Intensive Outpatient Program

Higher Psychiatric Care Needs in the Age of Coronavirus: 


We know that for some, the coronavirus associated health crisis are escalating and exacerbating psychiatric care needs. We are pleased to be able to offer a fully virtual higher level of care to those who are needing intensive therapeutic support. 

Our Virtual Intensive Outpatient Program (IOP) offers an effective skill building treatment option for

clients who need 10 hours a week of therapeutic contact including ACT group therapy, skill development, medication management, and stabilization.


Now accepting new referrals for residents of Washington and Oregon

To make a referral to the Intensive Outpatient Program or to get on the waitlist, clinicians or clients may
call our IOP Coordinator Abigail Carey, LMHC at (360) 448-7827.

Group Schedule

IOP group is held Tuesday, Wednesday, Thursday 9:00 AM to 12:00 PM.

Individual therapy sessions are held once a week on Mondays or Fridays. Medication management is scheduled

once a week or as needed. A typical stay in IOP is 4-6 weeks.

Treatment Modality

Our IOP utilizes a framework of Acceptance & Commitment Therapy (ACT). The program focuses on

psychoeducation and group process to develop essential skills in order to manage and reduce symptoms, distress, and improve daily functioning. Small groups of ten or less create a safe community in the context of a therapeutic milieu to help clients process, find insight, and create change. Our IOP is a mental health focused program, addressing concerns such as depression, anxiety, mood fluctuations, bipolar disorder, and trauma.


IOP is an excellent fit for clients age 18 and older who are recently experiencing:

  • Decline of functioning due to mental health

  • Suicidality with ability to plan for safety

  • Discharge from a higher level of care (inpatient, residential, or day treatment programs)

  • Need to reduce the chance of stepping up to a higher level of care

  • Symptoms primarily due to depression, anxiety disorders, mood disorders

  • Symptoms impacting ability to meet responsibilities at home, school, or work (FMLA candidates)

Concerns Not Addressed In Our IOP

Our IOP is focused on mental health. We are not focused on co-occurring or substance abuse. We are an ACT program, not a DBT program. IOP may briefly address other significant factors such eating disorders, substance related issues, and grief; however, if these concerns are your primary focus, our program may not be the right fit. Our program is not an appropriate fit for individuals with a history of violence or aggression, those experiencing active psychosis, or those unable to participate in a structured group environment. 


IOP is in-network with the following insurance: Pacific Source, First Choice Health, Moda/ODS, Lifewise/Premera, Regence, Optum/United Healthcare/Providence, BCBS. 

Guide to Providers referring to our IOP

Therapists Referring To IOP:

Our program is an excellent fit for clients age 18 and older who are experiencing decline in functioning due to mental health, suicidality (with ability to plan for safety), need to reduce risk for higher level of care or step down from higher level of care. If you have a client whose needs exceed standard outpatient care of one session per week, this is an effective alternative to frequent office visits or partial hospitalization. Clients are seen 4 days a week (10 hours of contact) with case coordination and discharge planning for seamless and stable transition back to referring clinicians or community resources. 

Medication Providers & PCPs Referring to IOP:

Our program is here to support patients in need of stabilization who are experiencing mental health symptoms - primarily due to depression, anxiety, mood disorders - impacting their ability to meet responsibilities at home, school, or work (FMLA candidates). Increased contact with patients allows for rapid medication changes to manage symptoms in coordination with your treatment plan.

What to expect from Intake to Discharge



  • You can be referred to our program in multiple ways. Clients are welcome to self-refer or inquire without a formal referral from a provider. 

  • When we receive your referral, the IOP Coordinator will contact you within one business day to answer questions, provide information, and schedule an intake if desired.

  • We will also check on your IOP benefits prior to your intake to help you determine if the financial responsibility fits your needs.

  • If the program doesn’t feel right for you, or if the financial responsibility is a poor fit, we will offer other payment options or other resources in the community to address your needs.

Intake Assessment:

  • You will meet with an intake therapist to assess your current mental health and functioning as well as to determine if IOP is a medically necessary service for you. 

  • Medical necessity is determined by identifying changes in your symptoms, the impact of symptoms on your life, and the level of support needed for you to experience alleviation of symptoms at this time.

Group Experience:

  • You are welcomed into the small group and safe space that will support you just as you are.

  • You can expect a group experience that strives to be relaxed, non-judgmental, and productive. Your IOP is unique in its intimate size of less than 10 people. 

  • Group leaders are authentic and caring, making it comfortable for group members to initiate interaction, cross-talk, support, and feedback. Your group leaders will be master’s level therapists or licensed mental health therapists.

  • IOP group has rolling admission to accommodate clients promptly when they need IOP. There may be members further along in their process of IOP who ease the introduction for you, contributing to the therapeutic effects of group.

  • We ensure a safe environment for all to share openly and honestly about their struggles without stigmatization, judgement, or discrimination. 


  • Discharge is actively planned and prepared for during the course of your treatment. Discharge does not indicate that all mental health symptoms are fully resolved; it does indicate that your symptoms have reduced and your functioning has increased enough that you are ready to return to a standard outpatient level of care.

  • Criteria for discharge from IOP may include:

  • Treatment goals met

  • Reduced or eliminated safety risk

  • Improved ability to manage and reduce symptoms

  • Skill acquisition and utilization 

  • Overall stabilization of symptoms functioning to outpatient level

  • Improved daily functioning and readiness to return to work, school, or home responsibilities


Teen Intensive Outpatient Program Closed

Our team made the difficult decision to close our Teen Intensive Outpatient Program in the Fall of 2018. It has been our privilege and honor to have worked with many teens over those 3 years, hopefully leaving a positive impact on them and knowing they gave us a sense of hope for our community.


We thank all of you - the community, our partners and our well-wishers -  for your support.