Depending on what brings you to an IOP, or depending on the individual IOP, the type or modality of treatment may vary, but what follows are some of the most common ones we use at PTC.
12-Step Facilitation: Though the 12-step model was originally developed for Alcoholics Anonymous, the approach is also used for people with drug misuse, eating disorders, and other compulsive disorders. In the 12-step model, individuals begin working through the steps under therapeutic supervision. A major advantage to this program is the ease of ongoing support for individuals through their ability to attend AA meetings in the community afterward, continuing their work from the IOP.
Cognitive Behavioral Therapy (CBT): CBT is based on the idea of giving people coping skills when confronted with triggers, as well as on helping reframe cognitive distortions that lead to those behaviors that are maladaptive, unhelpful, or harmful. CBT is a particularly good match for intensive outpatient programs because people are still in their normal situations and so can test out the new skills right away.
Motivational Approaches: Our approaches such as motivational interviewing or motivational enhancement therapy are designed to discover someone’s ambivalence towards treatment and help them change their behaviors.
The therapy is kind—acknowledging that substances or behaviors had served some purpose for the client at some point in their lives—but also directive, using strong encouragement to confront one’s behaviors that are not aligned with their desired outcomes or values.
Therapeutic Community: This is a step down from residential. This approach is “community as method,” using any social interaction to guide change and help people find better skills once they are back in their original community.
Matrix Model: The Matrix Model was founded in the 1980s to address the widespread cocaine and stimulant problems at the time. It integrates several different approaches, including CBT, 12-step, and motivational enhancement to target change. The full program is 16 weeks and combines individual sessions with psychoeducational sessions, relapse prevention sessions, and family and social support groups.