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PHP · IOP · Outpatient · Sober Living

Step-Down Care in Los Angeles, CA

Step-down care is the planned move from a more intensive level of treatment to a less intensive one, usually from residential treatment into a partial hospitalization program, then intensive outpatient, then outpatient. Your plan is drafted the day you arrive.

Living room of a New Spirit Recovery residential home, where step-down planning begins
★★★★★

“New Spirit Recovery helped me when I was detoxing hard for about a week. The staff were kind to me the whole time. When I thought about leaving early, they helped me slow down and choose recovery instead. By discharge I was grateful I stayed — they even set up appointments for my leg issues, and I’m doing better now.”

PebblesVerified
Group space where case managers build discharge and aftercare plans
★★★★★

“New Spirit Recovery has changed my whole life drastically — they gave me a second chance to rewire my life and live a new one. The staff is caring and genuine, and the director and operations director guided me through the program and gave me every opportunity to be a better person. They set me up for success and I can’t thank them enough for saving my life.”

Naudy G.Verified
A private bedroom at a New Spirit Recovery residential home
★★★★★

“New Spirit Recovery was beneficial to my recovery. Here I learned tools to help me manage my emotions safely — journaling and breathing have been amazing tools I picked up while here. All the staff were incredible and patient. I am grateful to have come here and actually use the tools suggested.”

Nicholas W.Verified
Communal dining area at a New Spirit Recovery residential home
★★★★★

“This program teaches you how to set realistic goals and become a better version of yourself, with all the tools to start building a new foundation. The therapist and case manager give each client an individualized, tailor-made treatment plan. Serene surroundings, a private chef, daily groups, and weekend outings. If you’re looking for a way out of addiction, give New Spirit Recovery a call.”

Lior L.Verified
Outdoor grounds of a New Spirit Recovery residential home
★★★★★

“The staff is amazing. I was completely unable to detox on my own and find the right path. The food and facilities were amazing — and I found my way again. My mom and I go to church together again now. Thank you all so much.”

Rachel S.Verified

Aftercare planning starts at intake · local placement preferred where possible

California DHCS licensed and certified
California DHCS Licensed & Certified
Joint Commission accredited organization
Joint Commission Accredited
LegitScript certified
LegitScript Certified
CCAPP certified
CCAPP Certified
Addiction Programs & Professionals
CLIA certified laboratory
CLIA Certified Lab
Clinical Laboratory Improvement Amendments

Intake to alumni

What does step down mean in healthcare?

In healthcare, stepping down means moving a patient to a less intensive level of care as they stabilise. In a hospital that describes a step-down unit between intensive care and a general ward. In addiction treatment it describes the planned route out of residential care.

IntakeDay one

Your discharge plan is written before treatment starts

Discharge planning begins at intake, not at discharge. On day one your case manager establishes a trajectory and a timeline: where you are going after medical detox and residential treatment, what level of care follows, and what has to be true for you to get there.

The plan is multidisciplinary and it covers more than clinical hours. Court dates, probation reporting, FMLA and short-term disability paperwork, custody arrangements and family involvement all sit inside it, because those are the things that pull people out of aftercare.

Level-of-care trajectoryTimelineFMLA paperworkLegal coordinationFamily involvement
PHPPartial hospitalization

The most structured step outside residential care

A partial hospitalization program is the highest intensity of outpatient care. You attend clinical programming most of the day, most days of the week, then sleep somewhere else. That somewhere else is usually sober living, and we coordinate the placement alongside the program itself.

PHP suits the person who is done with residential treatment clinically but would not survive an unstructured week yet. It keeps the day full while handing back the evening.

ASAM Level 2.5Most of the daySober living coordinationMedication management
IOPIntensive outpatient

Treatment that fits around a job

An intensive outpatient program runs several sessions a week, usually in the evening, so you can work or study during the day. This is where recovery stops being a place you live and becomes a thing you schedule, which is the actual test of whether the skills transferred.

Group work continues, individual therapy continues, and medication management continues where medication-assisted treatment is part of your plan. Co-occurring conditions stay in scope throughout, the same way they do in dual diagnosis treatment.

ASAM Level 2.1Several sessions weeklyEvening optionsWork compatible
OPOutpatient

The final level of continuing care

Standard outpatient care is the last formal rung: scheduled clinical contact at a frequency that fits an ordinary life. Most people taper here rather than stop abruptly, because the month after treatment formally ends is when relapse risk climbs and a standing appointment is worth more than good intentions.

ASAM Level 1Scheduled contactRelapse prevention

How this actually works

We plan it, then we place you

01

The plan is built by the team that treated you

Your clinical director, therapist and case manager write the step-down plan from what they saw over 35 days, not from a discharge template. They know which triggers are still live.

02

We coordinate PHP, IOP and outpatient care, we don’t run it

Detox and residential treatment happen at our own licensed homes. Step-down care is delivered by vetted partner programs from a nationwide network, and we arrange the placement, share your records with your consent, and stay involved. Keeping you local is preferred where possible.

03

Home state, if home is where you need to be

Clients come to us from across the country. If your job, family or custody arrangement is in another state, we coordinate the referral there instead of pretending California is the only option.

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Three levels, one direction

What is the difference between PHP, IOP, and outpatient care?

The difference is hours per week and where you sleep. PHP is the most intensive outpatient level, IOP is the mid level, and OP is the lightest. All three are outpatient: you live at home or in sober living rather than at the treatment site.

Hour bands are the ASAM Criteria definitions of each level. A clinical assessment and the partner program set your actual schedule.
Level of care Typical intensity Where you sleep Best when
Residential Treatment 6 programming hours daily, 7 days a week At our licensed home You need the whole day structured
PHPThis page ASAM Level 2.5, 20 or more hours weekly Sober living or home Clinically ready to leave, not ready for free time
IOPThis page ASAM Level 2.1, 9 to 19 hours weekly Sober living or home Returning to work or study
OutpatientThis page ASAM Level 1, under 9 hours weekly Home Stable, tapering formal care

Nobody moves down a level because a calendar says so. Each step is a clinical decision, and stepping back up is a normal part of a working plan rather than a failure.

Where it starts

The Los Angeles home you step down from

Step-down care is the second half of a story that begins in a house. Our licensed residences sit in Tarzana, Northridge and Encino, and this is where your case manager builds the plan that follows you out the door.

Your outpatient programming itself happens at a vetted partner program near where you will be living, not at these addresses. What carries over is the plan, the records, and the people who wrote them.

See how admissions and planning work
Tour our Tarzana home

Small enough to know your name

The clinical team behind your care

Every property operates under unified clinical leadership with shared protocols, staffing models, and treatment approaches.
Erica Spiegelman, Co-Founder of New Spirit Recovery

Erica Spiegelman

Co-Founder

Author and recovery specialist. Created the Rewired curriculum, ten modules that run here and nowhere else.

Read full bio
Sean O’Neill, Clinical Director at New Spirit Recovery

Sean O’Neill, LMFT

Clinical Director

Licensed since 2018, dual mental-health and substance-use background. Oversees clinical programming across all properties. Twenty-four years in recovery himself.

Read full bio
Cynthia Prieto, Director of Nursing at New Spirit Recovery

Cynthia Prieto, LVN

Director of Nursing

A Licensed Vocational Nurse since 2020 with extensive behavioral health and substance use experience across detox and residential settings

Read full bio
Dr. Patrick Lockwood, Licensed Clinical Psychologist

Dr. Patrick Lockwood

Clinical Psychologist

Clinical supervisor and a professor at California Lutheran University. Works across sites on crisis management and treatment planning.

Read full bio
David Ressler, Program Director at New Spirit Recovery

David Ressler

Program Director

Directs day-to-day operations and client care. Seven-plus years in the industry, five in management.

Read full bio
Jesse Thorpe, Operations Director at New Spirit Recovery

Jesse Thorpe

Operations Director

Handles the logistics that make admission possible, including travel and transport from LAX or Burbank.

Read full bio

The question everyone asks first

Does insurance cover step-down care in Los Angeles?

Most PPO plans cover PHP, IOP and outpatient care when it is medically necessary, often at a lower cost to you than residential treatment because the hours are fewer. Your benefits, deductible, copay and coinsurance set the number.

Because step-down programming is delivered by a partner, that program bills your plan directly. We verify your benefits before we place you, so you find out what it costs before you commit rather than after the first session.

We accept all standard private insurance and hold a VACCN and TriWest contract for veterans. We do not accept Medicaid, Medi-Cal or Medicare. Cash pay is available. Every level of care at our recovery center in Los Angeles starts with the same free benefits check.

What we’ll tell you on the call

  • Whether your plan is active, and what type it is
  • What it covers at PHP, IOP and outpatient levels
  • Whether sober living is covered, and what it costs if not
  • If we’re not the right fit, who is

More detail on insurance verification and the admissions process. Veterans: mention your VACCN or TriWest coverage when you call.

4.8 average on Google

New Spirit Recovery reviews

Reviews published by clients and families on Google, where our average is 4.8 out of 5.

“New Spirit recovery has changed my whole life drastically they have given me a second chance to rewire my life and live a new one , the staff is very caring and genuine, the director and the operations director has guided me through this program and given me every opportunity……”

Naudy GalVerified

“Amazing place 😸 I never knew what it is to be happy until this year. The owners got me out of this scary psych ward in NYC. I yelled, threw soda La'croix cans in the kitchen and blah blah blah… So grateful to everyone here and this amazing experience. Love……”

Genghis LernerVerified

“They let me bring my dog amd helped me process what ive been going through. Staff is awesome and the houses are beautiful. The groups and therapist really help….”

Frances oliverVerified

“I love everyone at new spirit they have been a tremendous help and inspiration in my life they provide quality experiences and care thank you to all the staff at new spirit…”

Patrick NovinskiVerified

“I highly recommend New Spirit to anyone who wants to get clean. I found the whole staff caring and supporting, and invested in my recovery…”

DebbieVerified

“New spirit recovery helped me when I was detoxing hard for about a week. The staff were kind to me the whole time. After that, when I was thinking about leaving early, they helped me slow down and choose recovery instead. They made me feel better about myself and kept……”

PebblesVerified

“Without a doubt The Best treatment facility in Los Angeles. This program will teach you how to set realistic goals and become a better version of yourself. You will be given all of the tools necessary to help you start building a new foundation for your life. At New Spirit……”

Lior LevyVerified

“I cannot express enough gratitude for the incredible experience I had at New Spirit Recovery. From the moment I arrived, I was welcomed by a compassionate and professional team who truly care about each individual's journey. The environment is warm and inviting, making it feel like home while providing the……”

Trish NailsVerified

“A close friend of mine recently finished their stay at New Spirit Recovery, and seeing their transformation has been incredible. Before coming here, they were struggling in ways that were hard to watch, but after completing the program, they’re like a completely new person — clear-headed, hopeful, and genuinely excited……”

Alexander TateVerified

These are unpaid reviews posted publicly on Google by individual clients and families. They describe those people’s own experiences, which vary; they are not a promise of any particular outcome, and no one was compensated for them.

Where we place people

Serving Encino, Tarzana, Northridge & the San Fernando Valley

Our homes are in the Valley, and we prefer to place you at a partner program close to them so the handover is short and you keep your meetings and your people. If home is another state, we coordinate there instead.

EncinoTarzanaNorthridgeSherman OaksWoodland HillsVan NuysStudio CityResedaCalabasasBurbankGlendaleGreater Los AngelesNationwide referrals

Common questions

Step-down care FAQ

Step-down care is the planned transition from a more intensive level of treatment to a less intensive one as you stabilise. In addiction treatment that means moving from residential care into a partial hospitalization program, then intensive outpatient, then outpatient.

It means reducing the intensity of care to match clinical progress, rather than ending care. The direction is deliberate and documented. Each reduction follows an assessment, and moving back up a level when symptoms return is part of the plan working.

Not in addiction treatment. In a hospital, a step-down unit sits between intensive care and a general ward and is a form of acute medical care. In behavioral health, step-down care means outpatient programming after residential treatment. Same phrase, different level of care.

It is the written plan for what happens after residential treatment: which level of care comes next, on what timeline, at which program, plus the practical pieces like sober living, FMLA paperwork and court obligations. Yours is drafted at intake and revised as you progress.

No. We deliver medical detox and residential treatment at our own licensed homes. PHP, IOP and outpatient care are delivered by vetted partner programs from a nationwide network, and we arrange the placement, transfer your records with your consent, and stay involved through the handover.

Most major PPO plans cover PHP, IOP and outpatient care when it is medically necessary, often at lower cost than residential treatment. We verify your benefits free before placing you. We do not accept Medicaid, Medi-Cal or Medicare; cash pay is available.

There is no fixed length. PHP and IOP run for weeks to months depending on clinical need and what your plan authorises, and outpatient care tapers from there. Alumni support has no end date.

Sober living is substance-free housing with rules and accountability but no clinical programming. It commonly pairs with PHP and IOP, giving you a stable place to sleep while you attend treatment during the day. We coordinate the housing alongside the program.

Yes. We accept clients from across the United States and refer into a nationwide network of PHP, IOP and outpatient providers. Keeping you near our homes is preferred where it works, but if your job, family or court obligations are elsewhere, we coordinate there.

Because residential treatment alone rarely holds. Relapse risk is highest in the weeks after structure disappears, which is precisely when step-down care exists to keep clinical contact, medication management and accountability in place while ordinary life restarts.

Plan your step-down care in Los Angeles

Ten minutes, a few questions, and a real answer about your coverage. Someone picks up at any hour, including this one.

Call Now: (855) 932-2725