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Overview

The Greenwich Hospital Adolescent Intensive Outpatient Program (IOP) is a group therapy-based program for patients ages 13–17. Our IOP provides a higher level of care than traditional once-a-week individual therapy but is less intensive than inpatient hospitalization. An Adolescent IOP is often an ideal approach for those who can reasonably maintain day-to-day activities but need more support than weekly counseling sessions with an outpatient individual therapist. Teens should be largely able to keep themselves safe without significant monitoring on nights and weekends.

Teens at this level of care can live at home and attend school but need extra support for their mental health. Our program includes three hours of group therapy three days a week, with additional individual and family therapy, psychiatry services and parent support. Treatments last around 6–8 weeks.

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Our Adolescent IOP offers a range of intensive therapeutic, interpersonal and skill development opportunities in addition to more traditional individual and family interventions. The Adolescent IOP curriculum uses evidence-based treatment modalities, including cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT), mindfulness, executive function, healthy living and psychoeducation.

Our team at the Adolescent IOP is comprised of a board-certified child and adolescent psychiatrist, psychiatric nurse practitioner, licensed clinical social workers and a registered nurse. We provide comprehensive, holistic and non-judgmental care.

Is this program for me?

The Greenwich Hospital Adolescent IOP provides intensive therapeutic programming for those struggling with daily functioning due to acute mood or anxiety symptoms. Our IOP can be helpful if the adolescent:

  • Is in a less restrictive level of care and experiencing an increase in symptoms resulting in decreased functioning at home, school and/or the community.
  • Has acute mental health and/or safety needs that have been stabilized in an inpatient or partial hospitalization setting and require a step-down level of care.
  • Is experiencing suicidal and/or homicidal ideation without intent and/or is experiencing self-injurious behaviors.

Some mental health conditions require more specialized care, for which we can provide alternative resources. These may include:

  • Aggressive behavior across multiple settings – home, school and community
  • Eating disorders
  • Intellectual disability
  • Primary diagnosis of substance use or conduct disorder
  • Psychosis or schizophrenia

How do I get started?

If you feel your teen may be a good fit for our program, please call us for more information. You will be asked a few screening questions over the phone and if eligible, you will be scheduled for an evaluation with one of our team members. During that evaluation, you can also discuss care needs, treatment recommendations and further details about the program.

We are participating providers for most insurance carriers, Connecticut Medicaid (HUSKY) and Medicare. However, it is always recommended that one check with their health care insurance company on the details of the behavioral health policy coverage.

What can I expect?

On the day of the intake evaluation, parents and teens will meet with a staff clinician to complete consent paperwork and intake documents. If appropriate, we will coordinate care and your start to the program. If our program is not a good fit for the adolescent’s current needs, resources can be provided for alternative treatments.

The Adolescent IOP program meets three times per week and provides three hours of group-based treatment daily utilizing evidence-based modalities; additional family and individual support are integrated into your care. During participation in our program, our team can assist with after-care planning. If early dismissal from school is needed, clinicians will collaborate with parents and school staff to coordinate. Programming also includes multi-family support and therapy, which occurs weekly in person. Guardian, parent and/or caregiver participation is a requirement of programming.

Here is an example of a weekly IOP schedule:

Example IOP Schedule

Day 1 Day 2: Family Day Day 3
1-2 pm Check-in, daily measures and weekend recap Family check-in and daily measures Check-in, daily measures and weekly scales
Break
2:10-3:10 pm Psychoeducation (Topics may include health and wellness, personal control, relationships, values and beliefs, safety planning, mental health systems) Multifamily group psychoeducation or family group activity (Topics may include communication skills, working on trust, setting boundaries, medication management and family systems) Psychoeducation or skills-based activity (CBT/DBT/ mindfulness skills)
Break
3:20-4:20 pm Skills-based activity (CBT/DBT/ mindfulness skills) Family breakout sessions:
  • Adolescent reflections group
  • Family support Q&A
Safety and weekend planning (review of safety plan, skills review and other activities related to self-care and wellness)
Dismissal

 

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