Ryther’s Co-Occurring Disorder Intensive Outpatient Program (COD IOP) is designed to help youth who are dealing with both mental health and substance use challenges. The program provides 10 hours of therapy per week in a structured, supportive environment, aimed at building skills to address and overcome these challenges. The program is voluntary and incorporates a combination of therapeutic approaches to support both the individual and their family throughout the recovery process.

 

 

Who We Serve

This program is intended for youth ages 13-18 who have a history of mental health concerns and substance use. Participants must be able to commit to the program requirements, including attending sessions sober and participating in various therapeutic activities.

 

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Program Features

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• Frequency & Schedule: Sessions are held every Monday, Wednesday, and Thursday at Ryther.

• Therapeutic Hours: 10 hours of therapy per week, with group and individual therapy sessions.

• Program Duration: The length of the program varies from 8 to 16 weeks, depending on the treatment plan and individual progress.

• Experiential Learning: The program includes hands-on, group-based activities such as challenge course exercises, group games, and other experiential methods to help build communication, emotion-regulation, and resilience skills.

• Parental Involvement: Parents are encouraged to attend a parent support group alongside their child’s IOP treatment to foster family engagement and support.

• Psychiatric Support: Psychiatry services are available on an as-needed basis.

 

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Program Schedule

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• Monday: Group therapy and experiential activities (4:00 PM – 7:00 PM)

• Wednesday: Group therapy and individual therapy sessions (4:00 PM – 7:00 PM)

• Thursday: Group therapy and challenge course or other experiential activities (4:00 PM – 7:00 PM)

 

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Program Requirements

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• Age Range: 13-18 years old

• Commitment: Participants must commit to attending 10 hours of therapy per week and must attend sessions sober.

• Physical Ability: Youth must be able to engage in a range of physical activities, including walking, climbing, running, and sitting for up to 1.5 hours at a time.

• Parental Support: Parents are strongly encouraged to participate in the parent support group to enhance treatment outcomes.

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Program Goals

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• Mental Health & Substance Use Reduction: To decrease the symptoms of mental health and substance use disorders through evidence-based therapeutic approaches.

• Resilience Building: To strengthen the emotional resilience of youth and their families to help manage stress and prevent relapse.

• Skill Development: To improve communication, emotion-regulation, and coping skills through both individual therapy and experiential activities.

• Self-Identity & Self-Efficacy: To help youth develop a strong, positive self-identity and a sense of self-efficacy, particularly through the Seven Challenges approach and other strength-based interventions.

• Community Connection: To build a supportive, connected community among peers and families through group activities and shared experiences.

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Treatment Approach

The COD IOP uses a multi-faceted therapeutic approach:

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• Motivational Interviewing: To explore and resolve ambivalence about change.

• Harm Reduction: Techniques aimed at minimizing the harmful effects of substance use.

• Cognitive Behavioral Therapy (CBT): To address negative thought patterns and promote healthier behaviors.

• Seven Challenges: A therapeutic framework designed to help youth develop self-efficacy, reduce risky behaviors, and build resilience.

• Experiential Activities: Using group games, challenge course activities, and other hands-on exercises to promote engagement and reinforce therapy goals.

 

 

Insurance Accepted

 

• First Choice, Premera, Regence, Blue Cross, Blue Shield, Kaiser Permanente, LifeWise, Optum United Behavioral Health, United Healthcare Community Plan of Washington, Medicaid MCOs: Molina, United Health Care, Wellpoint, Community Health Plan of Washington, and Coordinated Care.

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More About Our Program:

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• We are grounded in the ARC model (Attachment, Regulation, Competency). The ARC Model is a trauma-centered lens that informs how we approach our clients and families and how we communicate with our team and our external colleagues. 

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• Culturally responsive: Our team centers our clients and their parents and caregivers. We are especially aware that some of the families we serve come from communities that have traditionally been marginalized and even harmed by the mental health system. We are mission-driven to be responsive to each person’s identity and experience and to deliver treatment that fits their needs.

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• Continuum of care: With IOP and PHP options and ongoing therapy, parent/caregiver coaching, and group opportunities at Ryther, we provide appropriate levels of intervention support to fit clients’ needs as they progress through their treatment process. We coordinate closely with existing providers and support systems to offer the ongoing aftercare support our clients deserve.