Ascend Clinical Oversight | Specialized Supervision for Sober Companions

The Critical Need for Specialized Supervision for Live-in Therapists, Companions and Counsellors

Ensuring Quality and Safety:

In an often unregulated field, ensuring consistent quality of care is paramount. Our oversight provides a framework for best practices, safety planning, and crisis management, safeguarding the well-being of both the client and the supporting professional.

Burnout and Vicarious Trauma:

The intensity of 24/7 care leads to high emotional attrition. We provide dedicated, confidential support and structured debriefing to sustain the professional's mental and emotional health.

Case Continuity and Strategy:

We offer specialized guidance on complex case formulation, HNW family dynamics, and crisis intervention planning, ensuring seamless continuation of the treatment team's goals.

25+ Years of Clinical Authority

Ascend Clinical Oversight is founded on a quarter-century of immersive experience, spanning high-volume charity work and the intensely specialized world of executive and UHNW addiction care.

Specialized Niche:
Deep understanding of the unique pressures faced by professionals working with HNW and global clientele.
Clinical Depth:
Strong qualifications and clinical perspective ensure supervision moves beyond simple check-ins to deep case formulation.
Absolute Confidentiality:
Operating from Switzerland provides a foundation of absolute discretion and adherence to stringent data protection standards (FADP).

"The intensity of live-in support requires more than just a mentor; it requires a specialized clinical partner who can manage the ethical edge cases and prevent the professional from burning out in the field."

— Dean Gustar, Founder

Addiction Professional (25+ Years Experience)

The Heart of Ascend: Dean Gustar

Dean Gustar, Founder of Ascend Clinical Oversight

My career has been dedicated to navigating the most complex challenges in mental health and addiction treatment, culminating in key leadership and clinical roles at some of the world's most intensive treatment centers.

Integrated Clinical Leadership:

Serving as a Head of Clinical Operations and Relapse Prevention Specialist, I’ve managed comprehensive treatment programs and ensured therapeutic integrity.
Consulting & Supervision:

I have worked as a Consultant and Supervisor, helping teams and individuals maintain quality, integrity, and ethical standards in high-stress environments.
Crisis Intervention:

My background includes extensive work in crisis intervention and risk management, allowing me to maintain a calm, grounded presence when clarity and strategy are needed most.

This unique combination of deep clinical knowledge and operational leadership allows me to serve not just as a supervisor, but as a strategic partner who can design and execute highly effective support for staff in challenging, intensive environments.

Trusted by Professionals, Endorsed by Agencies

"The supervision with Dean really helped me to focus on what was important. I felt better equipped to support the client and maintain my professional integrity, during a very challenging case"

S.M., Independent Recovery Coach

London, UK

"I have had the distinct privilege of working alongside Dean in the realm of addiction and mental health treatment, and I can say without reservation that he is one of the most compassionate, skilled, and dedicated professionals I have encountered in this field."

Clinical Director

U.S. Based Intervention Agency

"Of the countless positive impressions you made on me over the years, the one I’ll never forget is you catching me during and after a difficult live-in assignment — to guide, reassure, listen, and ultimately create a growth moment. That act of service had a far-reaching impact, not only for the client experience but also for my well-being in an intensive live-in counselor capacity."

J.G., Live-in Counsellor & Coach

Servicing Global Clients

Need Quick, Focused Oversight?

For professionals requiring an initial assessment or a critical, one-time case consultation, we offer discrete single sessions.

Initial Clinical Assessment

CHF 150

A single 60-minute session used for in-depth needs analysis, defining boundaries of the companion role, and developing a foundational safety plan.

Book Assessment

Individual Supervision Session

CHF 200

A dedicated 60 minutes to strengthen your clinical work. Focus on a specific case or your wider practice for supported professional development.

Request Consultation

Note: Individual Supervision Sessions are available on an ad-hoc basis. For ongoing, long-term supervision packages, please refer to the Global Supervisory Retainers section below.

Our Global Supervisory Retainers

This is an essential investment in your career and well-being. Our specialized and tailored models provide the ethical support required to excel in this intense, 24/7 field.

Companion Support Retainer

For Independent Sober Companions & Recovery Coaches (Individual Investment)

Fortnightly Supervision (1 x 60 minutes every two weeks):
Dedicated clinical debriefing and ethical oversight session.
Custom Goal Setting & Plan Review:
Structured monthly review of professional and case development goals.
Urgent Messaging Access:
Secure consultation for critical on-site dilemmas and risk assessment.

CHF 350 / Month

Start Your Professional Supervision

Premium Case Oversight Retainer

For Agencies, Family Offices, and Live-in Clinical Teams (Agency & Organisational Support)

Individual Clinical Support:
Up to 4 x 60-minute specialized clinical sessions per month.
Multidisciplinary Team Supervision:
2 x 90-minute dedicated team supervision support sessions per month.
Risk & Legal Review:
Independent review of case notes, boundaries, and client contracts to ensure external compliance.

CHF 1,250+ / Month

Inquire About Agency Retainers

Frequently Asked Questions

How is this different from standard peer supervision?

Standard supervision often doesn't account for the unique intensity of live-in work. We specialize in the complex boundary dynamics, HNW family systems, and vicarious trauma specific to 24/7 companion roles, providing a framework that peer support cannot.

How is confidentiality maintained?

As a Swiss-based entity, we are bound by the Federal Act on Data Protection (FADP), one of the world's strictest. All communication is secure, and case details are handled with absolute clinical discretion. We never share client or companion information.

Retainers vs. Individual Sessions: What's the difference?

While you are welcome to book individual sessions as needed (see our 'Focused Oversight' section), our retainer model is designed for consistent, ongoing support. This work is a marathon, not a sprint. The retainer moves the relationship from "crisis management" to "proactive professional development," which is essential for long-term sustainability and burnout prevention.

Is this service for agencies or only individuals?

Both. We offer a dedicated retainer for independent professionals (Companion Support) and a comprehensive retainer for agencies and family offices (Premium Case Oversight) seeking to manage risk and support their clinical teams.

Your First Step in Risk Management.

All communications are handled with the utmost discretion and clinical confidentiality, upholding FADP standards.

Protecting the Professional, Sustaining the Care.