Intensive Outpatient (ASAM Level 2.1)

Cognitive Behavior Therapy (CBT)

Admission criteria match ASAM Level 2.1. Participants are at high risk of relapse, any withdrawal symptoms can be managed on an outpatient basis, but need frequent structure, education and support for recovery. Therapy occurs in a group format, 2-hours daily, Monday through Friday, with a curriculum that averages 4 weeks. Individual and/or family sessions occur at least monthly.

While some  people may start with Motivational Enhancement Therapy, step up to Cognitive Behavior Therapy, and then finish with Twelve Step Facilitation, each therapy is distinct and does not require a linear progression. In design, MET utilizes a harm reduction approach, whereas total abstinence is the goal for CBT and TSF. The curriculum for all three therapies draws on evidence-based practices from the following sources:

  • Hazelden/Dartmouth Medical School Integrated Co-Occurring Disorders Program
  • Dialectical Behavior Therapy
  • Seeking Safety
  • Moral Reconation Therapy
  • John Gottman Institute