Scope & Ethics

This page exists to define professional boundaries, responsibilities, and standards.

Clarity protects clients, families, partners, institutions, and 1440 Advisory Group itself. Ambiguity creates risk. This framework exists to prevent it.

1440 Advisory Group provides clinically aligned advisory, coordination, and continuity services for individuals, families, and organizations navigating complex, high-risk transitions related to substance use, behavioral-health instability, executive stress, and system breakdowns.

We operate as a central coordination and accountability layer, working alongside licensed professionals and institutions—not in place of them.

Our work is intentionally focused on:

• structure
• decision support
• coordination
• accountability
• continuity across transitions

This role is designed to reduce fragmentation, clarify authority, and protect outcomes when complexity exceeds what any single provider or system can manage alone.

1440 Advisory Group does not:

• provide medical care
• provide psychiatric care
• diagnose mental-health or substance-use disorders
• provide psychotherapy or counseling
• prescribe or manage medications
• replace licensed clinicians or facilities
• override clinical judgment
• operate outside defined authority or consent agreements

Any clinical services involved in a case are provided solely by appropriately licensed professionals.

When clinical care is indicated:

• Licensed medical providers retain full clinical authority.
• 1440 coordinates logistics, communication, and continuity.
• Clinical decisions remain the responsibility of the licensed provider.
• 1440 does not interfere with treatment planning or clinical judgment.

Our role is integration and governance, not treatment.

Withdrawal & stabilization governance

• Level-of-care determinations are made by licensed clinicians.
• All medical withdrawal management is delivered by licensed professionals.
• Home-based withdrawal is coordinated only when clinically appropriate and delivered under established protocols.
• 1440 may coordinate providers, logistics, monitoring, and escalation—but does not provide medical treatment.

1440 does not improvise withdrawal management.

Authority & decision rights

Before engagement, 1440 requires clear agreement regarding:

• who holds decision-making authority
• what cooperation thresholds exist
• how disagreements are resolved
• when escalation occurs
• when disengagement is required

If authority, consent, or cooperation cannot be clearly defined, 1440 will not proceed.

Family & support system ethics

Family and support-system involvement is handled with:

• explicit consent
• defined boundaries
• clear communication rules
• role clarity

1440 does not:

• share information without consent
• triangulate communication
• override client autonomy unless legally or ethically required

Family engagement is structured and governed, not informal.

1440 Advisory Group is committed to strict confidentiality and privacy practices, including:

• HIPAA-aware workflows
• compliance with 42 CFR Part 2 where applicable
• consent-based information sharing
• minimum-necessary disclosure
• defined redisclosure rules
• secure documentation and communication practices

Information is shared only:

• with appropriate consent
• for coordination purposes
• with clearly defined recipients
• within legally permissible boundaries

Privacy is treated as an operational responsibility, not a formality.

1440 maintains:

• written engagement agreements
• defined communication protocols
• documented escalation pathways
• role clarity across all involved parties

We prioritize:

• accuracy over volume
• clarity over speed
• predictability over improvisation

Selectivity & right to decline or disengage

1440 Advisory Group reserves the right to:

• decline cases that fall outside scope
• disengage when cooperation breaks down
• pause involvement if safety or ethical concerns arise
• require additional clinical involvement when risk escalates

Selectivity is an ethical obligation, not a limitation.

Professional conduct standards

All 1440 work is governed by the following standards:

• integrity in representation
• respect for professional roles
• avoidance of conflicts of interest
• avoidance of dependency creation
• avoidance of over-promising outcomes
• calm, professional conduct under pressure

1440 does not guarantee outcomes. We commit to process integrity and disciplined execution.

1440 Advisory Group does not provide emergency services.

In cases of immediate danger or medical emergency, emergency services and licensed medical providers must be contacted immediately.

1440 may assist with coordination after appropriate emergency response has been initiated.

Governing principle

Our responsibility is not to do everything. Our responsibility is to do the right things, in the right role, at the right time.

Final note

This page exists to protect clients, partners, institutions, and outcomes. Clarity is not restrictive. It is what allows trust to exist at scale.