Pre-Launch: readiness phase pending CARF survey (April-May). Services are not currently operating.
Not an emergency service. Call 988 or 911.
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E4

Adult Intensive Outpatient Program (IOP)

Public module summary (pre-launch). Internal policy detail remains in ROCS Volume II program module binders.

Module Snapshot

Level of care / modality
ASAM 2.1 (or equivalent) structured multi-session weekly treatment
Primary settings
Office (preferred) + Telehealth (when allowed/appropriate)
Core promise

Deliver high-frequency, skills-forward treatment that reduces relapse risk and restores functioning while maintaining community living.

Status / Next steps

Not currently operating. Public intake and service start occurs after the CARF survey window (April-May) and internal go-live approval.

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Do not submit PHI through webforms. Not an emergency service: call 988 or 911.

Who it’s for

  • Adults 18+ with moderate/high relapse risk; unstable recovery environment; appropriate for outpatient intensity.
  • Common referrals: detox/residential/PHP step-down, hospitals/ED, probation, self/partner providers.

What we deliver

  • Core IOP groups (CBT/DBT/relapse prevention/Living in Balance or equivalent), with individualized responses documented.
  • Individual counseling to target individualized triggers and generalize skills.
  • Peer support and CPST to stabilize housing/employment/legal barriers to adherence.
  • Safety planning and step-up/step-down decision support; UDS as clinically indicated/authorized.

Dosage & schedule (typical)

Final schedules and tracks will be published at activation.

  • Typical frequency: 3 days/week minimum (common model); track design depends on authorization.
  • Typical episode: 6-12 weeks, then step-down to E6.

Admission & exclusions (plain language)

  • Good fit: able to attend multiple weekly sessions; medically stable; does not require 24/7 monitoring.
  • Not a fit: ASAM indicates residential/PHP; severe withdrawal risk; uncontrolled psychosis or violence.

Care coordination

  • Partners: MAT prescribers, probation, employers, sober housing, primary care.
  • Closed-loop: step-down from higher LOC includes scheduled IOP start date confirmed.
  • ROI posture: communication only with valid ROI or legal authority.

Outcomes we track

  • Reduced use/relapse and improved functioning.
  • Attendance reliability and curriculum completion.
  • Improved recovery capital and reduced ER/legal events.
  • Step-down completion rate and audit pass rate.
Revision footer: Rev 2026-01-17. Update date on content changes.