Intensive Outpatient Programs (IOP)

Intensive Outpatient Programs (IOP)

Intensive outpatient programs (IOPs) differ from their traditional outpatient counterparts in terms of time commitment and therapies offered. An IOP is a more advanced form of care.

Enroll here, and you’ll spend more time in treatment. You might also access group therapies that aren’t always available in a traditional outpatient program.



What Happens in an IOP?

Treatment communities have strict guidelines to follow as they develop their programs. Insurance companies and regulatory agencies require it.

To be defined as an IOP, an organization must provide a minimum of nine hours of treatment each week, and it’s typically delivered in three sessions that last for three hours apiece.

In an overview article published in the journal Psychiatric Services, the authors suggest that some programs offer lengthier programs, so their patients spend more time in therapy each week. Others provide a step-down program, so your therapy hours might decline as your sobriety strengthens.

When you’re not in therapy, you’re either living at home or in a sober community. You’ll have time to work, care for your family, nourish your hobbies, and otherwise go about your life.

3 to 5 days per week, 3 hours per day
Evening and day schedules
Individual Therapy
Group Therapy
Family Therapy
Case Management
Aftercare clubs (select locations)

Intensive Outpatient Program

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The Substance Abuse and Mental Health Services Administration (SAMHSA) says that most work done in IOPs happens in group formats. Groups range from 8 to 15 members, and sessions are split into thirds.

  • First third: Each person discusses a current issue or problem.
  • Second third: The group discusses one issue or works on a skill.
  • Final third: The facilitator sums up the lessons and assigns homework.

Learn About Addiction

Practice Sobriety

Hone Communication Skills

Heal Damaged Relationships

You may also spend time in individual counseling sessions, SAMHSA says, but you may only spend an hour or two per week here. Most of the time, you’ll work in groups.

This communal format helps you learn how to communicate with and tolerate others in a sober environment. That could be critical for you if you only feel comfortable with others when you’re intoxicated.

You may also feel inspired by the people in your group sessions. They’re working through sobriety just as you are, and they may have lessons you can learn from. For some people, this aspect of IOPs is the most rewarding and beneficial of the entire program.



Who Goes to an IOP?

There are two main groups of people who benefit from an IOP. The first is new to recovery, and the second is actively working on sobriety.

If you’re in the first group and your sobriety is new, you might choose an IOP over an inpatient program if you:

  • Have a strong and supportive sober network to lean on. In a study in the Journal of Substance Abuse Treatment, researchers found that women enrolling in inpatient programs had more drug-using friends than those choosing IOPs. They needed the sober support of around-the-clock care. Even in the event you do have drug using friends, if you have that network at home, you may not need this inpatient level of help.
  • Have work obligations. Enrolling in inpatient care means stepping away from work and home until you’re better. That could be impossible for people in some careers. An IOP gives you support, while letting you attend to your life.
  • Want to learn as you go. An IOP encourages homework and practice. You’ll put your skills to work every moment you’re not in your treatment program. You can’t do that while in the protective bubble of inpatient care.

If you’re in the second group and you’re already progressing to sobriety, you might use an IOP as part of your recovery spectrum. You’re leaving your inpatient program, but you’re not quite ready to step all the way back to a traditional outpatient level of care. An IOP works as a middle path, so you still get a lot of help without all the structure of inpatient care.

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Paying for an IOP

Insurance plans can and do offer coverage for addiction treatment. But most have restrictions on the type of treatments they will offer, and some require you to choose a program that’s been vetted in some way.

For example, if you’re hoping to use Medicaid to pay for an IOP, the journal Health Services Research suggests that you’re likely to get your plan approved if you choose a program that is publicly funded. Private plans may not be accepted, but public programs just might.

If you’re using private insurance, your company may have agreements with specific care providers. These relationships keep costs down. The insurance company agrees to refer patients, and the care provider gives a discount in return. You’ll need to choose a provider in this network to get the best deal.

Insurance plans are complicated, and it isn’t unusual for people to feel confused about what is and isn’t covered. Most care providers have staffers who can walk through insurance complexities with you. This person can call your company, investigate your options, and tell you what is and isn’t covered. Typically, there is no charge for this help.

In addition to using insurance for IOP programs, you might choose to use personal savings, go through a loan provider such as Prosper, or even ask for a flexible payment plan. It’s recommended to call a program to ask about all your payment options, and to run a verification of benefits to see if you will have out-of-pocket expenses.



What Else Supports Your Recovery?

At one point, we thought of recovery as a set of stairs. You started on the highest step, and you walked down to a sober state. Now, we know that recovery isn’t linear. You might walk up and down a few times until you find your fit. And often, you feel best when you’re standing on several stairs at the same time.

While you’re enrolled in an IOP, you’re getting help for your addiction.

Support Groups

Sober Homes

Vocational Training

Parent Training

Alternative Therapy

Medical Management

There are many facets involved in your recovery, and all of them are important as you journey toward sobriety. Don’t think of them as tasks you must complete. Instead, think of them as opportunities to learn more about your body, your community, and yourself.

The more tools you use, the more you will learn, and the stronger you will grow.

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