Intensive Outpatient Rehab (Day Treatment) level of care is the next step in the multi-phase approach to outpatient drug and alcohol treatment. This intensive day rehab is a step down from PHP and at this level of treatment Grace’s Way clients are required to attend treatment services which are between 9 to 12 hours per week including 1-2 individual therapy sessions. These treatment services will be held (predominantly) in the same therapeutic group session format that PHP patients are familiarized with. Groups will continue to focus on addiction-related issues, as well as the process of reintegrating back into society without the use of or reliance upon chemical substance. Patients now have more time to begin to work on solidifying the foundation laid at the onset of treatment. While clinical treatment services continue, patients also begin identifying and focusing on other areas of life that have been neglected as a result of an addiction to drugs and alcohol – areas such as career building, education, personal care, interpersonal relationships, hobbies, and goals. Let’s take a look at the ways in which we help our clients develop essential life skills such as these throughout our intensive outpatient program.
Addiction strips us of many things, including the motivation necessary to pursue any career objectives that we may have developed earlier on in life. As part of the Intensive Outpatient program, patients will begin to take a seriously look at what careers appeal to them. In the meantime, patients are encouraged to begin working ‘recovery’ jobs in order to start becoming financially independent and responsible. We work closely alongside each individual patient to help build out resumes, evaluate skill sets, and hone interview etiquette. We also work with each of our patients to develop long-term career goals, and lay out ways in which to work towards those goals.
Many addicts and alcoholics enroll in school with every intention of graduating on time, only to find that drinking and drugging eventually becomes priority. Many of the patients in our Intensive Outpatient program dropped out of school, and are interested in getting re-enrolled in either a GED program or in a collegiate program. We help our patients apply to the school of their choosing, and support them in re-learning adequate study skills, time management, dealing with school-related stressors, and how to succeed in an academic atmosphere. Because our IOP program only takes up several hours per week, those participating in this specific recovery option will have ample time to dedicate to academics.
Communication is crucial to lasting and meaningful recovery, though it is a skill that many addicts and alcoholics have entirely lost touch with during their active addictions. Interpersonal relationships – friendships, familial relationships, romantic partnerships, and business relationships – have all likely suffered immensely because of this.
We teach patients to communicate effectively. This means expressing emotions and feelings in a productive and effective way, setting healthy boundaries, and learning to say ‘no’ in potentially sobriety-compromising circumstances. We help patients facilitate healthy and supportive relationships with members of the same sex, and help instill in them the values and importance of developing a solid and reliable sober support system.
While active in our addictions, we likely stopped caring much about our personal wellbeing. We certainly let our physical health falter, and we most likely repeatedly put ourselves in morally compromising and potentially dangerous situations (such as engaging in promiscuous behaviors or going to indecent lengths to obtain what we needed). We help to instill our patients with the skills necessary to maintaining personal health – physical, spiritual, emotional, and mental.
Goals and Aspirations
While we are out there using, we typically have one main goal – get what we need to get to stay intoxicated. When we enter into recovery, our goals will inevitably begin to shift. We will be forced to look at what it is we want to contribute to the world as productive members of society. We will help our patients to explore multiple venues of potential passion and purpose, and work with them closely to develop a realistic plan for the future. We will also work with patients in a financial sense, teaching them how to become fiscally responsible in such a way that will allow for the obtainment of future goals. We will help patients to open up bank accounts and budget their earnings in an proactive and reasonable way.
In addition to ongoing therapeutic services, at this level of care Grace’s Way clients begin seeking gainful and meaningful employment, and many cases Grace’s Way clients resume academic pursuits. Patients learn resume-writing skills, interviewing techniques, and those looking to go back to school, begin the college application process. Many individuals drop out of school as a result of struggling with drug and alcohol addiction. At Grace’s Way we believe that continuing forward on a purpose-driven path enhances one’s sense of self-esteem and self-worth. This phase of treatment is focused on life skills with a continued emphasis on Relapse Prevention Treatment (RPT). Relapse Prevention is a crucial component of every program of addiction recovery, and will ideally last for the remainder of one’s life. A major portion of RPT comes in the form of a 12-step program, which we work to introduce each of our clients to regardless of which level of care they are in. During IOP, patients will be required to attend one outside meeting per day – and seeing as clinical group sessions only take up 9-12 hours per week, they will have ample time to do so. If patient require transportation to outside meetings, they will be asked to find rides from sober supports at the meetings they choose to attend. This will help patients to become more independent, while forcing them to step outside of their comfort zones and ask for help. This will also enable patients to build healthy sober support systems outside of the men or women in their IOP groups. Of course, RPT will also take place inside of therapeutic group settings. Patients will learn to successfully cope with triggers and cravings, employing techniques they learned in group while experiencing real-life incidents, then reporting back and processing through experiences in a safe and supportive setting.
Patients often remain at this level of care between 8-12 weeks and as deemed necessary by the clinical team. Of course, patients who require more extensive care will be asked to remain in Intensive Outpatient treatment for longer, or will be moved to a more intensive and appropriate level of care.