An intensive outpatient program (IOP) combines several therapy sessions each week with living at home, so you get real structure without stepping away from your work, your studies, or your family.

If you have been told IOP might be the right next step, you may be picturing something bigger than it is. Most of the week still belongs to you, and the hours you do spend in program look more like conversation than crisis.

Our women-only intensive outpatient program in Riverside serves adult women across the Inland Empire and Southern California. All of our IOP care is delivered in person, at our Riverside center.

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TL;DR

IOP asks for a few afternoons or evenings a week, not your whole life. Most of those hours are small-group therapy, with weekly one-on-one time and practices you carry home with you. Day one is mostly paperwork, introductions, and settling in.

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Key Takeaways
01The hours. National guidance describes IOP as nine or more structured hours a week across three to five days. Our women-only IOP runs three to five days a week, three to four hours a day.
02What you will do. Mostly small-group therapy, plus a weekly individual session and holistic practices such as yoga and mindfulness.
03Who it fits. Women who need more than weekly therapy, are stable enough to live at home, and want to keep work, school, or caregiving going.
04Your first day. Intake paperwork, an introduction to your group, and time to ask questions. Bring photo ID, your insurance card, and a current medication list.
05Getting started. Verify your insurance and a woman from our admissions team responds within 24 hours.

What an IOP program actually is

IOP sits between weekly therapy and full-day programming. You come in several days a week for a few hours at a time, then go home to your own bed and your own routine.

The Substance Abuse and Mental Health Services Administration’s clinical guidance on intensive outpatient treatment (TIP 47) describes programs providing nine or more structured hours per week, spread across three to five days.

Its consensus panel recommends flexing that number to the person. Two women in the same program can be on different day counts, and that is by design.

Our IOP at Sol Women’s Treatment runs three to five days a week, three to four hours a day, in small all-female groups. We are certified by the California Department of Health Care Services for outpatient and intensive outpatient services, and licensed by the California Department of Social Services as an Adult Day Program.

What a week in IOP looks like

Most of your program hours are spent in group. The rest is individual time, skills practice, and quieter wellness work that helps your nervous system settle.

Part of the week
What it involves
Roughly how often
Group therapy
Emotional regulation, relapse prevention, trauma recovery, and peer support in small women-only circles
Most program days
Individual counseling
One-on-one time with your therapist, focused on your own goals
Weekly
Skills groups
Psychoeducation and practical tools you can use between sessions
Woven into group days
Holistic practice
Yoga, mindfulness, nutrition, and outdoor recovery activities
Through the week
Family and alumni support
Brought in when it is clinically appropriate and you want it
As appropriate

You leave each day with a plan for the hours in between. Women often tell us that part surprised them most.

Women seated in a circle during a group therapy session at Sol Women's Treatment in Riverside, CA

The therapies you will take part in

Our IOP is trauma-informed and dual-diagnosis, so mental health and substance use are treated together instead of separately.

Cognitive Behavioral Therapy (CBT). Helps you notice the thought patterns that pull you back into old behavior.
Dialectical Behavior Therapy (DBT). Builds emotion regulation, distress tolerance, and communication.
EMDR. Processes trauma at a pace you set.
Motivational interviewing. Builds on your own reasons for change.
Somatic therapy, yoga, and mindfulness. Grounding practices for the moments when talking is not what your body needs.

The National Institute of Mental Health’s overview of evidence-based psychotherapies describes these approaches as skills-based, with the learning reinforced through practice between sessions. IOP hours are spread across several days so you have those gaps to practice in.

Much of this work happens in women-only group therapy sessions, where many women tell us it feels safer to speak honestly. If trauma is at the heart of what brought you here, our trauma-targeted track for women shapes the work around that.

Not sure whether IOP is the right level for you?
Call (951) 633-7724 and a woman from our admissions team will talk it through with you.
Verify Insurance →

Is IOP the right level of care for you?

IOP tends to fit when weekly therapy is not quite holding you, but full-day care would take more from your life than it gives back.

Level
What it involves
Good fit for
PHP
Partial Hospitalization
Learn more ↗
Full-day weekday structure with intensive therapy and stabilization.
When symptoms or cravings call for full-day support.
IOP
Intensive Outpatient
Learn more ↗
Three to five days a week, three to four hours a day. Skills building, trauma processing, and support.
When weekly therapy is not enough but your days still need to be yours.
OP
Outpatient Program
Learn more ↗
Fewer hours each week, focused on maintaining the progress you have made.
When you are steady and want continued support.

IOP may suit you if you are medically stable, can travel to sessions reliably, and want to keep work, school, or caregiving going while you get real clinical support. It also works well as a step down after a higher level of care.

Sometimes something more supportive comes first. If you are in medical detox, need around-the-clock care, or are in acute crisis, that is not a closed door. It means a different first step, and we will help you find it.

If you would like to compare PHP and IOP before you decide, we have written that out in detail.

Some women also need a steadier place to live while they are in program. Our supportive housing for women pairs with IOP, with a 24/7 female house manager on site.

Your first day, step by step

A woman meeting one-on-one with a female clinician during intake at Sol Women's Treatment
Riverside, CA
1
Verify your insurance
Send your policy details through our online form, or call and we will do it with you. A woman from our admissions team responds within 24 hours.
2
A gentle pre-screen call
We talk about what has been going on, what you are hoping for, and which level of care fits. There is no pressure and no commitment, and you can walk through admissions with us at whatever pace feels right.
3
Clinical intake
A clinician asks about your mental health history, trauma, substance use, medications, and how daily life feels right now. Your treatment plan grows out of that conversation.
4
Your first day in program
You fill out paperwork, meet your group, walk through the space, and ask whatever you want to ask. Most women find the first day quieter than they feared.
Ready to take the first step?
Verify Insurance →

What to bring on your first day

Photo ID
Your insurance card
A current medication list with doses and prescriber names
Any recent discharge paperwork, if you are coming from another program
An emergency contact name and number
A refillable water bottle and something small to snack on
Comfortable, layered clothing and soft shoes you can sit and move in

Arrive ten to twenty minutes early so paperwork does not eat into your first group, and leave valuables at home. The rest we can sort out here.

Privacy and safety in an all-female group

Groups only work when women trust the room. What is said in group stays in group, and every member is asked to hold that.

Confidentiality has legal limits, as it does anywhere in behavioral health. Clinicians have a duty to act on imminent risk of harm, suspected abuse of a child or dependent adult, or a court order. If that happens, we tell you what has to be reported and why, and we bring you into the plan.

You can ask for privacy accommodations at any point, and you do not need a reason. Some women ask to keep details out of group notes. Others ask for a check-in after group when a topic has stirred something up.

Our census is capped at 25 clients, so those requests are easy to honor.

If you are pregnant, postpartum, or caring for a small child, tell us at intake so we can plan around it. Our writing on mental health support during pregnancy may also be a gentle place to start.

What happens when IOP ends

Leaving program can feel hopeful and unsteady at once. Neither feeling means you are going backwards.

Your treatment team reviews your progress with you as you go, and together you decide whether to continue, step down to a lighter outpatient schedule, or move toward independent therapy. SAMHSA’s guidance commonly cites a minimum of around 90 days, though the right length is individual and yours will be shaped with your clinician.

You will leave with a written plan covering your triggers, your early warning signs, the coping steps you actually trust, and who to call. Book your follow-up appointments before your last day, while you still have us to help.

Starting, whenever you are ready

Most women call with questions long before they call to enroll. You do not need to be in crisis, or even decided.

The simplest first step is to verify your insurance, and a woman from our admissions team will respond within 24 hours. Or call us at (951) 633-7724 and we will talk it through.

Sol Women’s Treatment is an all-female outpatient program at 4175 Brockton Avenue in Riverside, serving women across the Inland Empire and Southern California.

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How many hours a week is IOP?
National clinical guidance describes intensive outpatient programs as nine or more structured hours a week, usually spread across three to five days. Our women-only IOP in Riverside runs three to five days a week, three to four hours a day, and the exact schedule is set with your clinician.
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Can I keep working or going to school during IOP?
Yes. IOP is built so you can live at home and keep your responsibilities while getting more support than weekly therapy offers. Tell our admissions team about your work or class hours early so your schedule can be built around them.
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Is IOP the same as rehab?
No. IOP is an outpatient level of care, so you go home at the end of each program day rather than staying overnight. Sol Women’s Treatment is an outpatient program with supportive housing available, not a residential or inpatient facility.
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What should I bring on my first day of IOP?
Photo ID, your insurance card, a current medication list with doses and prescriber names, an emergency contact, and comfortable layered clothing. If you are coming from another program, bring any recent discharge paperwork. Arriving ten to twenty minutes early gives you room to finish intake forms without rushing.
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How long does IOP last?
It depends on you. SAMHSA’s guidance commonly cites a minimum of around 90 days, and your team reviews progress with you as you go to decide whether to continue, step down, or move toward independent therapy.
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Does insurance cover IOP?
We work with most major insurance plans, including PPO and HMO policies. Sol does not accept Medicaid or Medicare. The quickest way to know where you stand is to verify your insurance, and a woman from our admissions team responds within 24 hours.
Answer
How many hours a week is IOP?
National clinical guidance describes intensive outpatient programs as nine or more structured hours a week, usually spread across three to five days. Our women-only IOP in Riverside runs three to five days a week, three to four hours a day, and the exact schedule is set with your clinician.
Tania Acevedo, MA, LPCC
Tania Acevedo, MA, LPCC
Founder & Chief Clinical Officer · Sol Women's Treatment

Written by the Sol Women's Treatment clinical team and reviewed by Tania Acevedo, MA, LPCC. Content is grounded in women's mental health, trauma-informed care, and outpatient behavioral health practice. Updated regularly for clinical accuracy.

CDSS Licensed Outpatient · Riverside, CA Women's Mental Health
Medical Disclaimer

This article is for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. If you or someone you know is experiencing a mental health crisis, please contact a qualified healthcare provider or call 988 (Suicide & Crisis Lifeline). Sol Women's Treatment is a CDSS-licensed outpatient program — not inpatient or residential care. Individual results vary and no specific outcomes are guaranteed.

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A safe space for women to heal, recover, and reconnect
Whenever you are ready, we are here. Verify your insurance and a woman from our admissions team will respond within 24 hours.