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Impaired Functioning and Downward Shift in Functioning in Schizophrenia
Published in Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman, Understanding and Caring for People with Schizophrenia, 2020
Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman
Reggie took the rest of the semester off to recover and began an intensive outpatient program. An intensive outpatient program is exactly how it sounds. Patients go to this type of program as outpatients, usually three to five days a week, and engage in groups, vocational training, and individual treatment. He made a near full recovery and was able to return to college the next semester.
Introduction
Published in Kate B. Daigle, The Clinical Guide to Fertility, Motherhood, and Eating Disorders, 2019
I was 22 when I fully entered recovery. I was mature enough to think about my future at this point and two of the strongest motivators for me were (1) having a family one day and (2) having a successful career. I also really wanted to find out who I was without an ED, as it had consumed me during a time of my life that was rich in identity development. In college I had entered an evening intensive outpatient program. There I was with many young women like myself, but also several women who were much older, in their fifties and sixties. I told myself: “there is NO WAY I will be still dealing with this when I am 50.” The thought of that scared me to death. I didn’t see any of the dreams I had for myself to be possible with an active ED. I also was just so tired of struggling so much and decided enough was enough. I was going to recover. I decided to dedicate myself to therapy and to recovery and did not look back. I had a couple of lapses along the way (which is a normal part of recovery; how else would you learn what it’s all about?), but have been fully in recovery since that time.
Psychological Treatment of Chronic Pain in Pediatric Populations
Published in Andrea Kohn Maikovich-Fong, Handbook of Psychosocial Interventions for Chronic Pain, 2019
Given the contradictory nature of the goal to function independently and the experience at an inpatient setting, intensive outpatient programs (IOPs) are becoming more popular for the treatment of children and adolescents coping with severe disability and uncontrolled pain. The number of IOPs in the United States is limited, but institutions that have them include Lucile Packard Children’s Hospital at Stanford, Boston Children’s Hospital, Cleveland Clinic Children’s, and Seattle Children’s Hospital. The programs typically last three to eight weeks, require multiple hours of intervention each day, and commonly include daily coordination with physical therapy, occupational therapy, psychology, and other medical providers (Logan et al., 2012). Family and parenting work also are included, and many programs have a school component as well.
A neurobehavioral continuum of care for individuals with intellectual and developmental disabilities with severe problem behavior
Published in Children's Health Care, 2023
Louis P. Hagopian, Patricia F. Kurtz, Lynn G. Bowman, Julia T. O’Connor, Michael F. Cataldo
The Intensive Outpatient Program (IOP) is a more rapid and concentrated outpatient service model where patients receive up to 25 hours of service per week, typically for three consecutive weeks. Families accessing this service are either from the Baltimore/Washington area or they temporarily reside locally (e.g., at a hotel or a charity-supported accommodation) while completing the program. IOP is indicated when the patient meets the above criteria for outpatient service, and (a) the problem behavior is quite severe and requires rapid and intensive treatment that would not be safe or feasible if delivered through regular outpatient care spanning a period of several months, (b) the patient can be managed safely in local housing, and (c) inpatient admission is not yet indicated. In some cases, Outpatient or Intensive Outpatient services may be provided via a telehealth model, wherein the parent is trained to conduct behavioral assessment and treatment sessions from home, and data are collected and reviewed by the clinical team stationed in the hospital setting.
A Roadmap for Measurement-based Care Implementation in Intensive Outpatient Treatment Settings for Children and Adolescents
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2022
Amber W. Childs, Elizabeth H. Connors
Much of the current MBC evidence has been established among adult populations, with the MBC benefits for youth populations still emerging (Parikh et al., 2020). MBC has been linked to patient-reported decreases in treatment targeted symptoms for youth in school-based settings (Cooper et al., 2013; Melendez, 2002), and in individual psychotherapy (Bickman et al., 2011, 2016; Kodet et al., 2019). There is also evidence of improved therapeutic alliance and youth perception of the therapist’s concern with their specific challenges in adolescents (Douglas et al., 2015; Lester, 2012). However, some mixed findings in youth populations have generated calls for research to clarify whether the full scope of MBC benefits observed in adult populations translates to youth (Bergman et al., 2018). Moreover, additional applications of MBC with youth populations (e.g., across the age span, levels of care, presenting concern, service delivery contexts) are needed to further understand MBC implementation strategies and impact on youth outcomes. For instance, there is a dearth of literature examining MBC applications among youth receiving group-based psychotherapy (Shechtman & Sarig, 2016) and requiring higher levels of care (Lester, 2012). To help fill this gap, the current manuscript describes a strategy for MBC implementation in group-based treatment settings designed to treat transdiagnostic populations of youth in moderate to high levels of psychiatric distress. Below, we review MBC implementation challenges and contextual considerations that apply to intensive outpatient programs (IOP).
Associations between Medication Assisted Therapy Services Delivery and Mortality in a National Cohort of Veterans with Posttraumatic Stress Disorder and Opioid Use Disorder
Published in Journal of Dual Diagnosis, 2020
Natalie B. Riblet, Daniel J. Gottlieb, Brian Shiner, Sarah L. Cornelius, Bradley V. Watts
We sought to understand the impact of general substance abuse treatments that are provided along with the medications to treat OUD (see Table 1). Our definition of general substance abuse treatment included all available stop codes for specialty substance use disorder care that are used in the VA healthcare system (513, 514, 519, 545, 547, and 560). The stop codes are broadly defined and may include a variety of different behavioral treatments that target a substance use disorder or a substance use disorder with comorbid PTSD. The treatments may be individual or group-based and delivered in-person, at home, over the phone or in the context of an intensive outpatient program (see Supplemental Online Material). The stop codes do not delineate the specific types of treatments offered (e.g., supportive therapy).