Specifications include, but are not limited to: Intensive Outpatient Programming for Adult Substance Abuse (IOP) are provided in an office, clinic, home or other environment appropriate to the provision of psychotherapy or substance use services. IOP services provide group based, non-residential, intensive, structured interventions consisting primarily of counseling and education about substance related and co-occurring mental health problems. Services are goaloriented interactions with the individual or in group/family settings. This community-based service allows the individual to apply skills in “real world” environments.; a. A substance use disorder (SUD) assessment completed by a licensed clinician prior to the beginning of treatment.; i. If a prior SUD assessment is determined to be clinically relevant and includes a current diagnosis, level of care recommendation and a discharge plan can serve as the admission assessment.; ii. If the prior assessment is not relevant or does not contain the necessary information than an SUD addendum will be necessary.; b. All Medicaid eligible individuals are to be screened for co-occurring conditions throughout the assessment.; i. If the clinician is a LADC or a PLADC and suspects a possible mental health condition, a referral is to be made to a licensed clinician capable of diagnosing/treating co-occurring mental health and substance use disorders.; c. The individualized treatment/recovery plan, including discharge and relapse prevention, must be developed within two sessions with the provider (consideration of community, family, and other supports).; d. Review and update the treatment/recovery plan under clinical guidance with the individual and other approved family and or supportive individuals every 30 days, or more often as medically indicated. The final plan must include the signatures of the individual and all treatment team members.; e. Therapies/interventions must include individual, family, group psychotherapy, educational groups, and/or motivational enhancement and engagement strategies.; f. Monitor stabilized co-occurring mental health problems.; g. Consultation and/or referral for general medical and psychiatric, needs.; h. Access to a licensed mental health/substance use disorder practitioner on a 24/7 basis.; i. Provider must coordinate with other treating professionals. DPS will assist in providing releases of information to facilitate this.; j. IOP programs must provide nine (9) or more hours per week of skilled treatment, three (3) to five (5) times per week in groups of no fewer than three (3) and no more than 12 individuals.; k. All staff will be educated/trained in recovery principles and trauma informed care.
