Treatment Transition Coaching for the First Year After Discharge

Treatment transition coaching is a structured, professionally supervised program for the 12 to 18 months after a young adult leaves residential, wilderness, or therapeutic boarding school. It rebuilds the independent-living skills the program couldn't fully teach, then helps them hold up at home, in real life.

$250 per hour, all modes · No contracts · Sessions never expire

Key Takeaways

Built for the post-discharge window

Treatment transition coaching rebuilds independent-living skills for the 12 to 18 months after residential, wilderness, or therapeutic boarding school.

Every domain at once

Sleep, food, medication, finances, calendar, school, and relationships, starting at two to three sessions a week.

Coaching, not therapy

Many students keep seeing an outside clinician for therapy or medication in parallel.

Professionally supervised

Every engagement is supervised by Ryan Roberts, CMHC and Clinical Director.

Who Treatment Transition Coaching Is For

This is for the family bringing a young adult home after a residential, wilderness, or therapeutic boarding school program. Your son or daughter was stabilized there, but the structure that held them together (the sleep schedule, the meal routine, the medication reminders) doesn't come home with them. Treatment transition coaching rebuilds those independent-living skills in the place they finally have to hold: real life. It's usually the right fit when:

Your young adult came home in the last 18 months, though families further out still benefit.

They're clinically stable, but daily life has come apart without the program's structure around it.

Their therapy or medication continues with an outside clinician. We coach alongside that care, never in place of it.

When Another Program May Be a Better Fit

Educational consultants and clinicians often line us up before discharge, so the coaching is in place the week the student gets home. It's not the right fit if your young adult is in acute crisis (we'll point you back to the clinical team or to Komi Counseling and Psychology), is still in a program, or needs ongoing therapy rather than coaching. We coach; we don't process clinical material. If this isn't residential-discharge-driven, the Failure to Launch resource walks through that pattern. Some of those families fit treatment transition; others fit executive functioning coaching.

What Is Treatment Transition Coaching at Level-Up Life?

It's a structured, professionally supervised coaching program for young adults stepping down from a setting where staff provided all the daily structure. The work is practical rather than clinical, which is to say we focus on building the independent-living skills the program couldn't fully teach inside a controlled environment. And we start early, because the post-discharge window is exactly when most of the progress tends to come undone. All that external scaffolding disappears at once, and without it the old patterns usually return by about week three. That's the pattern Ryan's story starts with, too.

To be clear, this is coaching, not therapy. We don't do trauma processing, crisis stabilization, or psychiatric care, and plenty of our students keep seeing an outside clinician for therapy or medication management while they work with us. Every engagement is supervised by Ryan Roberts, CMHC and our Clinical Director, and when a need goes beyond what coaching can do, we refer to a separate clinical practice in the same building, Komi Counseling and Psychology.

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What Happens in a Treatment Transition Coaching Session?

Treatment transition runs at a higher frequency than our other programs. We're looking at two to three sessions a week for the first eight to twelve weeks, with shorter check-ins in between. That intensity isn't arbitrary. It reflects how many parts of daily life the student is rebuilding at the same time: sleep, food, medication, finances, the calendar, school or work, relationships, and emotional regulation. Every session follows the same method: Assess, Interpret, Troubleshoot, Teach and Repeat.

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A typical engagement moves through four stages. The early weeks are the strongest in-person fit of any service we run; Utah families often start with in-person coaching in Provo, Utah and then shift to remote once things steady out.

01

Week one: assessment and triage

We figure out what's most destabilizing and where the structure keeps dropping. We're collecting data here, not handing out lectures.

02

Weeks two through four: stabilize the foundation

Sleep, food, and the calendar come first, because they have to hold before academics has any chance of holding.

03

Months two through six: expand the work

Academics or work, finances, medication adherence, and the social piece all move into active skill-building, and the cadence usually steps down to two sessions a week.

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Months six through eighteen: generalization

The student shifts from running the troubleshooting process with their coach to running it on their own, until it's less of a routine and more of a habit.

What Changes Do Treatment Transition Families Notice?

Here's what families tend to tell us, roughly in the order it shows up.

Week One

Sleep starts to stabilize. Food and medication move from a parent-managed scramble to something the student runs themselves, and that week-three crash stops happening.

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Academic re-engagement gets some traction, the student starts repairing friendships outside the residential cohort, and conflict at home cools down as homework, medication, and the calendar become the student's job rather than the parent's.

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Independent living holds without daily oversight from a parent, and the student starts forming an identity that isn't just "the residential kid."

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How Treatment Transition Coaching Connects to the Rest of the Program

Treatment transition rarely runs on its own. Every one of these handoffs stays in-house.

For educational consultants

Educational consultants refer the majority of our cases, and our for educational consultants page walks through how that pathway works.

Parent coaching

Parents often run parent coaching at the same time to work on their side of the dynamic.

Executive functioning coaching

Once stabilization is in place, treatment transition often steps down into executive functioning coaching for the longer haul.

Executive Functioning

What Does Treatment Transition Coaching Cost?

Treatment transition coaching is $250 per hour for every session, whether it's remote, in-person at our Provo office, or in-person at the client's home. That flat rate reflects how much more intensive this work is, and it's the one service at Level-Up Life where pricing doesn't follow our usual two-tier structure.

Most engagements run 12 to 18 months, so the total naturally runs higher than our other services, a function of the early session frequency and the longer runway. Our transparent pricing page covers how package discounts apply.

There are no contracts, ever, and sessions never expire. Insurance won't reimburse coaching because it hasn't been deemed medically necessary, so we can't bill it. Some HSA and FSA administrators will reimburse when ADHD Coaching is the billed service line, but whether your program qualifies is something the family needs to confirm directly. We're not clinicians, and we don't provide insurance documentation.

Meet Your Specialists

Madison Troop

Madison Troop

Academic/EF Coach

Madison is an Academic/EF Coach earning her M.S. in Clinical Mental Health Counseling, building on a B.S. in Psychology and over five years in outdoor behavioral healthcare with teenagers and young adults. She specializes in transitional support for students leaving residential and wilderness programs. Her approach is non-judgmental and client-centered: the client is the expert on their own life, and the coaching work is collaborative discovery from there.

Joshua Sandberg

Joshua Sandberg

Academic/EF Coach

Josh is an Academic/EF Coach at Level-Up Life with a B.A. in Psychology from Utah Valley University and three years of experience working in residential treatment, plus a strong background in facilitating recovery groups. He values authentic relationships and meets students wherever they are. Outside of coaching, he is a Utah-raised lacrosse player who connects easily with students through shared real-life experience and a steady, grounded presence.

Jackson Smith

Jackson Smith

Academic/EF Coach

Jackson is an Academic/EF Coach at Level-Up Life completing his B.A. in Psychology with a minor in Cognitive Neuroscience at Utah Valley University, with plans for a Ph.D. in Clinical Psychology. He brings hands-on experience in residential treatment settings with teenage boys, including students who were resistant to coaching. His client-centered, nonjudgmental approach is built around adapting to each student’s individual needs and building meaningful trust.

Frequently Asked Questions

How long does treatment transition coaching usually take?

Most engagements run 12 to 18 months. Some students are ready to step down at twelve, others need the full eighteen. Between the higher frequency in the first eight to twelve weeks and the longer runway after that, this is genuinely what the work takes.

Yes, and a lot of families do. Educational consultants often queue up an engagement before discharge so the structure is ready the day the student gets home. We set the start date together with the facility and the family, then begin once your young adult is home.

Therapy handles the underlying clinical mental health work. Coaching builds the day-to-day independent-living skills the residential program couldn't fully teach. The two aren't either-or. Many students keep seeing an outside clinician for therapy during the engagement, and the two run in parallel.

Yes. With the family's permission, we coordinate with the discharging facility, any outside clinical providers, and the educational consultant. We keep it light-touch, just enough that coaching and clinical care are reinforcing each other rather than working in separate lanes.

Most families work with us remotely from across the country, and there's an upside to that: remote coaching mirrors the independence the student is building. Utah families do have the option of in-person sessions in the early weeks at our Provo office.

Ready to Start?

It starts with a free consultation: 15 to 30 minutes by phone, where we listen to what’s going on and explain how our program can fit your situation. If you’re an educational consultant, start with the for educational consultants page instead.

Email: support@level-uplife.com

By appointment, inside the Komi Counseling and Psychology offices. 2230 N University Pkwy, Ste 2C-A, Provo, UT 84604