Treatment a member can finish without taking thirty days off.

For health and welfare fund administrators, member assistance programs, HR and benefits leaders. Structured clinical care in the morning, the afternoon or the evening, by video, so a member keeps the shift and the paycheck.

You point the member at us. We carry the benefit check, the assessment, the authorization and the paperwork.

AM, PM and evening cohorts around a working schedule
Out-of-network benefit check before anyone commits
Union health funds, Taft-Hartley trusts and self-funded employer plans
No member is identified back to the employer or the fund
100 percent telehealth, California

Send a referral Call (646) 275-2111

Triage

Who to send to Shift.

Mental health

Lower level of care

Weekly therapy holds it

Symptoms respond to a weekly appointment, and work, safety and home life are intact.

Shift virtual IOP

Three to five hours a day, from home

An adult in California, stable enough to be treated at home, who needs more than one hour a week:

Symptoms a weekly appointment is no longer holding
Stepping down from inpatient or a partial hospitalization program
Anxiety, depression or trauma alongside a substance use concern
Cannot step out of work, school or caregiving for weeks

Higher level of care

Not us

Acute risk of harm to self or others, psychiatric instability, or anyone who needs twenty-four hour supervision.

Substance use

Lower level of care

Outpatient is enough

Occasional use that is not affecting work, safety or home life.

Shift virtual IOP

Structured care without a building

An adult in California with a private space to be treated from:

Use that is affecting daily life
Transitioning from withdrawal management or residential care back home
A substance use concern alongside a mental health condition
A job, a family or a court schedule that a thirty-day absence would break

Higher level of care

Not us

Medically managed withdrawal, twenty-four hour supervision for physical dependence, or medical instability.

If someone is in crisis, call or text 988, the Suicide and Crisis Lifeline. Call 911 if there is immediate danger. Shift is an outpatient program and is not an emergency service.

What comes back to you

What we handle.

Benefit check against your plan

We read the fund or plan document out of network and tell the member what they would owe before the first appointment.

Scheduling around the shift

Cohorts run morning, afternoon and evening. Members who work nights get the daytime cohort.

Work notes and coordination

Case management handles documentation the member needs for work, leave or a return-to-duty process.

Confidentiality by default

No member is named back to the employer, the fund or a union officer. Substance use records move only under 42 CFR Part 2 consent.

Eligibility questions answered once

Send us the plan and we will tell you what it covers for intensive outpatient out of network, in writing.

An honest no

If the member needs a level of care we do not provide, we say so and point them somewhere that does.

No payment, in either direction. We do not pay for referrals and we do not accept payment for them. No fee, no commission, no gift, no marketing stipend, no space rental, no free staffing. That is 18 U.S.C. 220 and California Health and Safety Code 11831.6, and it is also how we would run this anyway.

Send a referral.

Two minutes on the referrer form, or call and we take it over the phone. A clinician calls you back the same business day.

Referrer form Call (646) 275-2111