FACE to FACE Intensive Outpatient Program (IOP)

The New Oakland FACE to FACE Intensive Outpatient Program (IOP) focuses on children, adolescents and adults with emotional, behavioral, and other mental health-related issues. While New Oakland’s IOP is not an appropriate service for individuals with a primary substance abuse issue, it can be helpful for those who have primary mental health diagnosis with secondary (or “co-occurring”) substance abuse disorder. Individuals with a primary substance abuse issue should seek detox, residential program services, rehabilitation or other services before contacting New Oakland.

New Oakland’s mental health IOP is less intensive and restrictive than the FACE to FACE partial day program, taking place on three non-consecutive days per week and lasting three hours per visit. It is a modified, less restrictive component of the FACE to FACE partial day programs, still featuring group, individual and family therapies that effectively deal with crisis, depression and conflict through the acquisition of social, interpersonal, communication, negotiation and conflict resolution skills.

With the New Oakland IOP, an individual continues to live at home and remain engaged in his or her own life, continuing to go to work or school while developing the skills he or she needs with the help and support of the program.

Our IOP seeks to create a “step down” approach to care that helps individuals gradually reduce the level of professional support they receive over time as circumstances warrant. At the same time, the New Oakland IOP provides a strong framework of therapy and professional care to ensure continuity and progress.

Program description

The FACE to FACE IOP Program is part of the continuum of services offered at New Oakland. It provides structured, face to face therapeutic services in a warm milieu type setting. The program is designed for persons who are experiencing symptoms requiring more intensive services than typical outpatient settings can provide. The FACE to FACE IOP serves as an alternative step-down from the partial-hospital programs, and/or when a consumer is requiring more intense services than an outpatient program can provide. Treatment is provided by a multi-disciplinary team, which has medical oversight and supervision. The main treatment modality is group therapy. Other services provided in the program are Individual therapy, family therapy, Psychiatric evaluation, and medication reviews, laboratory tests, psychological testing, education, and transportation. Treatment is person-centered and individualized to each unique situation and set of challenges in order to ensure the highest level of care. As such, the program is voluntary and requires the consumers input and participation. A person-centered plan is completed, which guides treatment. The program is typically 3 days/week for 3 hours with an average length of stay of two weeks. Days of attendance and sessions are arranged with the consumer and family that best fits their schedule. Family involvement is required of all school-age children and encouraged for all adults. Transportation services are available to and from the program, as well.

Program philosophy

The FACE to FACE IOP Program was designed to provide an array of services in the least restrictive environment to individuals and their families in a short period of time in order to resolve a crisis, and/or stabilize the individual with the least amount of disruption to the consumers and families lives while maintaining community involvement.

Program goal

The IOP program goal is to provide the necessary services to assist the individual in their recovery, learn the necessary skills to improve daily functioning and/or to stabilize the consumer in order for community integration to occur and services to be provided at the least restrictive environment.

Populations and any special populations

The IOP Program is children, adolescents, and adults, which are separated into age-appropriate groups.

Settings

The IOP Program is offered at 11 New Oakland locations. Services are provided in age specific milieus. Tele-Health services are used, if necessary.

Hours/Days of service

The IOP Program is offered Monday through Friday from 9:00am to 3:00pm. Saturday 9:00am to 3:00pm. (Livonia location ONLY)

Frequency of services

The IOP program runs 3hr/day am or pm session. Attendance is 3x/week.

Payers/funding sources

New Oakland accepts MOST major commercial insurances for the IOP program. Most Medicaid consumers require County screening. Authorization is typically required for services and is based on symptoms and level of care need.

Fees

Fees for the IOP Program are based on the consumer’s individual benefit plan. There are no fees for Medicaid/County Mental Health consumers. All fees are due at time of service, unless payment arrangements have been made. A financial agreement must be completed. discussed with the consumer prior to admission.

Referral Sources

Referrals are received from Hospitals, Community Mental Health agencies, area school districts, community providers and the individuals themselves. A referral from a provider is not required for admission.

Services offered/treatment modalities

Group therapy is the main treatment modality for the IOP Program. Other treatment modalities include individual therapy and family counseling. Other services provided can include psychiatric evaluations, medication reviews, medical assessments, and psychological testing.

Evidenced-based practices used, any assessment tools

Evidenced-Based practices used are, but not limited to, Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavior Therapy skills, Psychoeducation and Mindfulness. Clinicians use various assessment tools, including but not limited to, the PHQ-9, Columbia Suicide Scale, UNCOPE/CRAFFT, and WISC for school aged children.

Scope of medication

Psychiatric services are an integral part of the FACE to FACE IOP program. These services are provided by Psychiatrists and Psychiatric Mental Health Nurse Practitioners. Medication is prescribed and administered (if necessary) during program hours.

Credential of the staff qualified to provide the services or tx modalities.

The program is provided by a multi-disciplinary team, which includes Licensed and Limited Licensed Master’s level clinicians, social workers and psychologists (LMSW, LLMSW, LPC, LLPC, TLLP), Board certified Psychiatrists, Psychiatric Mental Health Nurse Practitioners, medical staff, including registered nurses, dieticians, behavioral technicians, and dedicated support staff.

Entry criteria

Admission into the program is based on meeting medical necessity for the program. This can include, but is not limited to, an individual suffering from long standing depression, significant impairments to self-care/education/occupational areas, reactions to a traumatic event, suicidal or homicidal thoughts/behaviors/attempts, serious psychotic symptoms, or are referred by an inpatient facility for step down. Individuals must be able to contract for safety and who’s symptoms and impairments would NOT require inpatient level of care. If symptoms exceed the FACE to FACE scope of services the individual will be referred to a higher level of care.

Transition/discharge criteria

Consumers are discharged when they have either achieved their goals established in the person-centered plan, have demonstrated improved daily functioning/stabilization, and/or eliminated symptoms warranting the IOP level of care.