Outpatient Rehab for
ILWU Longshore Workers
in Orange County

You don’t have to disappear for 30 days to get sober. Asana Recovery is an outpatient drug and alcohol rehab built for longshore workers, ship clerks, walking bosses, foremen, and watchmen who can’t afford to lose their dispatch priority.

Our PHP, IOP, and OP programs run 20 to 30 minutes from the Port of LA/Long Beach — so you can keep working through the hall while you get clinical care. We work with your ILWU-PMA Welfare Plan and coordinate with your regional ADRP representative.

Photo of Dr. Joseph DeSanto
Medically Reviewed
Medical Director at Asana Recovery
Board Certified in Internal Medicine with a specialty focus in Addiction Medicine. Dr. DeSanto oversees medical services and clinical care at Asana Recovery, with more than a decade of experience leading addiction treatment programs across Southern California.

What Outpatient-First Means for You

Why Outpatient-First Works for Longshore Workers

Most addiction treatment programs ask you to walk away from your life for 30 to 90 days. For a longshoreman, that’s not a small ask — it’s a registration risk, a dispatch problem, and a household income hit all at once. That’s the single biggest reason members put off getting help until the problem is medical.

 

Asana Recovery’s model is built around the opposite assumption: you can practice recovery while you keep your life intact. Our PHP and IOP programs structure clinical care into mornings, afternoons, or evenings — including telehealth sessions — so treatment fits around board calls, not the other way around.

 

The Coastwise Indemnity Plan was built for this. PHP and IOP are the levels of care your union negotiated the strongest reimbursement for. Asana’s clinical model lines up directly with how your benefits are designed to be used.

Your ILWU-PMA Welfare Plan Covers Outpatient Addiction Treatment

The Coastwise Indemnity Plan covers outpatient SUD treatment through Blue Shield of California PPO, supplemented by the Alcoholism/Drug Recovery Program (ADRP). Your union negotiated dedicated addiction coverage decades before most employers acknowledged substance use disorder as a medical condition.

What’s Covered

Coverage ComponentCoastwise Indemnity Plan
Primary carrier (California)Blue Shield of California PPO
Primary carrier (OR / WA)First Choice Health Network
HMO alternative (CA and OR)Kaiser Permanente
Outpatient SUD visitsUp to 20 per plan year (extended through ADRP)
Mental health outpatientUp to 50 visits per year; first 20 at 100% PPO rate
Inpatient detoxUp to 5 days under plan; extended through ADRP
Mental health support (2025)Lyra Health · 24/7 crisis line (833) 597-2295
Weekly indemnity during treatmentContinues during ADRP-approved care
 
Asana Recovery accepts Blue Shield of California PPO on an out-of-network basis. We verify your specific deductible, co-insurance, and pre-authorization requirements before treatment begins. Call (949) 763-3440 — verification takes about 15 minutes.

Your Regional ADRP Representative

Your first call is to your regional ADRP representative — not your employer, not your dispatcher. They coordinate authorization and benefit eligibility. The call is confidential.

RegionLocals ServedRepresentativePhone
Southern CaliforniaLocals 13, 63, 94, 26 (LA/Long Beach)Tamiko Love(310) 547-9966
Northern CaliforniaLocals 10, 34, 91 (Oakland/SF)Hunny Powell(415) 776-8363
Columbia River / ORLocals 8, 40 (Portland)Brian Harvey(503) 231-4882
Puget Sound / WALocals 19, 23, 52, 98 (Seattle/Tacoma)Donnie Schwendeman(253) 922-8913

Representative information current as of publication. Verify directly with the ILWU-PMA Benefit Plans office before confirming care.

Asana Recovery's Outpatient Programs for ILWU Members

Four core outpatient programs plus secondary virtual IOP — each built to flex around dispatch hours, family responsibilities, and the physical demands of port work.

Most Common Entry Point

Partial Hospitalization (PHP)

Full-day clinical structure — 5–6 hours daily, 5 days per week — without overnight confinement. Right for members stepping down from detox or with severe co-occurring PTSD or depression. Typical duration 2–4 weeks before stepping down to IOP.

A small of group of recovering addicts on their first PHP session.
IOP Mental Health Treatment Orange County

Most Flexible

Intensive Outpatient (IOP)

9–12 clinical hours per week across 3–5 sessions. Morning, afternoon, and evening tracks available — attend evening IOP and still board for day shifts, or attend mornings and work swing or night shifts.

Continuing Care

Outpatient (OP)

Lower-intensity continuing care — 1–3 sessions per week — for members who’ve completed PHP or IOP. Where long-term recovery skills get reinforced and most relapse prevention work happens.

Outpatient Rehab: Treatment Options and Recovery Success-outpatient rehab 2.jpg
Sober living common area at Asana Recovery sober living home

Transitional Housing

Sober Living

Structured, substance-free homes in Costa Mesa and Huntington Beach. Pairs naturally with PHP or IOP — especially for out-of-state ILWU members from OR, WA, or NorCal who want a clean reset.

Statewide CA

Virtual IOP

Therapist-led IOP delivered fully online for California ILWU members who can’t make it to Orange County in person. Same evidence-based curriculum, same group structure — useful for Local 10 members in the Bay or anyone needing a remote schedule.

Virtual IOP-8 - virtual intensive outpatient program - Costa Mesa - Asana Recovery.jpg
Detox and short-term residential placement: Asana Recovery is an outpatient-only facility. When supervised detox or short-term residential care is medically necessary, our admissions team coordinates placement through our trusted partner network — then transitions you directly into our outpatient programs without a coverage gap.

Why Longshore Work Drives High Rates of Substance Use Disorder

Your job creates a specific combination of physical injury, shift-based stress, and occupational culture that drives addiction rates well above national workforce averages. Effective treatment for longshore workers has to address all three.

The Injury → Opioid Pipeline

Workers with lost-time occupational injuries face 2.9× the hazard of opioid-related dependence or overdose. Crane and forklift operators downplay early injuries to protect dispatch priority — until pain reaches the prescription threshold and physiological dependence begins within days.

Alcohol Use Disorder

NIOSH BRFSS analysis found maritime workers binge-drink at rates ~28% above the general workforce. A longshoreman can maintain full shift attendance while meeting 5+ DSM-5 criteria for AUD — masking the disorder for years before a medical event forces the conversation.

PTSD + Depression

Witnessing or surviving fatal equipment accidents, crush injuries, and drowning events produces clinically significant PTSD rates. Major depressive disorder co-occurs with opioid use disorder in roughly 1/3 of patients. Untreated dual diagnosis predicts relapse.

Shift Work & Neurobiology

Rotating day, swing, and early-morning shifts destabilize circadian rhythm, elevate cortisol, and prime the brain’s reward pathway for substances as a coping mechanism. Sleep-deprived workers show neurological changes that lower the threshold for escalation.

MAT That Works With Your Dispatch Schedule

Asana Recovery offers FDA-approved medication-assisted treatment (MAT) for opioid and alcohol use disorder. MAT directly addresses the receptor-level changes that injury-related opioid use and chronic alcohol use produce in the brain.

Suboxone

Buprenorphine/naloxone. Partial mu-opioid agonist that suppresses withdrawal and craving without the euphoric reinforcement that sustains active use. Prescribed by our medical team, no daily clinic visits.

Sublocade

Monthly injectable buprenorphine for members who want stable receptor coverage without remembering daily doses. Particularly useful during rotating shifts where daily schedules get disrupted.

Vivitrol

Extended-release naltrexone. Blocks the mu-opioid receptor and reduces alcohol cue-reactivity. No abuse potential, no withdrawal on discontinuation. Effective for both opioid and alcohol use disorder.

Naltrexone

Daily oral form of naltrexone — the same medication as Vivitrol, in tablet form. Useful for members who want a daily commitment they can adjust quickly, or who prefer not to receive monthly injections. Effective for both opioid and alcohol use disorder.

Why No Methadone Is Actually An Advantage

Methadone requires daily visits to a federally licensed opioid treatment program — a daily commitment that conflicts with rotating dispatch, board calls, and travel between ports. Suboxone, Sublocade, and Vivitrol all integrate cleanly with the dispatch lifestyle without tying you to a clinic that operates on rigid morning hours.

How to Start Treatment as an ILWU Member

Most members complete the first two steps in a single phone call. Here’s the actual sequence:

 

Call Your ADRP Rep

For LA/Long Beach (Locals 13, 63, 94, 26), Tamiko Love at (310) 547-9966. Confidential — no employment notification.

Verify Benefits

Call Asana at (949) 763-3440. We verify your Coastwise Indemnity Plan in real time during the call.

Clinical Pre-Assessment

A licensed clinician reviews substance use history, mental health, and medical status — usually by phone, same day.

FMLA Coordination

We prepare FMLA documentation, STD paperwork, and letters of medical necessity. Coordinated with your ADRP rep.

Begin Treatment

Same-week admission is standard. Sober living arrangements available for out-of-state members.

Your Job Is Protected. Your Privacy Is Protected.

FMLA & ADA Job Protection

Federal law gives you meaningful protection before you make the call.

  • FMLA entitles eligible employees to 12 weeks of unpaid, job-protected leave per year for SUD treatment
  • The ADA classifies AUD and OUD as disabilities — covered employers cannot terminate or demote you for voluntarily entering treatment
  • Asana prepares the FMLA paperwork, STD documentation, and letters of medical necessity
  • ADRP authorization and job-protection timelines reinforce each other — they don’t compete

Confidentiality You Can Trust

Confidentiality is the #1 concern for ILWU members considering treatment. Here’s what’s protected.

  • Your ADRP rep cannot disclose your participation to your employer, dispatch, supervisors, or the PMA without written consent
  • Federal HIPAA law prohibits Asana from disclosing any health information without a signed Release of Information
  • 42 CFR Part 2 adds an additional layer of protection specifically for SUD records
  • Your dispatch status, registration, and seniority are not accessible to Asana clinical staff

Asana Recovery Locations: 20 to 30 Minutes from the Ports

Outpatient facilities and sober living homes throughout Orange County, all within easy driving distance of the Port of LA/Long Beach where Locals 13, 63, 94, and 26 work.

 
Primary Location

Fountain Valley

~25 min from POLA/POLB

18101 Magnolia St
Fountain Valley, CA 92708


Primary outpatient center. IOP and PHP programming. I-405 / I-605 access.

 

Costa Mesa

~30 min from POLA/POLB

Outpatient facility and sober living home. Coastal access for transitional housing.

 

Huntington Beach

~20 min from POLA/POLB

Outpatient facility and sober living home. Closest location to the ports via PCH or I-405.

Talk to an Asana Recovery Admissions Specialist Today

Family-owned and treating Orange County since 2017. Most of our clinical and admissions staff have personal experience with recovery. We know exactly what it takes to keep a working longshoreman on the hall while clinical treatment happens.

Saving lives. Supporting families. Strengthening communities.

Frequently Asked Questions

  • Does the ILWU-PMA Welfare Plan cover outpatient rehab?

    Yes. The Coastwise Indemnity Plan covers outpatient substance use disorder treatment through Blue Shield of California PPO, with additional coverage authorized through the ADRP. Outpatient SUD visits are covered up to 20 per plan year under the base plan, with ADRP authorization extending coverage as clinically necessary. Weekly indemnity benefits continue during ADRP-approved treatment.

  • Is Asana Recovery in-network with Blue Shield of California for ILWU members?

    Asana Recovery accepts Blue Shield of California PPO on an out-of-network basis. PPO out-of-network benefits typically still cover a substantial portion of treatment costs. We verify your specific out-of-network deductible, co-insurance, and pre-authorization requirements before you commit to any treatment. Call (949) 763-3440 for same-day verification.

  • What is the ADRP and how do I access it?

    The Alcoholism/Drug Recovery Program (ADRP) is the ILWU-PMA's dedicated substance use disorder program, formally established in 1980. Access it by calling your regional representative — for Southern California (Locals 13, 63, 94, 26), that's Tamiko Love at (310) 547-9966. The call is confidential, triggers no employment process, and is the first step toward treatment authorization.

  • Will my employer or dispatcher find out if I enter treatment?

    No. ADRP representatives operate under strict confidentiality protocols and are independent from port employers and the PMA. Federal HIPAA law and 42 CFR Part 2 prohibit Asana Recovery from disclosing any treatment information without your signed Release of Information. Your dispatch status and registration are not accessible to clinical staff.

  • Can I be fired or have my registration downgraded for going to rehab?

    No, in most circumstances. FMLA provides up to 12 weeks of job-protected leave for qualifying employees entering addiction treatment. The ADA classifies alcohol use disorder and opioid use disorder as disabilities, meaning covered employers cannot terminate or demote you for voluntarily seeking treatment. Asana Recovery prepares the FMLA documentation during admission.

  • How long does outpatient treatment take for an ILWU member?

    Treatment length depends on the level of care. PHP typically runs two to four weeks, IOP runs eight to twelve weeks, and OP continues as ongoing maintenance care. The full clinical continuum from PHP through OP typically spans three to six months, consistent with ASAM guidelines that sustained treatment engagement produces substantially better long-term outcomes than short-episode care.

  • Does Asana Recovery offer methadone?

    No. Asana Recovery prescribes Suboxone (buprenorphine/naloxone), Sublocade (monthly buprenorphine injection), and Vivitrol (monthly naltrexone injection) for medication-assisted treatment. None of these require daily clinic visits, which makes them more compatible with rotating dispatch schedules than methadone. Methadone requires daily attendance at a federally licensed opioid treatment program.

  • What if I need detox before starting outpatient treatment?

    Asana Recovery is an outpatient-only facility. When supervised detox is medically necessary, our admissions team coordinates placement through our trusted partner network — typically a five to seven day stay with 24-hour medical supervision and CIWA-Ar or COWS-guided pharmacological management. You then transition directly into Asana's PHP or IOP without a coverage gap.

  • Are dependents and family members covered?

    Yes. ADRP coverage has been available to dependents since 1995. Spouses, domestic partners, and dependent children of eligible ILWU members can access substance use disorder treatment under the same confidentiality protections and benefit structures. Contact the regional ADRP representative directly to confirm dependent eligibility.

  • I live in Oregon or Washington. Can I still attend Asana Recovery?

    Yes. ILWU members from Locals 8, 19, 23, 40, 52, and 98 regularly travel to Orange County for outpatient treatment. We coordinate sober living housing in Costa Mesa or Huntington Beach for the duration of PHP or IOP, and our admissions team helps with travel logistics. Alternatively, our Virtual IOP serves California-licensed members remotely if travel isn't an option.

  • What happens to my dispatch priority during FMLA leave?

    FMLA leave is job-protected under federal law. Your position and equivalent employment rights are preserved during approved leave. ILWU-specific questions about how FMLA intersects with hall dispatch and registration status should go to your local representative alongside your ADRP rep — they coordinate the administrative elements simultaneously.

  • What if I've been to treatment before?

    The ADRP supports multiple treatment episodes—substance use disorder is a chronic relapsing condition, and the program is built around that clinical reality, not single-episode penalty thinking. If you've been through treatment before, you can access the program again. Asana Recovery's outpatient model is particularly well-suited for members who completed prior residential treatment and need a structured step-down they didn't get the first time.

Verify Insurance for Free

We accept both in-network and out-of-network insurance plans to make care accessible for you.
We are in-network with Cigna Insurance.
CompPsych EAP accepted at Asana Recovery
We are in-network with Beacon Health Options Insurance.
We are in-network with Aetna Insurance.
Anthem insurance accepted at Asana Recovery
We are in-network with TriWest Insurance.

You could save up to 100% of your treatment using your Insurance.

Verify Your Insurance in 60 Seconds

Free, confidential, and no obligation. Get your insurance verified by our admissions team.