What Are Intensive Outpatient Programs (IOPs)?
Intensive outpatient programs, or IOPs, are rehab programs that provide patients treatment with specific goals for patient progress. The IOP process can either follow a stay in inpatient rehab or serve as a replacement for an inpatient program. Intensive outpatient progams function as part-time monitored processes for achieving and maintaining sobriety. Generally, intensive outpatient programs involve participants residing in a home or apartment with others in recovery who can provide advice and support; these groups are often called sober living homes or group homes. However, some intensive outpatient programs allow patients to live with family or alone.
Patients opting for IOP do so to get treatment for chemical abuse disorders while balancing work and personal life commitments and to test themselves in a supportive environment to see how they react to different situations while they are newly sober. When compared to traditional outpatient rehab, which also allows patients to also balance rehab with work and personal duties, intensive outpatient programs are more structured and hands-on, and often more closely associated with inpatient facilities.
What Treatments Are Available in Intensive Outpatient Programs?
Although patients are not on rehab campuses, they still have access to medications traditionally administered during or after detox in IOP. IOP includes frequent treatment sessions that can last patients 30, 60, or 90 days (or more) of treatment. Patients attend therapy sessions multiple times per week and follow a specialized treatment plan they were provided during the intake process or later in inpatient rehab. Examples of IOP treatments include:
- Group counseling
- 12-Step programs
- Family therapy
- Individual therapy
- Psychoeducational groups
- Spiritual-based treatments
- Medication management
- Relapse prevention programs
Through individual therapy, patients gain self-awareness of their chemical dependency, and have access to family support through their healing journey. Group therapy provides group members the chance to connect with each other, establishing a supportive atmosphere for bonding. This encourages healthy relationships, which is one factor in healing addiction and maintaining sobriety.
Group therapy also encourages patients to gain awareness of how their substance abuse disorder impacts others. Psychoeducation groups engage patients by helping them defeat obstacles contributing to substance abuse. Relapse prevention programs empower individuals to resist the desire to use drugs or alcohol. Some of these tools include:
- Establishing support systems
- A Change of environment
- Creating goals
- Practicing gratitude
- Exercise and nutrition programs
- Creating new hobbies
Is Detox a Part of Intensive Outpatient Programs?
Detox cleanses the body of toxic and addictive chemicals to restore the body to its original state before alcohol or drug abuse disorders. Some intensive outpatient include detox with the supervision of medical professionals. This benefits patients by providing the support of caring nurses and doctors to help reduce the impact of uncomfortable and dangerous withdrawal symptoms, which often last between 2 and 7 days. To contrast, performing at-home detox is always risky, and patients can experience symptoms, such as:
- Dilated pupils
- Muscle cramps
If detox is not included in a particular intensive outpatient program, the patient can examine other treatment options, like inpatient rehab facilities.
How Do Intensive Outpatient Programs Differ from Inpatient Rehab?
It is best that patients explore a variety of therapies and treatment options, as IOP alone, without any other forms of treatment, has limitations. IOP can allows for patient to be around family more, manage work and other responsibilities, and transition into a sober life; however, they only get treated for a few hours per week. Many intensive outpatient programs also do not offer all aspects of a complete treatment plan, such as medically-supervised detox.
Inpatient rehab facilities may be a better option for patients who need a more hands-on approach. Inpatient rehab allows patients to live in a treatment facility where they are surrounding by other patients and medical staff. They have access to treatments customized to the facility they may not get in IOP. For example, many inpatient programs offer nutritional meals from a cafeteria, as well as spiritual-based biofeedback meditations, gym equipment, and access to therapists and medical staff whenever the patient needs.
Ideally, patients will begin treatment in an inpatient facility when they are newly sober, and then transition to an intensive outpatient program once their sobriety is more secure.
How Does Payment for Intensive Outpatient Programs Work?
IOP is more affordable for many individuals seeking treatment compared to inpatient rehab facilities. During the admissions process, patients discuss payment plans and insurance options. Generally, IOP is most cost effective for patients wanting to budget. Many facilities and IOP offer a variety of funding options.
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