Intensive Outpatient Program (IOP)

MONARCH RECOVERY

INTENSIVE OUTPATIENT PROGRAM

Monarch Recovery Centers is Accredited by The Joint Commission and Certified by the CA Department of Health Care Services.

At Monarch Recovery, we recognize the paramount importance of maintaining personal commitments and connections while pursuing sobriety and recovery. Our Intensive Outpatient Program (IOP) is specifically designed to accommodate individuals’ existing responsibilities, allowing them to continue with work, school, and family obligations. This flexibility empowers patients to integrate their journey to sobriety seamlessly into their daily lives, reducing disruptions and fostering a smoother transition to a sober lifestyle.

Moreover, our program emphasizes the invaluable support of family and friends throughout the recovery journey. By participating in our IOP, patients not only receive professional guidance and assistance but also benefit from the encouragement and understanding of their loved ones. This network of support plays a pivotal role in bolstering motivation, promoting accountability, and nurturing positive relationships that are instrumental in long-term recovery success.

Additionally, Monarch Recovery IOP provides a comprehensive array of therapeutic services and resources tailored to meet the diverse needs of each individual. From evidence-based therapy sessions to holistic wellness practices, to all-inclusive support groups our program offers a multifaceted approach to recovery that addresses the physical, emotional, and spiritual aspects of healing. Through personalized treatment plans and ongoing support, we empower patients to cultivate resilience, develop coping strategies, and build the necessary skills for sustainable sobriety and a fulfilling life beyond addiction. We welcome you to find out more.

TREATMENT PROGRAM:

IOP Intensive Outpatient Program: Substance Use

  • Group and Individual Counseling:

    • Group therapy sessions use evidence-based materials featuring the Matrix Model offered through the Hazelden Betty Ford Foundation
    • Integration of ACT, DBT, and CBTtreatment modalities
    • Psychoeducation for substance misuse
    • Psychosocial support, Family counseling sessions
    • Early-stage relapse management and coping strategies
  • Recovery Promotion/Relapse Prevention Group:

    • A relapse management group to learn and practice using tools and strategies to prevent relapse, cope with triggers, and maintain long-term sobriety.
  • LGBTQ+ Recovery Group

    • A specialized 12-week group focusing on LGBTQ-specific issues relating to addiction, mental health and recovery.
  • Monarch IOP involves a minimum of nine hours of treatment per week, spread across three days (three hours per day), and lasts for at least 90 days.
  • The intensity and duration of treatment may be extended based on the specific needs of the individual.
  • IOP Groups are held Monday through Thursday evenings from 5:30 pm to 8:30 pm Scheduling details will be tailored to meet individual requirements.

MAT Medically Assisted Treatment (MAT)

Monarch IOP adheres to the guidelines for Medically Assisted Treatment (MAT) therapy and education. Our program is fully compliant with the mandates set forth by the Department of Health Care Services (DHCS), and we maintain affiliations with local clinics to facilitate medication referrals and ensure comprehensive care for our clients.

SUPPORT GROUPS

Monarch Recovery Centers’ Outpatient services provide specialized support groups such as ‘Recovery Promotion/Relapse Prevention’ and the ‘LGBTQ+ Recovery Group’, both of which are inclusive and open to everyone. These groups are founded on the principle of fostering community health and acceptance, recognizing the vital role that diversity plays in the well-being of our society.

By offering these support groups, we aim to strengthen our communities by promoting inclusivity and understanding, while creating spaces where individuals from all backgrounds can find support, empathy, and connection on their recovery journey. Our commitment to diversity and acceptance underscores our belief that thriving communities are built on respect, compassion, and celebration of individual differences.

  • Recovery Promotion/Relapse Prevention THURSDAY 7:00 pm – 8:15 pm
  • LGBTQ+ Recovery Group                               THURSDAY 5:00 pm – 6:30 pm

Both groups are held weekly and open to all. For questions and more information call the MRC office (707-205-5254) or Contact Us via email for current details.

INSURANCE

Monarch Recovery Centers accepts multiple insurance carriers and offers affordable rates and payment plan options for non-insured individuals.  Insurance carriers that are in-network are linked here and listed on the Insurance Verification page.  This page can also be found through the ‘Verify Insurance’ button in the above drop-down menu.

IOP, or Intensive Outpatient Program, is an acronym for a specialized treatment program designed to address various conditions, including addiction, depression, eating disorders, and other dependencies. Unlike residential or inpatient facilities that provide round-the-clock supervision and detoxification services, IOPs offer a more flexible and structured approach to treatment. Monarch Recovery is as a Substance Abuse IOP and the treatment is designed to help free individuals struggling with addition to substance use and alcohol to live healthier, happier and more fulfilling lives.

  •  Individuals who have recently been discharged from an inpatient, residential or partial hospitalization facility.
  •  Those who require intensive therapy but are unable to displace themselves entirely from their current life and responsibilities as is necessary with an inpatient program.
  • Those who require intensive therapy but are unable to afford the service in a residential or inpatient setting.
  • Those who do not require constant supervision but can benefit from extensive treatment sessions.

Not everyone seeking recovery can reside at a treatment facility, and not everyone necessitates round-the-clock supervision, but still, they may require extensive care. In such situations, intensive outpatient therapy programs offer a valuable alternative. These programs adhere to a structured approach founded on the initial assessment and a personalized treatment plan. They maintain regular communication with the client until the treatment process is successfully completed. The providers and the treatment plan are dedicated to ensuring that the client receives the highest quality care, incorporating empirically validated treatment methods such as therapy, medication-assisted treatment, and supplementary support from resources like 12-step groups.

Monarch Recovery IOP offers patients the opportunity to maintain their personal lives while prioritizing sobriety and recovery. Our program features group and therapy sessions in a modern, comfortable office space situated within a distinctive indoor/outdoor office complex. Monarch IOP involves a minimum of nine (9) and a maximum of twelve (12) hours per week. These hours are spread across three days between Monday-Thursday (three hours per day). The program lasts for at least 90 days. The intensity and duration of treatment may be extended based on the specific needs of the individual.

Transitioning from a residential treatment setting, where patients usually stay for 30, 45, or 60 days, to an Intensive Outpatient Program (IOP) represents a shift to a lower level of care. This transition frequently entails patients leaving their residential program and directly enrolling in

an IOP, oftentimes while also residing in a supportive sober living environment.

The primary goal of an Intensive Outpatient Program (IOP) is to provide individuals with the necessary tools and support to address their substance abuse issues and improve their mental health. This often involves stabilizing the individual’s mental state and helping them effectively manage addiction-related symptoms. By addressing cravings and physiological dependencies, the IOP aims to create a more comfortable and conducive environment for the individual to work towards their recovery goals. This may include Medically Assisted Treatment (MAT).

In addition to stabilization, the program’s goals and objectives encompass equipping patients with the tools to effectively manage the stressors and triggers associated with their addiction by strengthening their foundational mental health skills. This includes:

1. Teaching coping skills to handle challenging situations.

2. Enhancing problem-solving abilities to navigate life’s complexities.

3. Cultivating greater self-awareness to promote personal growth.

4. Guiding individuals in managing thoughts and emotions in a healthy manner.

5. Identifying and addressing unhealthy behaviors.

6. Providing support and guidance on seeking assistance from others.

7. Fostering the development of meaningful and supportive relationships.

8. Assisting individuals in establishing a structured and purposeful daily routine during their recovery journey.

Medically Assisted Treatment (MAT) is the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders. For those with an opioid use disorder (OUD), medication addresses the physical difficulties that one experiences when they stop taking opioids. MAT stabilizes the brain and helps break the cycle of cravings and withdrawal, which can last for years after the last drug use. This helps prevent relapse and allows patients to fully benefit from counseling and peer support. MAT is primarily the administration of medications such as buprenorphine (Suboxone) and Naltrexone. Buprenorphine work by reducing cravings and preventing withdrawal. Naltrexone works by blocking the effects of opioids in the body. The medicines ease the unpleasant physical symptoms associated with withdrawals from drugs and alcohol. This allows patients in IOP to focus on their learning and growth for recovery without having to worry about withdrawal symptoms or drug cravings. This option can provide a higher level of care and support.

 

Opioid Medication

IOP GROUP THERAPY: CBT, DBT, ACT MATRIX MODEL

Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT), within the evidence-based framework of the Matrix Model

At Monarch Recovery, we are dedicated to providing an innovative and comprehensive approach to addiction recovery through our Intensive Outpatient Program (IOP) in which group therapy is an essential component. Group therapy offers significant benefits that often match or surpass the effectiveness of individual therapy. The collaborative and supportive environment of group therapy helps diminish the stigma, shame, and isolation frequently associated with addiction, fostering a sense of solidarity and mutual understanding among participants. Through sharing experiences and strategies, individuals reinforce their journey to recovery, benefiting from the collective wisdom and support of peers facing similar challenges.

Central to our treatment philosophy is the utilization of various group therapy modalities, each contributing unique strategies and benefits to the recovery process. Our group therapy is structured around Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT), all within the evidence-based framework of the Matrix Model.

CBT groups focus on identifying and modifying negative thought patterns and behaviors, DBT groups work on emotional regulation and interpersonal effectiveness, and ACT groups emphasize psychological flexibility and value-based action. These therapeutic approaches are integrated with the structure and substance abuse education provided by the Matrix Model, ensuring a comprehensive and cohesive treatment experience. At Monarch Recovery, we are committed to empowering each individual with the knowledge, skills, and community support necessary to achieve lasting recovery and a return to a fulfilling life.

1. Cognitive Behavioral Group Therapy: CBGT operates on the principle that thoughts, feelings, and behaviors are interconnected. By identifying and modifying negative thought patterns and behaviors, individuals can effect positive changes in their feelings and overall well-being. This therapy helps break the cycle of negative thinking and behavior associated with substance abuse, leading to improved mental health, relationships, and overall quality of life.

2. Acceptance and Commitment Therapy (ACT) Group Therapy: ACT emphasizes acceptance as a way to deal with negative thoughts, feelings, and sensations and falls under the umbrella of cognitive-behavioral therapy but has its unique characteristics and techniques. In the context of group therapy, ACT is delivered in a setting where multiple individuals can learn from and support each other while working through the ACT processes. ACT’s impact is often enhanced by the collective experience. Participants not only learn from the therapist but also gain insights and support from peers who are going through similar struggles which can reinforce learning and motivation. Group discussions, role-playing, and mindfulness exercises are typical components that enrich the therapeutic.

3. Dialectical Behavior Therapy (DBT) Group Therapy: DBT is a specialized form of cognitive-behavioral therapy designed to help people change patterns of behavior that are not helpful, such as self-harm, suicidal ideation, and substance abuse. DBT is structured, goal-oriented, and skills-focused, making it an effective treatment for a variety of issues, particularly those related to emotional dysregulation, interpersonal conflicts, and self-destructive behaviors. DBT. Group therapy provides a supportive environment where participants can learn and practice skills together providing a space for learning and practicing new skills while also creating a community of individuals committed to supporting each other in their journey toward healing and growth.

The Matrix Model is the comprehensive, structured outpatient treatment program which is the foundational base Monarch Recovery uses which is tailored for individuals recovering from alcohol and substance abuse. It combines group and individual sessions in a stable, predictable therapy framework. This model integrates a variety of evidence-based therapeutic techniques, including cognitive-behavioral therapy, family education, individual counseling, 12-step support, and drug testing, along with promoting non-drug-related activities. Key components include extensive education on addiction and relapse, strong emphasis on relapse prevention through coping mechanisms and trigger identification, encouragement of self-help group participation, active family involvement in the recovery process, and the use of positive reinforcement. Continuous feedback through regular monitoring is essential to tailor and guide treatment. Recognized for its effectiveness in treating various addictions and adaptable approach for various populations, Monarch Recovery has established the Matrix Model’s as its core program with other modalities intersecting throughout, highlighting various current approaches creating a comprehensive yet concise and effective treatment program for our clients.

Monarch IOP operates as a substance abuse program and is categorized as a Level II on the spectrum of care for treatment, according to the American Society of Addiction Medicine (ASAM). The ASAM has defined five primary levels within the continuum of care for substance abuse treatment, each serving different needs:

  •  Level 0.5: Early intervention services
  • Level I: Outpatient services
  • Level II: Intensive outpatient/Partial hospitalization services
  • Level III: Residential/Inpatient services
  • Level IV: Medically managed intensive inpatient services

 

 

Citation: Guyer, J., et al. Speaking the same language: a toolkit for strengthening patient-centered addiction care in the United States. American Society of Addiction Medicine.https://www.asam.org/asam-criteria/toolkit. Published November 9, 2021

Disclaimer: “ASAM,” “American Society of Addiction Medicine,” “ASAM Logo,” the ASAM logos and taglines, are registered trademarks of ASAM, and are used with permission. Use of these terms is prohibited without permission of ASAM. Use of these trademarks does not constitute endorsement of this training, product, or practice by ASAM.