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Definition of Intensive Outpatient Treatment (IOP):

IOP level of care provides support and education for adolescents with acute emotional and behavioral conditions that may be impairing their daily function. Adolescent IOP takes place in a structured group environment that is facilitated by licensed clinicians with medical oversight who teach a variety of evidenced based skills utilizing Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment therapy, as well as creative expression/art/movement-based groups. IOP includes individual assessment and oversight by a psychiatric provider.

Adolescent IOP Schedule: IOP is typically offered 3 hours per day, 3 days per week, although this can vary based upon program and individual need.

Adolescent IOP Criteria for Admission:

1. Ages 12-17.
2. Mental/behavioral symptoms that are interfering with social, vocational, and/or education functioning.
3. Able to be socially/group appropriate and within behavioral control, and meaningfully participate in group discussion/activity for an hour at a time.

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* 1. In what area do you primarily work?

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* 2. Please check the job title that best applies to your role:

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* 3. Please check the primary geographic location of your work in Sonoma County:

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* 4. In a few words, please tell us about the specific population you primarily serve:

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* 5. Please rate your level of familiarity with each of the available Adulescent IOP services in Sonoma County.

  Not at all familiar  Slightly familiar  Somewhat familiar  Moderately familiar  Extremely familiar 
Aurora IOP
Kaiser IOP 
John Muir IOP 

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* 6. Please choose the program(s) you have referred to:

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* 7. Based on your understanding, which insurance pays for IOP behavioral health services? Please check all that apply. (Mark what you do know even if it is only one payer option):

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* 8. What behaviors or symptoms have you observed in adolescents that might trigger a referral to IOP? Please check all that apply.

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* 9. Please note the three areas from above that are the most prevalent to your agency’s use of IOP: Choose only three.

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* 10. What occurring events or assessed needs cause you to refer an an adolescent to IOP? Please check all that apply.

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* 11. Please check the three areas that are most relevant to your agency's use of IOP: Choose only three.

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* 12. Please rate the important benefits of Adolescent IOP services for the individuals you serve? (With #1 being the Most Important and #6 being the Least Important of the options).

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* 13. Please share any other benefits that are a priority to note about IOP. 

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* 14. Please rate which mental health behavior or symptom presentation has the greatest unmet need for IOP? (With #1 being the “Greatest Unmet Need” and #6 being the “Least Unmet Need”)

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* 15. Please share any additional information on what mental health behavior or symptom presentation has the greatest need. 

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* 16. Please rate the level of unmet need for the following levels of care (Mild Moderate, high moderate, and Seriously and Emotionally Disturbed) for IOP. (For copy of Level of Care Matrix see email you received or contact erika.klohe@stjoe.org)

  No Unmet Need  Low Unmet Need  Moderate Unmet Need  High Unmet Need  Highest Unmet Need 
Adolescent has Private Health Insurance and is diagnosed with Mild to Moderate mental health challenge.
Adolescent has Private Health Insurance and is experiencing a high level of moderate mental health challenge.
Adolescent has Private Health Insurance and is diagnosed with a Seriously and Emotionally Disturbed mental health challenge.
Adolescent has MediCal and is diagnosed with Mild to Moderate mental health challenge, and does not meet medical necessity for Sonoma County Behavioral Health specialty mental health services.
Adolescent has MediCal and is experiencing a high level of moderate mental health challenge, and does not meet medical necessity for Sonoma County Behavioral Health specialty mental health services.
Adolescent has MediCal is diagnosed with Seriously and Emotionally Disturbed mental health challenge and meets medical necessity for Sonoma County Behavioral Health specialty mental health services.

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* 17. In your experience, what barriers keep individuals from accessing IOP? Please check all that apply.

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* 18. Please note the three barriers most often seen in your practice: Choose only three.

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* 19. What is the barrier that you find most concerning?

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* 20. Please describe any cultural barrier(s) that keep those you serve from accessing IOP:

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* 21. Please describe an example of an individual that would meet criteria for IOP but is unable to receive services due to barrier(s):

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* 22. Is there anything else you would like us to know?

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