Intensive outpatient
An intensive outpatient program (IOP) is serious treatment that fits around your life. Most people attend a few hours a day, several days a week, and keep working, studying or caring for family.
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Updated October 2026
IOP gives you group therapy, individual counseling and support several times a week, while you sleep at home and keep up with your responsibilities. It’s often the step after PHP or residential care, and for many people it’s the right place to start.
Who it’s right for
A good fit if
- You’re medically stable, with no risky withdrawal
- Home is safe and fairly supportive
- You want to keep working or studying
- You’re stepping down from PHP or residential
Consider another level if
- You need withdrawal care (detox)
- You keep using between sessions (PHP)
- Home is chaotic or unsafe (residential)
A typical evening track
- Check-inCravings, wins and hard moments since last session.
- Skills groupRelapse prevention, coping with stress, communication.
- Process groupTalking through what’s really going on.
- Individual and family sessionsOne-on-one therapy, plus psychiatry or medication visits if needed.
Keeping your job
IOP is designed for people with jobs. If you need time off for a higher level of care first, the Family and Medical Leave Act may give you up to 12 weeks of job-protected leave if you’re eligible. Your employer doesn’t need to know details beyond what the leave paperwork requires.
Questions people ask us.
Don’t see yours? Call or text (305) 701‑0439. There are no wrong questions, and nothing you tell us leaves the call.
Are there evening IOPs in Miami?
Yes. Many programs run morning and evening tracks so people can keep working. Some also offer virtual IOP. Ask us which fit your schedule and insurance.
Is virtual IOP as good as in person?
It can work well for people who are stable and have a private, sober place to log in. In-person groups can feel more connected. We’ll help you weigh it.
What happens after IOP?
Most people step down to weekly outpatient therapy, keep any medication going, and join a support group or alumni program.
Related guides
Level of care · 05OutpatientWeekly counseling and medication, for as long as it helps.
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Level of care · 03Partial hospitalizationFull days of treatment. Home at night.
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Medication-assisted treatmentMedication (MAT)Buprenorphine, methadone, naltrexone and more, alongside counseling.
Read moreTalk it through with someone who knows Miami’s programs.
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