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Intensive Outpatient Program (IOP)

  • Reviewed by: Dr. Carl Williams, Ph.D., LCADC
  • Modified:
  • Reading Time: 11 minutes
  • Reviewed by: Dr. Carl Williams, Ph.D., LCADC
  • Last Update:
  • Reading Time: 11 minutes

Learn more about our intensive outpatient rehab program in New Jersey at Rolling Hills Recovery Center.

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Rolling Hills Recovery Center Outpatient Program

Rolling Hills Recovery Center defines an Intensive Outpatient Program as group therapy attendance of nine to fifteen hours per week, 3- 5 days per week, 3 hours a day, and a minimum of weekly individual sessions. Regular family therapy sessions will be provided in cases where the family and client are willing to participate. Clients will be assessed using ASAM, PPC-II 6 dimensions of assessment with Patient Placement Criteria to determine the appropriate level of care.

This will be accomplished through clients’ self-reports, client needs, and the treatment team assessment. The phasing process from an Intensive Outpatient Program to an Outpatient Program is based on the client’s progress toward individualized treatment goals and needs. Whereas partial care focuses on education and skill attainment, IOP will focus on using the knowledge attained in partial care. At this level of treatment, a client will practice the skills acquired, and the counselor shall be responsible for monitoring the client’s performance through motivational approaches and coaching.

Table of Contents

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Levels of Care
Popular Topics
Families & Addiction

Understanding Intensive Outpatient

What is IOP?

IOP will also focus on developing sober support networks and engagement in community-based support groups to increase protective factors. The counseling staff will evaluate the client’s coping skills and problem-solving techniques to increase self-esteem and personal relationships. Clients who have solidified abstinence and developed a relapse prevention plan will be titrated to the Outpatient Program.​

Clients will be in an Intensive Outpatient Program for approximately 6 to 10 weeks. Length of stay in the Intensive Outpatient Program may be extended depending on the client’s needs and objectives not met in their individualized treatment plan. Rolling Hills Recovery Center will utilize the NJSAMS database emphasizing the ASAM and Level of Care index, which will come from staff’s assessment and clients’ self-report to determine the appropriate level of care.

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What types of therapies are available?

Outpatient Therapy Programs

According to addiction statistics, 20 million Americans have an active substance use disorder, with the majority wrongly believing their situation is not that challenging.

For these kinds of people, Intensive outpatient programs would be beneficial to make sobriety a reality and provide the basic structure to do so. IOPs step in and cater to patients who face detrimental consequences when inpatient treatment removes them from positive environments such as family and work. IOPs strive to offer high-level care rather than routine outpatient treatments by switching between inpatient treatment and regular outpatient.

Though IOPs are mostly recommended, not all patients fit into its treatment methodology. Hence, find out how, why, and when intensive outpatient treatment applies to your problem.

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Is IOP Right for Me?

Understanding Intensive Outpatient Treatment

Many individuals have found success in overcoming their addictions via outpatient treatment. The following are the advantages of outpatient programs over an inpatient level of care:

We strongly advise IOP for people in early treatment stages or transitioning from hospital settings to home life. Intensive outpatient entails spending at least 9 hours per week in individual sessions and therapy groups. Don’t worry because the hours reduce as you continue to show lowered risks of relapse, more substantial drug-free community reliance, and treatment plan progress. 

Treatment does not end after completing an IOP; you and your doctor will create an aftercare plan where you may continue attending the outpatient clinic, but not as often. The aftercare plan includes all types of counseling you need to define where you work and live. Finding a suitable place is vital to help eliminate any risks of relapse, and the clinic may further refer you to social services like transitional living facilities or vocational training.

Furthermore, patients in IOP require minimal supervision with available support to effectively attend the set day programs, evening or weekend programs that offer a full range of services. Similar to other rehab programs, IOPs combine several methods and strategies that include the following:

Intake Assessment & Screening

The doctor uses a set of standardized questions in a series of interviews when you first enter an IOP to screen and assess your problem. This standardized questioning aims to determine addiction severity and co-occurring physical or mental health condition. Lastly, the doctor creates a treatment plan best suited for your needs; when necessary, they will refer you to outside sources.

You should also note that IOPs only consider people who do not cause harm to themselves or others. This is sometimes possible when the person with alcohol and drug addiction has co-occurring mental disorders that make a dual diagnosis. People with co-occurring mental illnesses, such as PTSD, bipolar mania, schizophrenia, etc. that haven’t been stabilized find better care in a safe, inpatient drug and alcohol treatment environment.

Behavioral & Psychological Treatment

Behavioral and psychological treatments change harmful feelings, thoughts, or actions into healthy ones. According to your diagnosis, treatment might involve several hours of individual counseling, group counseling, couples or family therapy.

Psycho-Education

Education forms an essential part of intensive outpatient addiction therapy. Patients learn different recovery techniques and tips, the addiction disease model, and more during treatment. Learning also helps patients overcome relapse cravings and connect with others.

Self-Help Groups

We advise all our patients to join such support groups as part of the intensive outpatient program.

Self-help groups such as Narcotics Anonymous (NA), SMART Recovery, etc., offer mutual support and encouragement geared towards helping you become and abstain before, during, and after treatment.

Support Services

IOPs offer their patients various supportive services like getting medical assistance, earning degrees, paying for IOPs charges, finding suitable housing, etc.

You can also look at IOP programs as science-based programs that aim to treat addictions, eating disorders, depression, or other dependencies without 24/7 supervision.

Generally, the majority of the IOPs offer the below services:

  • Group and individual counseling.

  • Case management.

  • Pharmaceutical tools.

  • 24-hour crisis management.

  • Educational opportunities.

  • Medical treatment.

  • Mental health treatment.

  • Monitoring alcohol and drug levels.

  • Different behavioral therapies.

There are numerous advantages to an outpatient program, but it isn’t for everyone. Take a closer look at how these programs operate and how they could be helpful to you.

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Why Should I Choose an IOP?

The Benefits of Attending an IOP Program

Intensive outpatient programs have numerous benefits, including:

Household Responsibilities

Intensive outpatient programs let you maintain household responsibilities while continuing your treatment phase, a distinguishing factor from other forms of rehabilitation. This is especially important to people who have children to take care of or cannot afford full-time nannies and may need continued supervised care. People with demanding jobs also benefit from this leeway to maintain household responsibilities. Look at IOPs as a flexible and freedom-filled treatment therapy. 

Strengthen Family Networks

IOPs have a treatment process that includes your loved ones and family close to you as you continue your recovery journey as part of your support network. In the long run, you can forge new, more profound, and long-lasting relationships with the people you trust. The treatment process entails meeting and spending time together with these people.

Keep Things Private

It is human nature to feel embarrassed when passing through certain conditions that society at large deem wanting; addiction is one such condition. You may not have known this, but patient confidentiality and nondisclosure are core aspects to consider when dealing with patients. 

First, you must consider that the first step of committing to a rehabilitation center is already arduous for most people. For patients to feel confident, secure, and recover much quicker, keeping their private lives intact goes a long way for any rehabilitation center.

Inexpensive Process

The last benefit we’ll look at is the inexpensive nature of an IOP. Most IOPs cost you less because you are needed at the clinic for a few hours weekly compared to an inpatient treatment where you have to pay for accommodations, food, and the hours you spend there. Due to this nature, most patients tend to go for IOPs, regardless of whether or not it is the right pick.

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Preparing to Enter an IOP Program

What to Expect at an Intensive Outpatient Program?

IOPs use a 12-step participation program and center on 10-12 hours weekly of individual and group therapy. According to your doctor’s prescription, you will have to visit your chosen facility three to four times a week for three hours. IOPs are generally almost centered around the following approaches, combine these aspects in an organized system, and incorporate therapy and the community during recovery. 

They include:​

  • Matrix Model
  • Therapeutic Community
  • Motivational
  • Cognitive Behavioral Therapy
  • Community Reinforcement & Contingency Management
  • 12 Step Facilitation & Introduction

Why Should I Go to an IOP?

Intensive Outpatient & Support Networks

Research shows that patients have a high chance of relapsing during the first 90 days of rehabilitation without the proper support networks. Most intensive outpatient programs include the right support networks during this period.

An inpatient treatment program guarantees long-lasting sobriety for those with severe alcoholism or drug addiction. Newcomers must pass through 90 meetings in 90 days, which entails a twelve-step meeting within the first three months of enrolling in rehab. This kind of program requires a comparable level of commitment that eliminates the possibility of balancing work or professional life with recovery.

IOPs come in handy at such times, with some staff going ahead to make recommendations for supplementing the IOP curriculum. These supplements could include alternative support groups like SMART recovery. 

However, keep in mind that IOPs might prove dangerous for newly detoxed patients without outside support. Strong network support goes a long way to help patients overcome temptations or inevitable relapse triggers.

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Paying for IOP

Intensive Outpatient Program Affordability

You might wonder whether IOPs are more expensive than typical inpatient treatment; they are more affordable than inpatient treatment. Inpatient treatment includes in-house accommodations, prepared meals, scheduled weekly therapies, and support groups. You only have to be at the clinic center for three hours a day and up to 5 times a week. 

The IOPs curriculum involves group discussions where patients learn about managing triggers, nutrition, and other actionable information.

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How Can RHRC Help You Recover

Should You Choose an Intensive Outpatient Program?

IOPs therapies are an integral part of people who wish to end their addiction journey into a drug-free life. As we saw earlier, IOPs are not places for non-detoxed or unhealthy people who do not have a strong support network. Spending time away from your inpatient rehab could be detrimental, especially if you enjoy your work. However, many people report positive feelings and attitudes when working in the middle of treatment.

Strong family bonds, relationships, and longtime friends might make your recovery journey easy and quick. Due to these relationships, you may perform better in intensive outpatient treatment than in inpatient treatment. This is made possible when encouraging family members and friends to provide a robust support system that helps you stay afloat and in command of yourself. 

When you live with people who drink and use drugs, the clinic might be forced to suggest a residential treatment to get you away from possible relapse triggers.

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The Bottom Line

Whether or not you go for an intensive outpatient program is your choice. But speak to your doctor or a mental health practitioner as soon as possible; either way, an IOP rehabilitation will help you. But the bottom line is always going to be that there are numerous treatment options for you, and one will work for you; find one, get a strong support network and stick to it.

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Written By:

Geoffrey Andaria

Geoffrey Andaria mental health writer at rolling hills recovery center
Rolling Hills Recovery Center

Mental Health Writer

About Author:

Geoffrey Andaria is an experienced mental health content writer and editor. With a B.A. in English and Journalism, Geoffrey is highly educated in freelance articles and research. Having taken courses on social work, Geoffrey is adamant about providing valuable and educational information to individuals affected by mental health and the disease of addiction.

Medically Reviewed By:

Dr. Carl Williams Ph.D., LCADC

Carl Williams, medical content reviewer at rolling hills recovery center
Rolling Hills Recovery Center

Expert Contributor

About Reviewer:

Dr. Williams presently serves on the board of Directors for two non-profit service organizations. He holds a Master’s degree in Human Services from Lincoln University, Philadelphia, Pa, and a Ph.D. with a concentration in Clinical Psychology from Union Institute and University. In Cincinnati, Ohio. He is licensed to practice addictions counseling in both New Jersey and Connecticut and has a pending application as a practicing Psychologist in New Jersey.

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