In-Home Companioning

What is a companion?

A companion is not a therapist. They're not a sober coach. They're not a babysitter. A companion is someone who moves into your loved one's life — physically — and stays. They're there at breakfast. They're there at 2am. They go to the gym, sit through the hard conversations, and make sure the psychiatrist appointment actually happens.

They build trust by showing up — not by asking questions from a clipboard.

How is this different from a sober companion?

Traditional sober companions are often freelancers sent in by staffing agencies with no clinical oversight, no supervision, and no coordinated team behind them. They're reactive — showing up after a crisis — and they usually leave after a few days.

A SOHL companion operates under daily clinical supervision from Dr. Almaguer, a licensed general and addiction psychiatrist. Every companion is background-checked, drug-tested, certified (CCAR & NY Board approved CARC), trained in trauma-informed care, family systems, and attachment styles, and covered under our professional liability insurance.

What does a typical engagement look like?

For straightforward substance use cases with a good clinical team and a family holding boundaries, we typically see significant stabilization within 30 days. For more complex situations involving personality disorders, trauma, or family system dysfunction, meaningful progress usually takes 60 to 90 days, and full engagement can run 3 to 6 months.

We build toward independence — stepping down from 24/7 to weekly, intentionally, until the scaffolding holds and your loved one doesn't need us anymore.

How companions are matched

We match companions from a nationwide network of 300+ based on personality, interests, background, clinical fit, and location. The companion can be introduced as a trainer, a mentor, a friend — whatever framing your loved one will actually accept. The whole point is to build a relationship, not impose one.