Charles Carpenter, MD
Medical Director
California-licensed physician (CA medical license A83564, NPI 1457520462). Oversees medical necessity determinations and ambulatory withdrawal management protocols.
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Evening virtual IOP · California
Evening virtual IOP for mental health and substance use. Keep your job.
Group therapy by video, Monday to Friday, 5:30 to 8:30 PM Pacific. Optional in-person intensives in California. We check your benefits the same business day.
PPO plans only. No Medicaid or Medicare.
DHCS Cert 191663AP
Same-day benefit check
Next-business-day intake
42 CFR Part 2 confidential
Built for the people who most need this level of care, and can’t take a month off to get it.
The Shift model
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.
Video
Weekly care from home. In-person intensives optional.
15h
Group hours a week, Monday to Friday evenings
24h
From referral to intake on most cases
Same day
Verification of benefits
Clinical leadership
Built and run by clinicians whose licenses you can verify.
California-certified program, physician-led, with records protected under federal law.
DHCS Certification
191663AP
California Department of Health Care Services SUD treatment certification.
42 CFR Part 2
Confidential
Federal law protects substance use treatment records. Nothing goes to your employer without your written consent.
Standards
Full list
Accreditation, ASAM Criteria, parity and HIPAA details, with the record behind each one.
Start here
Everything you need to know, one page at a time.
Substance use and co-occurring mental health, treated together, by one team, from home. Here’s how it works and who it’s for.
What we do
The program, the levels of care, what we treat
Individual and group therapy, family programming, and the documentation courts and employers ask for. ASAM 1.0 through 2.5-intensity and ambulatory withdrawal management, mostly by video.
See what we do How it worksFrom “I think I need help” to your first session
Check your benefits, a short clinical screen, then start: group sessions five evenings a week, by video. Usually within a day or two. We step you up or down as you need.
See the process Who we serveFor patients, clinicians, and the plans that cover them
For 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 CoveragePlain English on what it costs
We verify your benefits and tell you, in plain English, what you would owe before you commit. No surprise bills.
See coverage
Your first week
From first call to first group, usually within a day or two.
Check coverage
Send the carrier on your card. We read your plan the same business day.
Short call
A clinical screen confirms the right level of care and your start date.
Cost in writing
A one-page estimate of what you would owe, before you commit.
First group
5:30 to 8:30 PM Pacific, by video. Next business day on most cases.
What it costs
You see the number before you start.
Out of network with commercial PPO plans. We call your plan, read your out-of-network benefit, and send the estimate in writing.
Questions
What people ask first.
What is Shift?
Shift Support Network, often just called Shift, is an evening intensive outpatient program (IOP) for substance use and mental health counseling. It is outpatient rehab you attend from home, with optional in-person intensives in California.
Can I keep working?
Yes. Groups run in the evening, Monday to Friday, 5:30 to 8:30 PM Pacific.
Will my employer find out?
No. 42 CFR Part 2 protects substance use treatment records. We share nothing with an employer, court or union without your written consent, and then only what you sign for.
How much will I pay?
It depends on your plan's out-of-network benefit. We check it the same business day and send you the estimate in writing before your first session.
Do you take Medi-Cal or Medicare?
Not today. The program bills commercial PPO plans and union health funds. If you have Medi-Cal, your county behavioral health line can place you.
Is it all by video?
Weekly care is by secure video from home. In-person intensives in California are optional.
Why people choose Shift
Built for working adults and their families who can’t disappear for a month.
Keep your life intact
Treatment around your work, not instead of it. Job, housing, custody, pension hours, all preserved.
Virtual by default
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.
Dual diagnosis, one roof
Substance use and mental health treated together, by the same team, not bounced between providers.
Confidential
42 CFR Part 2 protects your records. Court-ready documentation when you need it, and only then.
Fast
Same-day benefit check. Next-business-day intake on most cases. We keep the gap between deciding and starting short.
Honest about cost
We verify your benefits and tell you, in plain English, what you would owe before you commit. No surprise bills.
Care for the whole person
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.
Built like software
An IOP designed in this decade.
We do not run on a fax machine. The clinical work is human. The plumbing around it is a modern platform.
Real-time benefits verification
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.
Patient portal
Schedule, attendance, secure messaging with your clinician, plan progress. Mobile-first. Built for the people who keep their phone in their pocket while they’re at work.
Clinician and case-manager dashboards
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.
Court, employer, and union readouts
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.
After Shift
Treatment ends. Recovery does not.
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.
Back to your therapist
Continuity with the clinician you already have
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.
Warm referral
Fit-matched outpatient referral
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.
Alumni
Groups and quarterly retreats
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.
Get started. It takes about two minutes.
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.