Structured, five-day-a-week care with on-site medical staff, so treatment fits around the life you are returning to each evening.
A High Intensity Outpatient Program, or HIOP, provides structured clinical treatment during the day while clients return home each evening. It is the most intensive level of outpatient care we offer at Another Chance, and it is often the entry point for alcohol addiction treatment in Portland and for treatment of other substance use disorders.HIOP is created for the earliest stage of treatment, when clinical structure and monitoring have the greatest effect. It addresses substance use and co-occurring mental health conditions together rather than sequentially.
Clients attend four to six hours per day, five days per week. Program length is determined by clinical progress and typically ranges from one week to one month.
Each week includes:
We maintain a counselor-to-client ratio of 20:1, and care is delivered using a trauma-informed, client-centered model.
Our High-Intensity Outpatient Program (HIOP) is tailored to provide the intensive care needed for a successful recovery while still accommodating everyday responsibilities. We focus on a holistic approach, fostering community support and offering a structured treatment environment to help participants thrive.
Here’s what makes our HIOP a valuable step in your recovery journey:
HIOP takes a comprehensive approach to recovery, focusing on both substance use disorders and co-occurring mental health challenges. By addressing these interconnected issues, the program offers personalized care designed to meet each participant's unique needs, fostering overall wellness and lasting recovery.
HIOP offers the flexibility of outpatient care, allowing participants to return home each day. This approach makes it easier to balance treatment with daily responsibilities, such as work and family commitments. By minimizing disruptions to everyday life, individuals can maintain their routines while still benefiting from intensive support.
HIOP fosters a strong sense of community by bringing participants together with peers and professionals who provide encouragement and understanding. Group therapy sessions create a space for sharing experiences, gaining insights, and building connections, offering empowerment and motivation throughout the recovery process. This supportive environment often becomes a cornerstone for achieving and maintaining long-term recovery.
Our HIOP provides a selection of therapeutic options, including individual and group therapy, family counseling, and recreational activities. These treatments ensures a well-rounded recovery experience, addressing the physical, emotional, and psychological aspects of each participant's journey.
HIOP’s structured schedule plays a vital role in creating a stable routine, essential for early recovery. With regular therapy sessions and consistent medical support, participants benefit from a disciplined environment that encourages positive behavioral changes and helps reduce the risk of relapse.
Routine drug and alcohol screenings provide essential oversight, helping to reinforce accountability and track progress throughout the treatment journey. These assessments ensure a safe, substance-free environment and allow for prompt support if challenges arise, helping participants stay aligned with their recovery goals.
Outpatient treatment is organized by intensity, measured in hours per week and degree of clinical support. Selecting the correct level at intake avoids both under-treatment and unnecessary time in a program that exceeds clinical need.
Another Chance does not provide medical detox or inpatient care. Where an assessment indicates that medically supervised withdrawal is required first, we refer the client to an appropriate provider before outpatient treatment begins. The SAMHSA National Helpline is available 24 hours a day for anyone who needs immediate guidance on treatment options.
Admission begins with a clinical assessment lasting approximately one to two hours. The assessment reviews substance use history, physical and mental health, living situation, employment and any prior treatment.
Clients may self-refer, and we also accept referrals from hospitals, courts, employers and family members.
HIOP is available to adults aged 18 and over, with no upper age limit. Specialty tracks operate alongside the program, including dual diagnosis, professionals and court-ordered treatment.
Another Chance accepts the Oregon Health Plan, Medicare, and most major private insurance plans. Mental health parity laws require most plans to cover substance use treatment at a level comparable to other medical care. Eligibility and enrolment for the Oregon Health Plan are administered by the Oregon Health Authority.
Coverage specifics vary by plan, including deductibles, co-payments and network status. We verify benefits before admission so that costs are established in advance.
Each client receives an individualized treatment plan setting out the level of care, expected schedule, clinical approaches used and the criteria for stepping down to a lower intensity. Plans are reviewed as clinical circumstances change.
Our Medical Director, Sounak Nick Misra, MD, is board certified in addiction medicine by both the American Board of Addiction Medicine and the American Board of Preventive Medicine. Many of our counselors and case managers are in long-term recovery, and our clinical staff hold CADC certification at levels I through III.
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Content Reviewer
Jessica is the Director of Outreach and Admissions at Another Chance, where she develops and leads a client-centered, trauma-informed admissions team. A person in long-term recovery, she is passionate about connecting individuals with the support they need and creating meaningful change in the behavioral health system.
If you’re searching for a High-Intensity Outpatient Program (HIOP) nearby, Another Chance is here to support you. Our treatment center offers top-quality addiction care, including our comprehensive HIOP and a range of additional services to guide you on your recovery journey.
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