Treatment FAQ

what is intensive outpatient substance abuse treatment

by Floyd Hudson Published 2 years ago Updated 2 years ago
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What does IOP mean in treatment?

Intensive outpatient programs (IOPs) are treatment programs used to address addictions, depression, eating disorders, or other dependencies that do not require detoxification or round-the-clock supervision.Mar 30, 2022

How long are most IOP programs?

Intensive outpatient programs generally consist of 9 hours or more of treatment for 3 to 5 days per week, though some programs may offer fewer hours per week. You can expect IOP treatment to range from 6 to 30 hours per week and to last about 90 days.Dec 17, 2021

What are the 5 levels of care for substance abuse?

Levels of CareLevel 0.5: Early Intervention.Level I: Outpatient Services.Level II: Intensive Outpatient/Partial Hospitalization Services.Level III: Residential/Inpatient Services.Level IV: Medically Managed Intensive Inpatient Services.

Is IOP evidence based?

Evidence for the effectiveness of substance abuse intensive outpatient programs (IOPs): high. Despite some variations in programming and design, substance abuse IOPs compared with control conditions demonstrate consistent evidence for the following outcomes: Reduced drug and/or alcohol use from baseline to follow-up.

How long should IOP last?

Intensive outpatient treatment typically lasts 8 to 12 weeks. IOP programs might run three to five days per week. You go to IOP programs for about two to five hours per day.Aug 4, 2021

What does PHP stand for in rehab?

Specialized Partial Hospitalization Program (PHP) Treatment Services.

What are the 4 stages of substance abuse?

While there are many factors that contribute to drug and alcohol addiction, including genetic and environmental influences, socioeconomic status, and preexisting mental health conditions, most professionals within the field of addiction agree that there are four main stages of addiction: experimentation, regular use, ...

What are the three levels of addiction?

In the article, they describe three stages that a person goes through on the road to addiction: 1) binge and intoxication, 2) withdrawal and negative affect, and 3) preoccupation and anticipation (or craving).May 3, 2016

What are the different levels of care for the treatment of substance use disorders?

Level I: Outpatient treatment. Level II: Intensive outpatient/partial hospitalization treatment (subdivided into levels 2.1 and 2.5) Level III: Residential/inpatient treatment (subdivided into levels 3.1, 3.3, 3.5, and 3.7) Level IV: Medically managed intensive inpatient treatment.

What are some evidence-based interventions for substance abuse?

Consensus exists that several psychosocial treatments or interventions for substance use disorders are “evidence-based.” These include cognitive-behavioral therapy (CBT) (including relapse prevention (RP)), contingency management (CM), motivational enhancement/motivational interviewing (MI) and brief interventions (BIs ...

What IOP means?

IOP (intraocular pressure): The pressure created by the continual renewal of fluids within the eye. The normal IOP varies among individuals. The intraocular pressure is increased in glaucoma.

Where can I find evidence-based interventions?

Evidence-Based Practices & ProgramsThe Guide to Community Preventive Services (The Community Guide): Task Force Findings. Centers for Disease Control and Prevention (CDC) ... U.S. Preventive Services Task Force (USPSTF) Recommendations. Agency for Healthcare Research and Quality (AHRQ) ... Bright Futures.

What is the difference between an IOP and an inpatient program?

The major difference between an IOP and an inpatient program is that people treated in an inpatient program live at the facility while they receive their care. Residential programs also offer services and amenities that IOPs do not, such as meals, housing, recreation, and access to medical care.

What is an IOP rehab?

An intensive outpatient program (IOP) is a form of substance abuse rehabilitation in which people visit a treatment center several days a week for a few hours at a time. An IOP is more time-intensive than most standard outpatient programs. However, unlike an inpatient program, it does not require participants ...

How often do IOPs take place?

Intensive outpatient programs (IOPs) take place more often than typical outpatient programs —usually 9 hours or more of treatment per week for 3 to 5 days. 2. Group therapy is the main component of many intensive outpatient programs. Groups allow IOP participants to improve their communication, learn how to socialize without drugs or alcohol, ...

How long does IOP treatment last?

You can expect IOP treatment to range from 6 to 30 hours per week and to last about 90 days.

What is the first step in substance abuse treatment?

Detox is the first stage of substance abuse treatment. It involves allowing the body to eliminate any traces of drugs or alcohol before treatment begins. 4 After detox, a person is ready to engage in treatment with a clear head and a clean system. Most intensive outpatient programs do not offer detox services.

How long does an intensive outpatient program last?

Most programs last about 90 days and include drug testing.

What happens after IOP?

After a person completes an IOP, they will meet with their therapist to determine next steps. If the person met all their goals in the program, the therapist will usually recommend the person continue on with a less intensive level of care. Less frequent group therapy sessions in an outpatient program.

What are the levels of treatment for addiction?

The American Society of Addiction Medicine has defined five levels of treatment as part of a “continuum of care.”. Level 0.5: early intervention services. Level 1: outpatient services. Level 2: intensive outpatient or partial hospitalization services.

How many hours do IOPs take?

Again, the specifics will vary from program to program, but according to the Substance Abuse and Mental Health Services Administration (SAMHSA), most programs require 9 to 20 hours of participation per week.

How long does it take to recover from a syphilis?

Duration of treatment is critical to its success. NIDA recommends that individuals participate in therapy for at least 90 days to ensure the best chances at sustained recovery. Oftentimes, individuals may begin in an IOP and then transition to less intensive outpatient treatment after 30­–60 days. You are not alone.

What is an intensive outpatient program?

Intensive outpatient programs (IOPs) are treatment programs used to address addictions, depression, eating disorders, or other dependencies that do not require detoxification or round-the-clock supervision. They enable patients to continue with their normal, day-to-day lives in a way that residential treatment ...

What is individual therapy?

Individual therapy focuses on the pressing problems caused by clients’ substance abuse and their efforts to remain abstinent. In individual therapy sessions, clients often dig deeper into the work done in group therapy, allowing them to spend more time on individual issues.

What is evidence based treatment?

Evidence-based treatment is essential. While alternative treatments can be used to complement care, the basis of treatment should be medical detox and therapy. Social support should be provided. People in recovery need a strong support system to avoid relapse.

Can IOPs stay at home?

They simply can’t leave their lives behind for an extended period of time. For these people, IOPs are often the best choice. They still get intensive treatment but they are able to reside at home. Ideal candidates for intensive outpatient treatment have a safe home environment.

What is the difference between inpatient and intensive outpatient rehab?

Inpatient treatment programs require the participant to live on campus for a set period. The programs typically last in 30 days, 60 day, or 90-day increments. Some treatment programs may last for six months or longer, depending on the severity of the patient’s addiction.

How long will an intensive outpatient treatment program last?

The duration of intensive outpatient treatment will depend on a multitude of factors. Treatment programs may begin with an official start date or end-date. However, the patient’s progress may change the length of the program, and its scope. Outpatient treatment programs can last for a few months, to up to a year in some cases.

Who is a good candidate for intensive outpatient rehab?

Outpatient treatment programs are ideal for candidates who have caregiving responsibilities, are in school, or who cannot afford to stop working. Patients who do not suffer from a severe addiction disorder, or who have not been addicted to drugs and alcohol for a long time can benefit from outpatient treatment.

What are the success rates for intensive outpatient rehab?

Studies have found that inpatient treatment and intensive outpatient treatment programs have similar success rates. Choosing inpatient or outpatient treatment will depend on the patient’s needs, but either program is effective.

12-Step Facilitation Approach

The treatment approach of many IOT programs evolved from the Minnesota Model of treatment, so called because it was first conceptualized at Hazelden Foundation and Willmar State Hospital in Minnesota in the late 1940s ( White 1998 ).

Cognitive-Behavioral Approach

Cognitive-behavioral therapy (CBT) is based on the theory that most emotional and behavioral reactions are learned and that new ways of reacting and behaving can be learned.

Motivational Approaches

In practice, motivational approaches include both motivational interviewing (MI) and MET. These motivational approaches can be incorporated into every stage of treatment (see TIP 35, Enhancing Motivation for Change in Substance Abuse Treatment [ CSAT 1999 c ], pages 31–32, for specific suggestions).

Therapeutic Community Approach

Therapeutic communities (TCs) have provided residential substance abuse treatment since the 1960s. Some programs have developed a modified, community-based IOT component either to provide treatment on an outpatient basis or to help graduates successfully transition from residential treatment into the community.

The Matrix Model

The Matrix model was developed during the 1980s as an effective way to treat the increasing number of people dependent on stimulant drugs, particularly cocaine. Developers designed the Matrix model as a more intensive intervention than the then-standard weekly outpatient counseling or 28-day inpatient treatment.

Community Reinforcement and Contingency Management Approaches

Community reinforcement (CR) and contingency management (CM) are treatment approaches based on operant conditioning theory. This theory maintains that future behavior is based on the positive or negative consequences of past behavior.

What is clinical assessment?

As a part of the assessment, you are provided with important and helpful counseling about treatment options that would best fit your needs. If the assessment shows that a medically-supervised detox is required, patients are referred to suitable detoxification services before you can attend IOP.

What is an intensive outpatient program?

Intensive Outpatient Programs, or IOPs, are treatment programs recommended by clinical and medical professionals, suitable for some patients in need of substance abuse treatment. This program provides assessment and primary treatment services, at significantly lower costs than inpatient rehab. It’s designed for individuals from the age group of 18 years and older, seeking primary treatment for alcohol and illicit or prescription drug abuse and drug addiction. IOP is mostly recommended for those who don’t need medically-supervised detox or for those who have already completed a residential treatment program and need additional recovery support.

How long is an IOP?

Although IOP is not a live-in treatment program, it still requires a major time commitment. Meetings are usually scheduled at least 3 days a week for 2-4 hours a day or more, often scheduled around work or school. The major focus of intensive outpatient treatment programs is relapse prevention, but there is a number of goals this type of addiction treatment keeps in focus, including: 1 achieving and maintaining abstinence 2 addressing the underlying reasons that compel substance abuse 3 help clients to develop a positive support network 4 identifying psychological problems 5 implementing new and positive behavioral and lifestyle changes 6 improve coping strategies 7 introduce structure and discipline in clients’ lives 8 make participation in community-based support systems easier 9 teach new problem-solving skills

How many hours a day is IOP?

Although IOP is not a live-in treatment program, it still requires a major time commitment. Meetings are usually scheduled at least 3 days a week for 2-4 hours a day or more, often scheduled around work or school. The major focus of intensive outpatient treatment programs is relapse prevention, but there is a number of goals this type of addiction treatment keeps in focus, including:

Where is Debbie from Stepping Sober?

Debbie has been in the field of addiction for 20 years and represents Stepping Sober, an Intensive Outpatient Program (IOP) with recovery residence located in South Florida. In addition to being a Licensed Clinical Social Worker, Debbie is certified in EMDR (Eye Movement Desensitization and Reprocessing) and Trauma Therapy.

Is medication management part of IOP?

Medication management and pharmacotherapy are an important part of the whole substance abuse treatment and shouldn’t be separated from the IOP model of treatment. Medications do not change the lifestyles of people in recovery and only target some specific aspects of the substance abuse disorders.

What Is Outpatient Substance Abuse Treatment?

Outpatient substance abuse treatment programs involve non-residential daily treatment, including counseling, therapy or group sessions at a facility or clinic.

Why Should I Consider an Outpatient Substance Abuse Treatment Program?

Outpatient substance abuse treatment programs offer many benefits that make it the best option for many clients, including:

Who Should Go to an Outpatient Substance Abuse Treatment Center?

Deciding whether outpatient substance abuse treatment is best for you or a loved one battling substance use is between you/them and a professional; however, by asking yourself or your loved one a few questions before committing to outpatient rehab vs inpatient drug rehab can help:

How often do IOPs work?

IOPs typically offer sessions three days a week for approximately three hours at a time. An IOP may start out with more sessions more often and then taper off as a person progresses through rehab. These programs are designed for individuals who still need the structure and intensity of an inpatient treatment program as well as the flexibility of outpatient rehab. Support systems need to be strong and the home environment should be stable for an IOP to be most effective. The journal Psychiatric Services reports that an IOP can be just as effective as an inpatient drug treatment program in most cases. 4

What is inpatient rehab?

Inpatient, or residential, drug rehab programs require that individuals remain on-site for the duration of the treatment program. Individuals will live in a specialized facility receiving around-the-clock care and supervision. This type of program is ideal for: Those battling significant drug dependence.

Is outpatient rehab better than residential rehab?

Outpatient programs are often more likely to be covered by insurance, at least partially, and cost less than residential treatment programs.

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