Substance Use · Opioids
Opioid Addiction Case Management
Licensed clinicians coordinating detox, medication-assisted treatment, residential care, and long-term recovery for opioid use disorder. Nationwide.
Overview
Clinical case management for opioid use disorder
Opioid use disorder — whether involving prescription painkillers, heroin, or fentanyl — carries some of the highest medical risk of any substance use condition. Overdose is an ever-present danger. Detox requires careful medical management. And the treatment landscape includes options that many families have never navigated before, including medication-assisted treatment (MAT).
A licensed case manager brings clinical expertise to every decision point. We assess the full picture — substance use severity, medical history, co-occurring conditions, prior treatment — and build a care plan that addresses the complexity. We coordinate medically supervised detox, evaluate MAT options when appropriate, place clients at programs equipped for opioid use disorder, and manage every transition through long-term recovery.
The opioid crisis has reshaped the treatment landscape. Fentanyl has changed the clinical calculus around detox. MAT has become a critical evidence-based option that not all providers understand or support equally. Navigating these realities requires a case manager with clinical depth — not just a referral service.
Call us. (702) 494-7641. All inquiries are confidential. If someone is in immediate medical danger, call 911.
The Process
How we manage opioid addiction cases
Clinical Assessment
A comprehensive evaluation of opioid use history, substance type (prescription, heroin, fentanyl), medical status, overdose history, co-occurring conditions, and prior treatment. This drives the entire care plan.
Medical Detox Coordination
Opioid withdrawal requires medical supervision — especially with fentanyl. We coordinate placement at detox facilities experienced with opioid protocols and plan the transition to the next level of care.
Treatment & MAT Coordination
Placement at residential or outpatient programs equipped for opioid use disorder. When medication-assisted treatment is clinically appropriate, we coordinate with prescribing providers and integrate MAT into the overall care plan.
Recovery Coordination
Ongoing case management through step-downs, sober living, outpatient support, and long-term recovery. Opioid recovery often involves a longer stabilization timeline — we stay involved throughout.
“The opioid landscape has changed dramatically. Fentanyl has raised the stakes on every clinical decision. Families need a case manager who understands the current reality — not one working from an outdated playbook.”— Jack Foley, LMFT · Founder, Holistic Solutions
Related Services
When opioid use is part of a larger picture
Opioid use disorder frequently co-occurs with depression, anxiety, PTSD, and chronic pain conditions. Our co-occurring disorders case management ensures both conditions are treated together. For polysubstance use, see our broader substance use case management page.
When a loved one is refusing help, our clinical intervention services can help. We also provide local support in Los Angeles and New York City.
Frequently Asked Questions
Common questions, honest answers.
What does an opioid addiction case manager do?
An opioid addiction case manager coordinates the full continuum of care — from clinical assessment and medically assisted detox through residential treatment, medication-assisted treatment (MAT), step-down programs, and long-term recovery support. They manage treatment placement, provider coordination, care transitions, and family communication.
Do you coordinate medication-assisted treatment (MAT)?
Yes. Medication-assisted treatment — including buprenorphine (Suboxone), methadone, and naltrexone (Vivitrol) — is an evidence-based approach for opioid use disorder. We coordinate MAT as part of a comprehensive treatment plan, connecting clients with prescribing providers and monitoring the overall care trajectory.
Can you help with fentanyl addiction?
Yes. Fentanyl use disorder presents unique clinical challenges — higher tolerance thresholds, more complex detox protocols, and elevated overdose risk. We work with detox facilities and treatment programs that have specific experience managing fentanyl withdrawal and treatment.
What if my loved one has overdosed before?
A history of overdose signals elevated risk and urgency. Our clinical assessment accounts for overdose history, and we prioritize placement at programs with appropriate medical oversight. If your loved one is currently in medical crisis, call 911 immediately.
Is opioid addiction case management covered by insurance?
Holistic Solutions operates on a private-pay basis. This allows us to remain fully independent — we are not beholden to any treatment center or insurance company. Our recommendations are based solely on what is clinically appropriate for your situation.
Get Started
Reach out. We'll take it from here.
All inquiries are confidential. A member of our team will respond within one business day, wherever you are in the US.