Service 01
Substance Use Case Management
Coordinated, compassionate case management for alcohol and drug use disorders, across every level of care, anywhere in the country.
Overview
About this service
Substance use case management is a clinical service in which a licensed clinician assesses an individual with a substance use disorder, builds a personalized treatment plan, and coordinates care across detox, residential, PHP, IOP, and outpatient programs nationwide.
Substance use disorders are rarely straightforward. They involve biology, history, relationships, trauma, and environment, all at once. Cookie-cutter treatment plans don't work for complex people, and our clients are complex people.
Our substance use case management begins with a thorough biopsychosocial assessment. We look at the full picture: what substances, what patterns, what co-occurring conditions, what family dynamics, what's been tried before and why it didn't work. From there, we build a care plan that actually fits.
We coordinate across every level of care: medical detox, residential treatment, partial hospitalization (PHP), intensive outpatient (IOP), and ongoing outpatient support. We stay involved throughout, adjusting the plan as your situation evolves and advocating for you when the system pushes back.
What to Expect
Our approach
Assessment
A comprehensive clinical evaluation covering substance use history, mental health, medical factors, social support, and prior treatment experiences.
Care Plan
A personalized, goal-oriented treatment plan built around your specific clinical needs, preferences, and life circumstances.
Placement & Coordination
We identify and place you in the right level of care, detox, residential, PHP, IOP, or outpatient, from our vetted national network.
Ongoing Support
We stay with you through treatment, monitoring progress, managing transitions, and adjusting the plan when life changes.
"Substance use disorders and psychosis are where our clinical roots run deepest. This is not a service we offer alongside other things. It's the foundation our practice was built on. Jack Foley, LMFT, brings both personal and professional experience to every case, and that combination is rare."— Jack Foley, LMFT · Founder, Holistic Solutions
Explore More
Related services
Mental Health
Expert coordination for depression, anxiety, trauma, PTSD, psychosis, and beyond, connecting you with clinicians who actually specialize in what you're facing.
Co-Occurring Disorders
Integrated care planning for individuals navigating both substance use and mental health challenges, addressed together, not separately.
Clinical Intervention Services
Interventions led by masters-level licensed clinicians, not just certified interventionists. When psychiatric complexity is part of the picture, clinical training isn't optional.
Frequently Asked Questions
Common questions, honest answers.
What is substance use case management?
Substance use case management is a clinical service where a licensed clinician assesses someone with a substance use disorder, builds a personalized care plan, and coordinates treatment across every level of care — detox, residential, PHP, IOP, and outpatient — adjusting the plan as the situation evolves.
How is a substance use case manager different from a therapist or sponsor?
A therapist provides clinical treatment in scheduled sessions. A sponsor provides peer support inside a 12-step framework. A case manager coordinates the entire system of care: assessing what is needed, placing the person in the right program, communicating with providers, and managing transitions. The case manager works above the providers, not in place of them.
Do you only work with people in active addiction, or also with families?
Both. Many of our cases begin with a family who does not know what to do. We assess the full clinical picture, advise on next steps, and remain involved through placement and aftercare. When the individual is not yet ready, we work with the family on strategy and, when appropriate, coordinate a clinical intervention.
Do you accept insurance for substance use case management?
Case management itself is typically a private-pay service. The treatment programs we coordinate (detox, residential, PHP, IOP) are often covered by insurance, and we handle verification and pre-authorization on your behalf as part of the coordination work.
Can substance use case management help with co-occurring mental health conditions?
Yes — co-occurring presentations are the norm in the cases we see. We coordinate substance use and mental health care as a single integrated plan rather than two parallel tracks. See our co-occurring disorders case management service for more detail.
Related Reading
From the blog
Clinical Insights
Marijuana and Psychosis: What Families Need to Know
One of the most common calls I receive from families: "He's been smoking weed heavily for years and now he's saying things that don't make sense. Could the marijuana be causing this?" The short answer is: possibly, yes. Here's what every family navigating this situation needs to understand.
Family Guidance
When a Loved One Refuses Treatment: What Families Can Actually Do
The call I receive most often isn't "we need help." It's "we need help, but he won't go." Refusal is the norm, not the exception. And it has evidence-based solutions most families have never heard of.
Clinical Insights
What Is a Clinical Intervention? A Clinician's Definition
A clinical intervention is a structured, clinician-led process designed to help a person with a substance use or mental health condition accept treatment. It is distinct from a family-led or reality-TV intervention in who runs it, what it can manage, and what comes next.
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.