Case file · opened on first call
Independent clinical case management for complex mental health and addiction. One assessment, one written plan across every provider — and one person accountable until it holds.
Families pay us. Treatment facilities never do — by policy and by federal law.
If a treatment program gave you our name: they chose us because we're independent — no program pays us, so the advice is only about your family.
Multiple providers, no one in charge. We run the whole system — one plan, one accountable person, until it holds.
02 · PlacementThe right program — residential, detox, or sober living — matched to the person. No facility pays us, so no facility sways the answer.
03 · CoachingFor the long stretch after treatment — and for executives carrying a company all day and a person in crisis all night.
A family has already spent six figures on treatment. There is a relapse anyway. A therapist, a psychiatrist, an attorney, a facility — and nobody in charge of the whole picture.
When someone you love is in a mental health or addiction crisis, the hardest part is not finding help. It is knowing which help is right — and who is accountable once treatment starts.
That is the job. We speak with every provider and with the client, assess where things actually stand, and bring everyone onto one plan. Then we stay on it until it holds.
For complex cases with multiple providers, we run the whole system so no one else has to. Much of our work is with high-net-worth individuals and families, where privacy is not a preference — it is a condition of care. We work quietly. What happens in the family stays in the family.
The aim is simple to say and hard to do: an environment where healing, long-term recovery, and personal growth actually have room to happen.
Finding the right program — residential treatment, detox, or sober living — matched to diagnosis, history, and family, anywhere in the US or abroad. No facility pays us, so no facility influences the answer.
We guide clinically complex individuals and their families through crisis — steady, reachable, and honest about what comes next. After treatment, recovery coaching keeps the plan alive. Families learn a new role, and how to hold it without breaking.
And for executives: some of our clients carry a company all day and a person in crisis all night. That is its own clinical picture. We coach it the way we run everything else — discreet, scheduled, accountable.
The whole story, from everyone — the client, the family, and every professional already involved.
A clinical assessment of where things actually stand: diagnosis, acuity, what has been tried, and what it will take.
One written plan, organized around the client's own goal, shared with every provider — so everyone works from the same page.
Weekly or more frequent provider meetings. Coordinated care, watched closely, reported in writing.
A planned transition, and a written record of what happened — not just what it cost.
Whether nothing has been tried yet or everything has, the first step is the same: a 20-minute call, no obligation, and an honest read of the situation.
Book the callCrisis intervention, case consultation, discharge continuity, long-term case management, and documented oversight reporting for conservatees — dated, written records a fiduciary can file.
See the professional servicesVistula Solutions was founded by Aga Pedroso. She has sat at both tables: inside leading Malibu treatment facilities as a full-time case manager for high-acuity addiction and mental health clients — and beside families, as the person who finally got everyone on one page.
The practice is built around a partner network we know personally and have worked with directly: neuropsychologists, psychiatrists, physicians, therapists, nutritionists, and recovery coaches across the US and abroad. Clients are served anywhere in the country and internationally.
No testimonials appear on this site — in this field they are too easy to fake. References from past clients and professional partners are available on request.
Who we work with — and that we work with them — is nobody's business but theirs. Nothing leaves the file without written permission. No mailing lists, ever.
Zoom or phone. Confidential, and no obligation. If we're not the right help, we will say so — and tell you what is.