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Intensive Outpatient Program

Real-World Recovery with Intensive Support

Intensive Outpatient Program

Real-World Recovery with Intensive Support

What is an Intensive Outpatient Program?

Also referred to as IOP, and intensive outpatient program may be recommended for those who do not need medically-supervised detox. IOP can also allow the freedom to practice recovery therapies on a part-time schedule to accommodate work and family life.

Start rebuilding your personal life and mending your important family ties right away, when you participate in intensive outpatient treatment at Arrow Passage Recovery.

With our Intensive Outpatient Treatment program, you are able to establish a foundation for long term recovery support in your local community right from the start of your treatment.

At Arrow Passage Recovery Intensive Outpatient Program, you receive services primarily through group therapy, but you will also be assigned an individual therapist you will meet with on a weekly basis. Groups are small and generally do not exceed 10 people, allowing for a supportive environment.

Many different areas and topics are covered in IOP at Arrow Passage Recovery. At Arrow Passage Recovery topics may include:

  • Post-Acute Withdrawal Syndrome or PAWS
  • Relapse Prevention Skills
  • How to Manage Urges and Cravings
  • Understanding the Brain Chemistry of Addiction
  • Progression of the Disease of Addiction
  • Introduction to the Twelve Steps
  • Spirituality
  • Stages of Change
  • Focus On Co-Occurring Disorders
  • The Effects On Addiction and Recovery
  • Family Education Program

With the outpatient program at Arrow Passage Recovery you remain in control of your own life. You can still go to work or get a job, and begin rebuilding your personal life, with the help and support you receive from us. You are responsible for participating in the treatment program according to your scheduled treatment plan.

IOP at Arrow Passage Recovery

In IOP you continue your life with support from the local clinical, emotional and peer support systems provided by Arrow Passage Recovery. Our IOP usually runs for a period of 8 (eight) weeks but every patient is different. Your treatment program will be designed just for you, so treatment may run more or less than eight weeks if needed.

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Intensive Outpatient Programs and the Continuum of Care

The continuum of care for addiction treatment is a system that ensures the appropriate level of help you need for successful recovery. Four levels of care have been identified by the American Society of Addiction Medicine: 1

Level one is the least restrictive of the four levels of care. Outpatient treatment involves nine or fewer hours of treatment services each week. During outpatient treatment, you live at home and continue working, attending school or caring for the family.
Level two is divided into two subgroups: Intensive outpatient programs and partial hospitalization services. Intensive outpatient is the least restrictive of the two and involves living at home and receiving nine to 20 hours of weekly programming. Partial hospitalization services typically take place during the day and involve 20 or more hours of services each week.
Level three is divided into four levels, with higher levels providing more intensive services. The first three levels are clinically managed residential programs that involve living at the treatment facility while undergoing rehab. The fourth level is medically managed inpatient treatment administered under the guidance of a physician.
Level four is the most intensive and restrictive treatment setting. It involves daily care under the guidance of a physician and 24-hour nursing care. This level is for those with severe problems or those who are unstable or in severe withdrawal and need a high level of medical support.
Individuals move along the continuum of care as needs change. If you start out in an IOP, you’ll typically move to an outpatient program once you no longer need intensive programming.

Starting an IOP: What You Can Expect

Treatment typically begins after all traces of drugs or alcohol have left the body and brain function has begun to return to normal. A treatment plan determines how often treatment services are attended each week. In general, intensive outpatient programs involve several hours of programming each day and last eight weeks, although the duration of treatment may be longer or shorter, depending on your needs. Participants in an IOP are expected to arrive on time and attend every session outlined in the treatment plan.

High quality intensive outpatient programs take a holistic approach to treatment that addresses issues of body, mind and spirit for whole-person healing. According to the Substance Abuse and Mental Health Services Administration, holistic treatment offers the best possible outcomes and should include a variety of both traditional and complementary therapies. 2

Traditional therapies are those that have been shown through research to effectively treat addiction. These include:
  • Cognitive-behavioral therapy, which is the basis for most treatment programs
  • Family therapy
  • Psychoeducational classes, which combine therapy and education
  • Pharmacotherapy, or the use of medication during treatment
  • Group therapy
Complementary therapies are those that have been shown through research to be effective for treating addiction when they’re used along with traditional therapies. These therapies improve self-awareness and enable you to look at old problems from new angles. Complementary therapies commonly used in addiction treatment include:
  • Art therapy
  • Music therapy
  • Mindfulness meditation
  • Adventure therapy

Goals of Treatment

Through these therapies, individuals in treatment:

  • Identify and change unhealthy thought and behavior patterns
  • Develop essential skills for coping with cravings, negative emotions, stress and other relapse triggers
  • Address the underlying issues behind the addiction, which often include a history of trauma, chronic stress or a co-occurring mental illness
  • Repair damaged relationships and develop healthy communication and interpersonal skills
  • Address a wide range of issues stemming from the addiction, including problems related to finances, relationships or physical or mental health
  • Learn to relax and have fun without drugs or alcohol
  • Find purpose and meaning in a life of sobriety

Depending on your needs, other interventions may be included in your treatment plan, including help finding safe housing; legal, educational or vocational assistance; or life skills development training.

Is an IOP Right for Me?

Outpatient and intensive outpatient programs aren’t right for everyone. In general, outpatient treatment work best if you have:

  • A safe, stable place to live
  • A high level of support at home and in the community
  • A high level of motivation to end your addiction once and for all
  • Good overall physical and mental health
  • Transportation to and from the treatment facility

Outpatient programs have a number of benefits over inpatient programs, including:

  • The opportunity to practice new skills and strategies right away in the “real” world
  • A lower price tag than inpatient treatment
  • The ability to live at home and continue working, attending school or caring for the family while in treatment

An inpatient program is probably better for you if you have:

  • An unsafe or unstable living environment
  • Little motivation to recover
  • A severe addiction or a long history of addiction
  • A co-occurring mental illness
  • Severe life problems stemming from the addiction
  • Been through treatment before

Benefits of inpatient programs include:

  • A high level of around-the-clock support from peers and staff
  • The opportunity to focus solely on recovery without external stressors getting in the way
  • Intensive programming for swift, meaningful change
  • Clinical or medical supervision as needed
  • The chance to make strong connections and develop healthy relationships with other clients

Both inpatient and outpatient treatment programs are effective for those who enter at the appropriate level of care.

How to Get the Most Out of an IOP

The more engaged you are in your treatment plan, the better the outcomes. Here are some ways to get the most out of your IOP.
Mindfulness is crucial in recovery, especially in the early weeks and months. Keep in mind what you’re learning in treatment and strive to put new skills and strategies into practice immediately. Talk to your family and friends about what you’re learning and complete all homework assignments given by care providers.
Honesty is essential in treatment, and it’s an important basis for ongoing recovery. Be completely honest with your therapists and group members.

Staying in treatment for an adequate period of time is central to success, according to the National Institute on Drug Abuse. 3 Do everything you can to stay in your IOP until you graduate to a less intensive program.

A high level of self-care during treatment ensures you have the energy and motivation to attend sessions and participate fully. Eat healthy food, get plenty of sleep, exercise every day and reduce your stress.
During treatment, you’ll learn a great deal about yourself as you examine the various conscious and unconscious processes that led to the addiction. It’s important to stay open-minded as you gain new self-awareness and examine new possibilities.

Treatment work for most people who enter the continuum at the right level and who participate fully in their treatment plan, according to the National Institute on Drug Abuse. 4 If you’re ready to end a drug or alcohol addiction for the long-term, Arrow Passage can help you get started with recovery today.


Resources

  1. https://www.asamcontinuum.org/knowledgebase/what-are-the-asam-levels-of-care/
  2. https://www.samhsa.gov/find-help/recovery
  3. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/how-long-does-drug-addiction-treatment
  4. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment