Intensive Outpatient Programs include a host of activities and services. Group and individual sessions can touch on a variety of topics, including how to deal with withdrawal, relapse prevention, mood management, etc. A comprehensive list of services that can be provided comprises the following:
- Initial intake and assessment
- Orientation to the program structure
- Treatment planning. This includes the preparation of an initial treatment plan as well as regularly-scheduled updates to the plan, every 30 days or more frequently, based on participants’ needs.
- Individual counseling sessions
- Group therapy (including psychoeducational, life skills, self-help, and other areas of focus)
- Case management, care coordination, and discharge planning meeting as needed
- Family sessions as needed, where individuals who play a significant role in participants’ lives may be invited to a session
- Drug and alcohol screening, as necessary
- Continuing recovery and treatment planning, inclusive of the goals identified in the recovery or treatment plan and referrals to appropriate resources (e.g., social services, Medi-Cal and vocational rehabilitation, etc.)
- The use of Motivational Interviewing to establish an honest therapeutic relationship with the goal of influencing the participant towards change
- An assessment of the participant’s place in The Stage Model of Change
- Active encouragement of the expression of ambivalence and resistance to change
- Developing a Decisional Balance that shows the pros and cons of changing or not changing
- Developing a Hierarchy of Needs in which the participant decides upon the relative importance of different problems in their life and the order of addressing these problems therapeutically
- Educating participants on how to manage urges and craving
- Identifying, enhancing, and maintaining motivation to abstain, moderate, cut back, or engage in less harmful use
- Identifying and addressing coexisting mental disorders; such as depression, anxiety, trauma, etc.
- Identifying and correcting maladaptive and dysfunctional thoughts and beliefs
- Developing a balanced value-based lifestyle leading to fulfillment of goals and dreams while minimizing chances of replace
- Developing a style of communication that is effective and leads to establishment of healthy relationships
- Exploring and addressing dysfunctional dynamics within family and social environment
- Referral to medical professionals for determination of need for psychiatric or addiction medications
- Sharing of a list of resources within the community that offer complementary services that may not be provided within the program
- Thorough documentation of all services, interventions, and referrals provided
- The incorporation of 12 step and other spiritual groups, as appropriate for patient’s orientation and needs
- Relapse prevention and education
- Help recognize personal strengths and problem areas
- Develop and/or improve the use of healthy coping skills
- Identify, challenge, and modify distorted thoughts and beliefs
- Address transitions in life
- Improve the ability to problem-solve and cope with emotional crisis
- Change dysfunctional or destructive behavior patterns
- Improve communication skills
- Set immediate and long-term goals
- Develop an effective aftercare plan
- Identifying repetitive relationship themes that adversely affect daily functioning
- Referrals for psychological assessments, as determined by the therapist’s evaluation
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