Our core program
The virtual intensive outpatient program.
Twelve clinical hours a week. Four evenings, twelve weeks, entirely by video, from any island. Separate mental health and substance use tracks, with a co-occurring path for people carrying both. This is the program the rest of our care is built around.
Who this program is for.
IOP is the step between weekly therapy and residential treatment — real clinical intensity for people who cannot put work, school, or parenting on hold to get it.
Not sure this is your level? Start with the map of the levels of care.
- Weekly therapy is not holding, and the space between sessions keeps getting harder
- You are stepping down from a hospital or residential stay and need structure to keep what you gained
- Substance use has outgrown willpower and weekly support
- Mental health and substance use are tangled together and treating one at a time has not worked
The structure
Three types of sessions.
Group, four evenings a week
Eight to ten people, the same people, for the whole twelve weeks. Group is the engine of an IOP — skills on Tuesdays and Wednesdays, process on Mondays and Thursdays, and a room that starts as strangers and does not stay that way.
Individual, weekly
A standing session with your primary clinician — the person who holds your chart, tracks your plan, and has read it before you log on. Group gives the work volume; this hour gives it precision.
Family, every other week
Recovery holds better when the people around you understand it. Partners, parents, and chosen family are brought in at a pace you control — education as much as therapy, because most families have never been told how to help.
The schedule
A week in the program.
Monday through Thursday evenings, so the program fits around the day you already have.
Monday
Process group. What happened over the weekend, and what it cost you.
Tuesday
Skills group. Concrete tools — distress tolerance, craving management, communication.
Wednesday
Skills group. Practice rather than theory, on the week you are actually having.
Thursday
Process group, plus family session every other week.
Mental health + substance use
Treatment built for you.
Mental health track
Depression, anxiety, trauma and PTSD, and mood disorders. Evidence-based group curriculum with individual work threaded through it.
Substance use track
Alcohol and drug recovery, run as its own group because the room is different. Craving management, relapse prevention, and the unglamorous skills that keep a Tuesday sober.
The co-occurring path
If you are carrying both, you should not have to pick which one to name first. The co-occurring path treats them together, under one plan, because that is how they actually behave.
Week thirteen is part of the program.
At the end of the program, you leave with a written aftercare plan. Many clients step down to weekly individual therapy with the same clinician they already trust, and psychiatry continues without interruption.
How it works
Get started today.
01
Reach out
Call or fill out our online form. You talk to a real member of our team, not a bot. We’ll ask what’s been going on and what you’ve already tried.
02
Clinical assessment
Within a few days, a licensed clinician walks you through a full assessment by video, to determine whether we’re a fit for you.
03
Insurance and cost
We verify your benefits and tell you what you will actually owe before you commit to anything. No surprise balance later.
04
Start your group
You are placed in a cohort and meet your clinician before the first session, so you walk into a room where someone already knows your name.
Questions
Straight answers.
Who will be in my group?
Eight to ten adults working through real things of their own, matched to your track — mental health or substance use. The group stays the same for the full twelve weeks, so you have time to get to know the people you’re doing the work alongside.
Do I have to talk in group?
You will never be ambushed, and nobody is forced to perform. But the honest answer is that the work happens out loud, and the program is built to make that safe enough to do. Camera on, because the work does not happen with the camera off — the same is true of your voice.
Can I switch tracks if it turns out I am carrying both?
Yes. The assessment usually catches co-occurring conditions up front, but if drinking surfaces in week five of the mental health track — or depression surfaces in the substance track — the plan moves with you. That is what having one team and one chart is for.
What happens if I miss an evening?
Life on an island includes power outages, sick kids, and shift changes; the program knows that. Tell your clinician, and the material is made up rather than skipped. A pattern of missed groups becomes a clinical conversation, not a penalty.
What happens after the twelve weeks?
A written aftercare plan, built before you leave — typically stepping down to individual therapy, with psychiatry continuing if it is part of your care. Wherever possible you keep the same clinician, so the relationship you spent twelve weeks building keeps working for you.
Not sure which level is right?
That is what the assessment is for. A licensed clinician will tell you honestly where you belong — including if that is somewhere other than here.