For treatment centers and referral partners
When discharge needs someone to hold the whole picture.
Core Values Recovery coordinates long-term recovery for families leaving treatment without an existing independent case manager. We connect the client, family, providers, accountability, and next steps—without disrupting the relationships that got them to treatment.
Referral fit
Call us when the plan has many participants—but no owner.
The clearest fit is a complex discharge without an independent professional responsible for continuity after treatment.
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The client is leaving treatment without an engaged independent case manager or interventionist responsible for aftercare.
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Several providers and family members need one person to hold the full picture.
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The family needs support without becoming the coordinator, monitor, and crisis team.
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Accountability or monitoring needs to connect to coaching and an agreed response plan.
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Repeated treatment episodes or a complex transition make a routine discharge handoff insufficient.
The handoff
What happens after you make the introduction.
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01
Determine fit
We speak with the referring professional and family before anyone promises a service. If another professional already owns continuity, we clarify collaboration or stay out of the way.
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02
Define the handoff
With appropriate consent, we identify roles, providers, priorities, warning signs, family responsibilities, and the communication path.
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03
Coordinate real life
We help the client and family execute the plan between appointments—connecting coaching, providers, routines, monitoring, and practical decisions.
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04
Respond when the plan changes
We address emerging problems directly and help coordinate a return to the appropriate level of care when community-based support is no longer enough.
What we coordinate
Continuity is more than a list of appointments.
A discharge plan becomes useful only when someone can help it survive work, family tension, changing motivation, missed appointments, warning signs, and the ordinary unpredictability of early recovery.
- Care coordinationProviders, appointments, roles, and decisions.
- Recovery coachingDaily-life execution between formal sessions.
- Family supportUseful involvement without making the family the case manager.
- AccountabilityMonitoring connected to conversation and a response path.
- TransitionsMovement between levels of care and back to treatment when needed.
Professional education
The First 90 Days After Treatment
A practical staff session on five signs a discharge plan is unraveling—and how to create a cleaner handoff before the client leaves.
- Designed for continuing-care, clinical, family, alumni, and outreach teams.
- Available virtually for treatment-center staff.
- Educational and useful whether or not we develop a referral relationship.
Start with a professional conversation
A referral is not required.
Ask about fit, invite us to teach your team, or compare notes about the gap after discharge. We will tell you directly where we can help and where we should not be involved.
Please do not include client names, diagnoses, or clinical details in this form.