicians for your plan and your geography, and we warm-transfer with a clinical-to-clinical call. You do not get a list of names. You get a person who is expecting your call.
Once-a-week alumni groups continue at no cost for the first year after discharge. The wellness retreats in Ojai, Joshua Tree, and Big Sur are open to alumni at a sliding-scale rate. Recovery is not a finite project.
Quarterly weekend intensives in Ojai, Joshua Tree, and Big Sur for active patients and alumni. Somatic work, breathwork, recovery groups, real food, long sleep, and Sunday-night re-entry into the life you came in with.
Hot springs at the foot of the Topatopa Mountains. Citrus groves, oak canyons, slow mornings.
High desert. Granite, juniper, and a kind of quiet you can hear. Values and vision back at the surface.
Coastal redwoods on one side, the Pacific on the other. The only retreat with an optional Family Saturday.
Whether it’s for you, a family member, or a patient you’re referring, we verify the benefits, tell you the cost, and do a quick clinical screen to confirm the right level of care. No commitment until you decide.
If you or someone you’re with is in immediate danger, call or text 988 (the Suicide & Crisis Lifeline) or call 911. Shift Support Network is an outpatient program and is not an emergency service.