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Concierge intensive outpatientWhen IOP needs to fit a life that won’t pause.
Virtual intensive outpatient treatment for substance use and co-occurring mental health, built for executives, talent, fund principals, founders, and other professionals whose schedules and confidentiality requirements rule out a residential stay. Out-of-network with all commercial carriers. Private pay accepted.
Why a virtual program fits a working principal’s life better than a 30-day stay.
What you keep
- Your work, your phone, your calendar, your family. Sessions run in cohorts that respect a working day.
- Your privacy. No facility footprint, no patient transport, no waiting room, no roommate, no admission photo.
- Your geography. Care is delivered to wherever you are in California, on encrypted video.
What changes
- Nine to twelve clinical hours per week for IOP, three to five for OP, with weekly individual sessions on top.
- Medication management with our Medical Director when clinically indicated.
- A defined cadence with measurable milestones rather than an open-ended commitment.
Two layers of legal protection, not one.
For most medical care, HIPAA is the privacy floor. For substance use treatment records, federal law adds a second, stricter layer.
HIPAA
Standard health-information privacy. Records are protected. Access is logged. Disclosure requires authorization, with narrow regulated exceptions.
42 CFR Part 2
The federal regulation specific to substance use treatment records. Stricter than HIPAA. Records cannot be disclosed to employers, attorneys, or insurers without a specific signed authorization. Court-issued subpoenas are not enough on their own. Re-disclosure is restricted.
No third-party employer, board, family member, or counterparty learns you are in care unless you sign a specific release naming that party. We can hold a standing release for a single trusted attorney or family member if you want a designated point of contact, with the scope and revocation terms you set.
An evening cohort that does not collide with a working day.
Group programming runs in morning, afternoon, and evening tracks. The evening cohort is built for people whose work day ends past five. Group sessions sit after standard market and production hours. Individual sessions are scheduled around your calendar.
Three to four evenings per week
Two to three hours per session of clinical group programming, plus weekly individual therapy and weekly medical follow-up when indicated. Typical course is eight to twelve weeks for IOP, longer for OP step-down.
How it works Individual frequencyWeekly therapy and medical sessions
One scheduled hour per week with your primary therapist and a separate scheduled hour with the Medical Director when medication management is part of the plan. Additional sessions added when clinically indicated, not as an upcharge.
How it works Travel-tolerantCare that follows your calendar in California
Sessions are encrypted video. When you are inside California you can attend from a hotel, a rental, a guest house, or a private office. We coordinate with a private clinician in your destination when you travel outside the state and need continuity.
How it worksThe same clinical model. Higher frequency where it counts.
The program is built around individual therapy, small evidence-based groups, and physician-led medication management. The concierge variant is not a lighter program; it is the same clinical structure with more individual contact and a tighter coordination loop.
Therapeutic approach
- Motivational interviewing, cognitive-behavioral therapy, dialectical-behavior-therapy-informed skills, relapse-prevention work.
- Trauma-informed throughout, with adjunctive trauma-focused work when it is clinically indicated and you are ready.
- Co-occurring mental health treatment as part of the same plan, not a separate referral.
Medication management
- Buprenorphine, naltrexone, and Vivitrol for opioid and alcohol use disorder when clinically appropriate.
- Co-occurring pharmacotherapy under the same physician, no fragmented prescribing.
- Ambulatory withdrawal management for low-risk withdrawal, in our outpatient setting, when ASAM criteria support it.
A direct line to the clinical team outside of session hours.
Enrolled concierge patients receive a 24/7 clinical access number for urgent clinical questions, medication issues, and acute distress. This is a clinician line, not a sales line. It is not a substitute for 911 or 988; if you are in immediate danger, call those first.
The honest version.
Shift Support Network is out-of-network with every commercial carrier today. For concierge patients, cost-share is usually not the limiting factor and many choose private pay for the cleaner disclosure trail it leaves. For patients who do want to use insurance, we run a full benefit check, file claims as an out-of-network provider, and pursue single-case agreements when the standard out-of-network allowance is not workable. We will give you the dollar number before you commit.
No promises about reimbursement. Plans differ. We tell you what your plan does, in writing, before your first session.
What we are not.
A short list, because clarity is more useful than marketing.
Not a residential or detox facility
We do not provide a bed. If acute medical detox or 24-hour residential is the clinically right answer, we say so and help you find the right setting. Many patients step down to us from residential.
Not an emergency service
If you or someone with you is in immediate danger, call 911 or call or text 988. Our clinical line is for non-emergency urgent issues during and outside session hours.
A 20-minute call with Dr. Raphael, our Medical Director.
A confidential clinical conversation. You describe the situation, he tells you whether virtual IOP is the right level of care, and you decide how to move forward. No commitment. No paperwork. Your name does not go anywhere outside our system unless you say so.
If you or someone you are 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.
Routes to the same intake.
Two-minute confidential form
Send your name, a number, and a few details. Someone from admissions follows up, usually the same business day. The form itself does not solicit medical history.
Open the form CoverageHow insurance and private pay work with Shift
The out-of-network primer, single-case-agreement explainer, and the question to ask your carrier when you want a clear answer before admission.
Read coverage Plan lookupTwo-minute carrier and plan check
Tell us your carrier and your employer or plan name. We return a plain-language summary of what your out-of-network benefit tier usually looks like. The final number still comes from a benefit verification call before admission.
Open the lookup