Intensive Outpatient Program (IOP)Castlewood offers an eating disorder Intensive Outpatient Program in St. Louis, Missouri, Monterey, California, and Birmingham, Alabama. Our St. Louis based Intensive Outpatient Program (IOP) is for clients living in the St. Louis area, needing more structure than individual outpatient therapy can provide. Our IOP may also be appropriate for the client who is transitioning back to life, work, or school, after treatment in a higher level of care, such as Residential or Partial Hospitalization. Clients from outside the St. Louis area can live in our transitional living apartments for a small fee. Castlewood provides intensive outpatient treatment to clients with all types of eating disorders, as well co-occurring disorders such as anxiety, trauma, and depression. Our IOP accepts both men and women, ages 16 and older.
Our St. Louis Eating Disorder Intensive Outpatient Program
“IOP was probably one of the best decisions I could have made, next to coming to Castlewood in general. My experience was always that it was an incredibly supportive environment, and the staff members were always patient with me even when I was more of a "difficult client". This helped me to be able to learn more how to trust and that what I had to say or what I felt was okay. I really like the new program structure with the level system and being able to have the flexible schedule with more days....There were many times where the IOP therapists went above and beyond to give me what I needed, and I am eternally grateful for that. This program is unique in the amount of hours and intensity that it provides. Going from the deep work that I was doing in residential and step down, it would have been a disaster for me to go straight to outpatient or to a different IOP where they only meet twice a week for a couple of hours and never get to do the real work necessary. The fact that Castlewood’s IOP starts out five days a week and tapers down is very beneficial and helped a lot in my process. It allowed me to do the work that needed to be done, learn how to live in the world, maintain a job, learn the life skills, etc. and then be able to come back to a safe environment to process it. The groups offered were also extremely helpful. They provided groups from ED group and Core, just like in Residential, to life skills and nutrition group, things that are necessary to master before fully entering out into the world. There is so much to say about what I received from my opportunity to be a client at IOP and I am so glad I came here.”Our specialized eating disorder intensive outpatient program is part of the transitional continuum of care necessary for long-term recovery from anorexia, bulimia, binge-eating disorder, and EDNOS (eating disorder not otherwise specified). Castlewood’s IOP program consists of group and individual therapy up to five days per week. The number of days of programming and times are flexible. This flexibility allows clients to resume their daily activities and work/school commitments, but still receive the support and treatment necessary to continue the recovery process. We also incorporate a level system which allows clients to monitor progress, achieve goals and have access to group therapy that best meets the needs of their current struggles. Clients may also participate in family therapy and family programming as part of our Intensive Outpatient Program as it fits their specific therapeutic goals. Resuming normal activities following more intensive levels of treatment often brings more exposure to stressors and situations that affected the eating disorder before residential treatment. Clients are actively using relapse prevention skills and techniques, and IOP provides a safe, supportive place to process these daily successes and concerns. To make sure that clients are prepared to work independently on the weekends, Friday IOP programming includes active discussion and planning for personal weekend activities that may include social outings or food related events. Monday sessions provide a special therapeutic check-in, to see how the weekend went for each individual client.
Therapy Components of Castlewood’s IOPIOP creates an individualized care plan designed to meet the unique needs of each client. Care plans are designed to maintain the forward progress of recovery, while encouraging and supporting the increased autonomy and self-reliance of each client. Peer support and socialization are important parts of each customized care plan. Some important therapy areas provided in our eating disorder intensive outpatient program include:
- Eating disorder groups for skill development and body image related issues
- Individual goal setting
- Two weekly individual sessions with primary therapist (if client attends 3 days a week or less, one individual therapy session)
- 1 weekly individual session with staff dietitian
- 1 daily monitored meal and special meal challenges- Up to 5 days per week
- Core Processing groups to address underlying issues
- Art therapy and Expressive therapy
- Gender, sexuality and relationship development
- Relapse prevention and boundary development
- Nutritional education
- Educational life skills sessions