Now accepting referrals, DHCS Cert 191663AP, eff. April 2026

The virtual outpatient SUD program built for the people who can't take 30 days off.

Virtual Intensive Outpatient (ASAM 2.1), Outpatient (1.0), and ambulatory withdrawal management for adults with alcohol or drug use disorder. PHP-intensity (2.5) hour expansion is available case-by-case under payer authorization. Members keep their job, their home, and their family. We keep the clinical intensity.

Refer a member Press inquiries Schedule a 20-min call Talk to admissions

DHCS-licensed (CA Cert 191663AP)

42 CFR Part 2 protected

Credentialing in process, SCAs available

Medical Director: Oren S. Raphael, MD

Why now

The gap between who needs SUD care and who can actually access it.

48.5M

U.S. adults with a past-year substance use disorder.

SAMHSA, 2023 NSDUH¹

~75%

Of adults with SUD who did not receive any treatment in the past year.

SAMHSA, 2023 NSDUH²

105,007

U.S. drug overdose deaths in the most recent 12-month CDC reporting window.

CDC NCHS Vital Statistics³

Residential treatment exists. It works. Most adults with commercial insurance and a job will not use it. We built the program for that reality.

How it works

Three steps from referral to first IOP cohort.

No call trees. No three-week wait. No facility tour.

Refer or call direct

A clinician, family member, EAP, drug court coordinator, or the member themselves reaches us by phone or secure form. Same business day.

VOB & ASAM assessment

We verify commercial benefits and complete an ASAM Criteria 4th edition assessment by phone or video. The member knows what care is available and what it will cost before saying yes.

Start IOP from home

Cohort placement aligned to clinical need and schedule. Outpatient (1.0), Intensive Outpatient (2.1), ambulatory withdrawal management, or PHP-intensity (2.5) hour expansion case-by-case under payer authorization.

Who it's for

Adults with jobs, families, mortgages, and real reasons they can't disappear.

If 30 days away from life is the price of getting sober, most of these people will choose not getting sober.

Working professionals

Sales, ops, finance, healthcare, tech. People with deliverables on Monday and a problem they've been managing alone.

Union members

Trades, transit, longshore, public sector. Plans usually run through one of the major carriers we work with.

Parents

People who can't farm out a 30-day gap to anyone else. Evening and morning cohorts so school pickup still happens.

First responders

Fire, EMS, law enforcement, dispatch. Confidential intake, no chief notification, 42 CFR Part 2 protected.

What we're not

A clear list of what Shift doesn't do.

If a member needs one of these, we'll say so, and we'll help find it.

Not a residential program

We do not operate a 30-day, 60-day, or 90-day live-in facility. No beds. No campus.

Not inpatient detox

We do not provide medically managed withdrawal (ASAM 3.7-WM or 4-WM). For high-acuity withdrawal, we refer.

Not a coaching app

This is a DHCS-licensed clinical program with licensed clinicians, ASAM-criteria assessments, and physician oversight by Dr. Oren S. Raphael.

Not Hazelden, not Betty Ford, not Promises

The legacy residential brands have a place. It's not the same place as ours. We don't compete with the campus model, we treat the people who'd never set foot on one.

How we measure

Process metrics we can defend today. Outcome data published as the cohort matures.

Most SUD providers cite outcome percentages they can't reproduce. We're starting with the metrics any payer or partner can verify.

Process metric

Show rate

Percentage of admitted members who attend their first scheduled cohort. Reported monthly by segment.

Process metric

Completion rate

Percentage of members who complete the clinically authorized course of IOP without disenrollment. Reported by ASAM level of care.

Validated instrument

PHQ-9 / GAD-7 movement

Pre and post scores on validated mental health instruments administered at intake and discharge. Reported in aggregate.

What we don't claim: We do not publish "sobriety success rate," "X% remain sober at one year," or any outcome percentage that requires a control group, an active follow-up cohort, or a published methodology we have not yet produced. As cohorts mature, we will publish methodology before publishing results.

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Press contact: admin@shiftsupportnetwork.com · (805) 815-6777

Get in touch

One door. Three audiences.

Refer a member

For clinicians, EAPs, drug courts, sober living operators, peer support, and family members. We respond same business day.

Email a referral

Press inquiries

For reporters, podcast producers, and conference organizers. We can offer Cainan Oliver (CEO) or Oren S. Raphael, MD (Medical Director) for interviews on virtual outpatient SUD, partnership models without referral fees, and ASAM 4th edition implementation.

Email press desk

Talk to admissions

For prospective members or family members. Live answer during business hours; voicemail returned within one business hour.

(805) 815-6777

Shift Support Network is the d/b/a of Vanguard Labs LLC, licensed by the California Department of Health Care Services (DHCS Cert 191663AP, effective 04/15/2026 – 04/30/2028) for ASAM Outpatient (1.0), Intensive Outpatient (2.1), and ambulatory withdrawal management. PHP-intensity (2.5) is delivered case-by-case via authorized hour expansion under California BHIN 24-001. Medical Director: Oren S. Raphael, MD. 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 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; coverage verification is not a guarantee of payment.

DHCS Cert 191663AP HIPAA 42 CFR Part 2 LegitScript pending

SAMHSA NSDUH 2023: 48.5M U.S. adults aged 18+ met DSM-5 criteria for past-year SUD. samhsa.gov/data/release/2023-nsduh
SAMHSA NSDUH 2023: Of adults with past-year SUD, approximately three in four did not receive substance use treatment.
CDC NCHS Vital Statistics Rapid Release: 12-month rolling overdose death count, most recent provisional period. cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm