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CLINICAL ISSUES IN INTENSIVE OUTPATIENT TREATMENT …

substance abuse and Mental HealthServices AdministrationADVISORYPage 1 of 9 CLINICAL ISSUES IN INTENSIVE OUTPATIENT TREATMENT FOR substance USE DISORDERS INTENSIVE OUTPATIENT (IOP) programs for substance use disorders (SUDs) offer services to clients seeking primary TREATMENT ; step-down care from inpatient, residential, and withdrawal management settings; or step-up TREATMENT from individual or group OUTPATIENT TREATMENT . IOP TREATMENT includes a prearranged schedule of core services ( , individual counseling, group therapy, family psychoeducation, and case management [CM]) for a minimum of 9 hours per week for adults or 6 hours per week for adolescents (Mee-Lee et al., 2013). To help clients fulfill their individualized TREATMENT plan goals, IOP services may incorporate other in-house TREATMENT and peer services, encourage clients attendance at mutual-support groups, and collaborate with local community providers to secure needed services ( , medication-assisted TREATMENT , psychological assessments, vocational rehabilitation services, and trauma-specific TREATMENT ).

The 2019 National Survey of Substance Abuse Treatment Services reports that 46 percent of SUD treatment facilities offer IOP treatment (SAMHSA, 2020d). IOP programs offer advantages over residential settings and standard outpatient services through: Flexibility in treatment delivery. Because IOP programs offer day, evening, and weekend

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