Definition of Intensive Outpatient Treatment (IOP):

IOP mental health level of care provides support and education for people with acute emotional and behavioral conditions impairing their daily function. 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 such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, stress management, coping tools, health and wellness education and therapeutic process group. IOP includes individual assessment and oversight by psychiatric provider.

IOP Schedule: IOP is offered 3 to 4 hours per day, two to four days a week with a minimum of 9 hours per week.

IOP Criteria for Admission:

1. Ages 18 and up.
2. Mental/behavioral symptoms that are interfering with social, vocational, and/or education functioning.
3. Able to be socially/group appropriate with adequate self-control of behavior and sit quietly and participate in group discussion for an hour at a time.
4. Have sufficient intact cognitive functioning to benefit from an active group program.
5. Be independently mobile and able to attend to their own Average Daily Living Skills (ADLS) while attending program.

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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 Adult IOP services in Sonoma County.

  Not at all familiar  Slightly familiar  Somewhat familiar  Moderately familiar  Extremely familiar 
St Joseph Health IOP 
Aurora IOP 
Kaiser 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 occurring events or assessed needs cause you to refer an adult to IOP? Please check all that apply.

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

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* 10. Please rank the important benefits of Adult 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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* 11. Please share any other benefits that are a priority to note about IOP. 

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* 12. Please rate which age population currently has the greatest unmet need for IOP? (With #1 being the “Greatest Unmet Need” and #4 being the “Least Unmet Need”)

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* 13. Please rate which mental health behavior or symptom presentation has the greatest unmet need for IOP? (With #1 being the “Greatest Unmet Need” and #8 being the “Least Unmet Need”)

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

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* 15. Please rate the level of unmet need for the following levels of care (Mild to Moderate, high moderate, and Severe and Persistent) 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
Individual has Private Health Insurance and is diagnosed with a Mild to Moderate mental health challenge.
Individual has Private Health Insurance is experiencing a high level of a moderate mental health challenge.
Individual has Private Health Insurance and is diagnosed with a Severe and Persistent Mental Illness
Individual has Medicare and is diagnosed with a Mild to Moderate mental health challenge.
Individual has Medicare and is experiencing a high level of moderate mental Health challenge.
Individual has Medicare and is diagnosed with a Severe and Persistent Mental Illness.
Individual has Veterans Health Administration and is a diagnosed Mild to Moderate mental health challenge.
Individual has Veterans Health Administration and is experiencing a high level of moderate mental health challenge.
Individual has Veterans Health Administration is diagnosed with a Severe and Persistent Mental Illness.
Individual has MediCal and is diagnosed with a Mild to Moderate mental health challenge, and does not meet medical necessity for Sonoma County Behavioral Health specialty mental health services.
Individual 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.
Individual has MediCal, is diagnosed with a Severe and Persistent Mental Illness and meets medical necessity for Sonoma County Behavioral Health specialty mental health services.

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

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* 17. Please note the three barriers seen most often by your agency: Choose only three.

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

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

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

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