What Is Concierge Recovery Medicine?
A private model of addiction and recovery care is only useful when its limits are as clear as its promise.
This page is educational only and does not replace individualized medical advice, diagnosis, or treatment. Ratush Recovery is not an emergency service or crisis line. If there is immediate danger or a medical emergency, call 911 or go to the nearest emergency department. For mental health or substance-use crisis support, call or text 988.
Concierge recovery medicine is a private, physician-led model of addiction and recovery care in which one physician remains involved across stabilization, medication decisions, family work, and the months after acute treatment. It is not a detox facility, rehab program, or emergency service. It is longitudinal medical continuity for selected patients and families.
What concierge recovery medicine means
At Ratush Recovery, concierge recovery medicine means one physician remains clinically responsible for the arc of care: consultation, medical judgment, medication strategy, family communication, relapse-risk planning, and continuity after acute treatment.
The practice is private-pay and intentionally limited to a small number of families each year. The scale is part of the clinical model. Twelve months of direct physician continuity is not compatible with a high-volume program.
What it is not
It is not a hospital, detox facility, residential treatment center, emergency service, sober-living home, crisis line, or replacement for local emergency care.
It is also not a guarantee of prescribing, acceptance, home stabilization, abstinence, family reconciliation, or any other outcome.
Who it may be appropriate for
It may be appropriate for selected patients and families who have already experienced fragmented care and need one physician to carry the medical and family arc over time.
Appropriateness depends on diagnosis, medical risk, psychiatric stability, substance history, home environment, consent, local law, and whether the practice can responsibly support the case.
When it may not be appropriate
A private outpatient practice is not appropriate when the patient needs emergency medical care, locked inpatient care, continuous facility monitoring, involuntary treatment unavailable through the practice, or a higher level of behavioral health support than can be safely delivered privately.
The consultation may recommend hospital care, residential treatment, partial hospitalization, intensive outpatient care, local medication management, or another setting.
How it differs from residential treatment
Residential treatment is a setting. Concierge recovery medicine is continuity. Residential care may be the right level of care for some patients, but it usually ends with a handoff.
The concierge physician’s role is to hold the case before, during when appropriate, and after acute treatment so medication decisions, family communication, and relapse-risk planning are not repeatedly restarted.
Why physician continuity matters after detox
Detox can reduce acute medical risk, but sleep, mood, craving, psychiatric symptoms, medication response, and family dynamics often remain unstable afterward.
One physician with continuity can notice changes across weeks and months, rather than relying on disconnected intake snapshots.
How family involvement works
Family involvement is structured clinically and respects confidentiality. The patient’s consent and privacy remain central.
Families may help protect appointments, medication clarity, transportation, sleep routines, and relapse-response planning, but they do not become the treatment team.
How engagement begins
Every new case begins with a paid consultation. The consultation is a clinical service, not a sales call, and it does not guarantee acceptance into the year-long engagement.
After consultation, the recommendation may be to proceed, defer, use another level of care, or coordinate with existing local clinicians.
Emergency and crisis limitations
Ratush Recovery is not an emergency service. Immediate danger, overdose, severe withdrawal, delirium, chest pain, seizure, suicidality, violence risk, or medical instability require 911, an emergency department, or local crisis services.
For mental health or substance-use crisis support, call or text 988.
Edward Ratush, MD is a board-certified psychiatrist and addiction medicine physician. Ratush Recovery is his concierge recovery medicine practice for selected patients and families when the proposed work is medically, legally, and logistically appropriate. Learn more on the physician profile, review selected media and commentary, read the writing index, or review the clinical scope and limitations.