Three planning phases—one individualized transition
A person can remain in a phase, move forward, temporarily increase support, transfer levels, or discharge based on reassessment.
Approximately 9 hours per week when clinically appropriate
High-Support OP
Purpose: Preserve structure immediately after IOP while testing whether gains hold outside the intensive episode.
Focus
- symptom/relapse stabilization
- counseling
- case management
- Peer Support
- recovery structure
- problem-solving
- environmental risk
- emerging independence
Approximately 6 hours per week when clinically appropriate
Moderate-Support OP
Purpose: Reduce treatment intensity while increasing independent use of skills, supports, routines, and responsibilities.
Focus
- self-management
- work or education
- family/social functioning
- recovery network
- treatment adherence
- maintenance of gains
- reduced prompting
Approximately 3 hours per week when clinically appropriate
Maintenance / Transition OP
Purpose: Prepare for lower-frequency care, discharge, or a sustainable continuing-care plan.
Focus
- relapse prevention
- stable routines
- natural supports
- community connection
- self-advocacy
- transition plan
- completed handoffs
What governs movement
| Review domain | Questions the team should answer |
|---|---|
| Symptoms and risk | Are symptoms, substance-use risk, suicidality, violence risk, withdrawal concerns, or psychiatric/medical needs improving, stable, or worsening? |
| Functioning | Can the person maintain routines, appointments, housing, relationships, work/education, medication/medical care, and recovery behaviors with less structure? |
| Skill use | Is the person using coping, communication, boundaries, problem-solving, and relapse-prevention skills outside sessions? |
| Recovery capital and supports | Are healthy supports, Peer Support, family, community, primary care, psychiatry, and recovery resources available and actually used? |
| Engagement and preference | Is the person attending, participating, expressing informed preferences, and collaborating on the next phase? |
| Medical necessity and authorization | Does the record support the current intensity, a reduction, an increase, a different service, or discharge? |
| Environment and barriers | Have housing, transportation, legal, family, employment, technology, and other barriers changed? |
| Outcome information | What do measurement, clinical observation, person feedback, collateral information, and the treatment record show? |
Weekly or interval phase review
- 01
Gather evidence
Attendance, notes, measures, risk, functioning, skill use, case-management status, peer observations within scope, and person feedback.
- 02
Interpret clinically
The qualified treatment team explains what the evidence means—not merely whether forms were completed.
- 03
Discuss with the person
The person’s view, goals, preferences, barriers, and confidence become part of the decision.
- 04
Decide and document
Maintain, advance, increase, transfer, or discharge with the rationale visible in the plan/review record.
- 05
Complete the next step
Update schedule, authorization, responsible staff, continuing-care connections, and follow-up.
Source and publication control
Designed from Reach One’s controlled planning record
This page is generated from the Reach One website/strategic planning package, SPW readiness baseline, executive decision register, program-design materials, and website build charter. Production publication still requires current evidence, named approval, workflow testing, and a rollback path for any claim that can change.