Intensive Outpatient Group Program (IOP) level II.1 is a program designed for people who are ready to return to employment, school, or do not require a advanced level of care. IOP also allows outpatient treatment at a more affordable price to the individuals and managed health care, therefore allowing an individual a possibility to seek the treatment they may need. These features, plus the three main components of IOP psychoeducational, process, and family group meetings make IOP a critical group in addiction treatment.
IOP allows increased frequency of contact by the counselor than individual sessions. The group sessions last approximately eight weeks with clients meeting for group 3 times per week for 3 hours. The goals of these sessions are to achieve abstinence, to support behavioral changes, to initiate participation in community-based support groups, to assist the client in developing constructive relationships, and improve problem solving abilities and coping strategies. These goals within IOP groups help the client to adjust to the new lifestyle in sober living.
The American Society of Addiction Medicine (ASAM) developed Patient Placement Criteria for the Treatment of Substance Use Disorder. (Hoffman et al. 1991) This criterion is used widely when defining if a client is appropriate for IOP Level II.1. This level of care requires at least nine hours of contact on a weekly biases. Research shows that the criteria described in ASAM PPC are reliable and have predictive validity (Gastfriend 1999). Admissions to Level II.1 requires a diagnosis of substance-related disorder based on the DSM-IV; an identification of at least on criterion in the ASAM PPC-2R dimensions 4,5,or 6; and meeting the requirements of dimensions 2 and 3 if biomedical, emotional, behavioral, or cognitive conditions or problems exist. (“Center for,” 2006) The following chart provides an overview of the dimensions listed in the ASAM PPC.
Dimension 1: Acute intoxication or withdrawal potential. Clients who are not experiencing or at risk of acute withdrawal (e.g.) experiencing only sleep disturbances) can be managed in Level II.1 IOP, provided that their mild intoxication or withdrawal does not interfere with treatment. To be managed successfully in Level II.1, clients should be able to tolerate mild withdrawal, make a commitment to follow treatment recommendations, and make use of external supports (e.g. family?
Dimension 2. Biomedical Conditions or complications. Clients with serious or chronic medical conditions can be managed in IOP as long as the clients are stable and the problems do not distract from substance abuse treatment.
Dimension 3. Emotional, behavioral, cognitive conditions or complications. Dimension 3 problems are not a prerequisite for admissions to IOP. But if any of these problems are present, clients need to be treated in an enhanced IOP program that has staff members who are trained in the assessment and treatment of both substance use and mental...