Hired Power's Personal Recovery Assistants are available in four formats: live-in, daily, hourly, and virtual. Each one corresponds to a different clinical profile, a different stage of recovery, and a different set of practical circumstances. The right choice is about matching the intensity of support to the intensity of what someone is managing.
Live-in PRA support means a credentialed professional is present in the client's home around the clock, available for the moments that don't schedule themselves. It is the highest-intensity format Hired Power offers, and it is appropriate for a specific set of circumstances: the first days or weeks home from a residential treatment program, a period of acute relapse risk, or a situation where the home environment itself contains significant clinical complexity, whether that means a triggering family dynamic, an unsupported co-occurring mental health condition, or the absence of any other professional support structure.
The research supports the logic. A peer-reviewed study published in the Journal of Substance Abuse Treatment found that continuing care intensity after residential treatment discharge is directly associated with better substance use outcomes, with more structured and supportive post-discharge environments producing measurably stronger results. Live-in PRA support is the most direct application of that principle in a real-world setting.
For clients whose clinical picture warrants full coordination, live-in PRA services integrate with CarePathways Clinical Case Management, ensuring that the around-the-clock presence is working inside a clinically supervised plan rather than operating independently.
Hourly and daily PRA engagements are designed for clients who have established some initial footing in recovery but need professional support at the pressure points: the morning routine that keeps collapsing, the weekly business dinner surrounded by alcohol, the period after an outpatient session when emotional residue tends to build. A PRA engaged on an hourly or daily basis provides real-time guidance without full residential presence.
This format works well for professionals managing active careers alongside early sobriety, for clients transitioning out of a live-in arrangement, and for individuals who have a functional home environment but specific, recurring situations that benefit from professional accompaniment. The seven situations where a PRA makes the clearest difference covers this range in detail.
Hired Power's virtual coaching and recovery support extends PRA services to clients for whom in-person engagement is not feasible, whether due to geography, travel schedule, or a recovery stage where the primary need is accountability and structured check-ins rather than physical presence.
The evidence base for virtual peer recovery support has strengthened considerably in recent years. A case study published in the Journal of the Academy of Consultation-Liaison Psychiatry documented that virtual engagement with a peer recovery specialist successfully connected a hospitalized patient with alcohol use disorder to long-term telehealth-based treatment, noting that telehealth-based peer recovery support has demonstrated effectiveness across multiple substance use disorder presentations. For clients in sustained recovery who need a professional touchpoint rather than intensive support, virtual PRA engagement provides exactly that, with the same credentialing standards and clinical supervision that govern every Hired Power service.
The most useful question is not which format sounds right. It is where in the recovery arc someone actually is, and what the environment around them looks like right now. The first 30 days home from rehab typically call for more intensive support. A year into stable recovery might call for something lighter and more flexible.
Hired Power's team can help evaluate the right format for any situation. To speak with a recovery professional, visit the contact page or call (714) 844-5983.