Adult Intensive Outpatient Program

For many people with intense emotion dysregulation, standard outpatient DBT is enough. Sometimes, however, a more intensive approach may be preferred for one or more of the following reasons:

  • to avoid hospitalization and other higher levels of care.
  • when you want or need more rapid progress.
  • as a step-down from a higher level of care, like hospitalization or residential treatment.
  • to have greater structure and support than is usually available through standard outpatient care.
  • when you have time constraints and need to receive more treatment in fewer weeks (e.g., returning to school or work) or other challenges (e.g., have childcare challenges, have to commute a long way for treatment).
  • when your problems are more complex, severe, and potentially life-threatening and require more frequent care.

Telehealth Delivered. Since the start of COVID, we have successfully converted all our treatment services, including our IOPs, to telehealth. All standard services and IOPs are currently offered via HIPAA-secure video conferencing.

Standard Adult IOP (ages 18+): Open Now!

Schedules:
Salem Adult IOP: M/W/Th/F 12:00pm – 3:00pm
Portland Adult IOP: M/W/Th/F 11:00am – 2:00pm
Southern Oregon Adult IOP: M/W/Th/F 12:00pm – 3:00pm

Offered for 12 hours over four days a week, PDBTI’s Standard Adult DBT Intensive Outpatient DBT is designed for adults 18 years and older who struggle with:

  • Debilitating depression/anxiety
  • Suicidal behavior, suicidal ideation, and self-harm
  • Poor emotion regulation
  • Problematic impulsive behaviors related to difficulty regulating emotions
  • Difficulty establishing and maintaining healthy relationships

Our Standard Adult IOP will offer all of the components of standard outpatient DBT in a more intensive format – four days a week from 12:00pm to 3:00pm. In addition to group sessions, clients will meet weekly with an individual therapist for an hour at a mutually convenient time. Our Standard Adult DBT IOP also includes the following as-needed services: DBT coaching calls (outside program hours), medication management, and nutrition support.

Treatment occurs in eight-week cycles. Clients typically repeat the eight-week cycle at least once and may stay longer when needed.

Insurance Coverage: The Adult IOP is contracted with the following insurance providers: BCBS, MODA, Cigna, Pacific Source, Kaiser, Trillium CCO, CareOregon, Providence commercial plans (not Providence Medicare plans).

Standard Adult IOP Group Descriptions

DBT Skills Training. Learn and practice DBT skills for regulating emotions, managing distress, and improving relationships, as well as mindfulness. Members complete homework outside of the group to further strengthen skills mastery.

Building Structure to a Life Worth Living. For many of us, structure provides a framework for our lives. It is also an important ingredient in managing mood, building independence, and preventing relapse. Members focus on building structure in their life – through scheduled activities, school, and work. This group will also help prepare members for stepping down from the IOP.

Target Group. Clients brainstorm skills and strategies they will use to meet daily behavioral goals. If goals from the previous day are unmet, group leaders help identify and solve what got in the way.

Standard Adult DBT IOP Schedule

Treatment occurs in eight-week cycles. Clients typically repeat the eight-week cycle at least once and may stay longer when needed. Clients typically step down to a DBT Enhanced Skills Training program after completing the IOP, depending on their need, to help solidify and maintain gains made during intensive treatment. In some cases, clients may continue in full program, depending on therapist availability and client need. The four-days a week standard Adult DBT IOP schedule includes:

Salem – Adult DBT IOP Schedule (12:00pm – 3:00pm)

Time Monday Wednesday Thursday Friday
12:00pm Mindfulness Mindfulness Mindfulness Mindfulness
12:30 pm DBT Skills Training:
Homework Review		 DBT Skills Training:
Homework Review		 Target Group DBT Skills Training:
Homework Review
1:30 pm DBT Skills Training: Learning New Skills DBT Skills Training: Learning New Skills Building Structure DBT Skills Training: Learning New Skills
2:50pm Wrap Up Wrap Up Wrap Up Wrap Up

Portland – Adult DBT IOP Schedule (11:00am – 2:00pm)

Time Monday Wednesday Thursday Friday
11:00am Mindfulness Mindfulness Mindfulness Mindfulness
11:30 am DBT Skills Training:
Homework Review		 Target Group DBT Skills Training:
Homework Review		 DBT Skills Training:
Homework Review
12:30 pm DBT Skills Training: Learning New Skills Building Structure DBT Skills Training: Learning New Skills DBT Skills Training: Learning New Skills
1:50pm Wrap Up Wrap Up Wrap Up Wrap Up

Southern Oregon – Adult DBT IOP Schedule (12:00pm – 3:00pm)

Time Monday Wednesday Thursday Friday
12:00pm Mindfulness Mindfulness Mindfulness Mindfulness
12:30 pm DBT Skills Training:
Homework Review		 Target Group DBT Skills Training:
Homework Review		 DBT Skills Training:
Homework Review
1:30 pm DBT Skills Training: Learning New Skills Building Structure DBT Skills Training: Learning New Skills DBT Skills Training: Learning New Skills
2:50pm Wrap Up Wrap Up Wrap Up Wrap Up

To get started, contact the IOP Community Liaison Team at 971-350-3350 or via email at iop@pdbti.org, or complete electronically an Interest Form.

Adult IOP Step-Down Program

To ensure a smooth transition from the IOP, graduates are invited to join our step-down program designed to help solidify and maintain gains made during the IOP. Eligibility for IOP stepdown is determined in consultation between each client and their individual therapist. In order to be considered for stepdown, a client must have completed an Adult or Eating Disorder IOP program at PDBTI and have an identified outside medical or behavioral health provider. The typical step down schedule includes:

  • DBT Skills Training Group: Once weekly for two hours.
  • Goals Setting Group: Once weekly for 90 minutes