How do I know if IOP is the right level of care for me?

The first step is completing an assessment. Our clinical team uses a biopsychosocial assessment and ASAM criteria to determine the most appropriate level of care based on your individual needs. Some signs that IOP may be appropriate include struggling to cope with mental health or substance use concerns, difficulty reducing or stopping substance use, previous outpatient treatment that has not provided enough support, limited support or resources, or needing more structure than traditional outpatient therapy provides.

Is Adult IOP just for mental health?

No. Our Adult IOP is designed for individuals experiencing co-occurring mental health and substance use concerns. Treatment addresses both areas together as part of a whole-person approach.

What days and times does Adult IOP meet?

Adult IOP meets Wednesday, Thursday, and Friday from 1:00–4:00 PM.

Who is eligible for Adult IOP?

Adult IOP is available to adults age 18 and older with an appropriate clinical recommendation.

Do you accept referrals from outside providers?

Yes. We accept outside referrals from providers and community partners.

Do you accept insurance?

Yes. We work with private insurance providers and Medicaid to help determine coverage for IOP. For most private insurance plans, prior authorization is required. We need a completed assessment to submit for authorization, and our billing specialist works with your insurance company to determine coverage. Medicaid does not require prior authorization.

What if I don't have insurance?

You may complete an evaluation out of pocket and work with our team to apply for Medicaid. If you are denied Medicaid, you can complete our sliding fee scale paperwork to determine whether you qualify for reduced-cost services.

What can I expect during Adult IOP?

Once you have completed your assessment and are approved for the program, you will receive a phone call with information about your start date and what to expect. At the beginning of treatment, you will complete a daily check-in, surveys, and identify what you hope to accomplish during your time in IOP. Each group is facilitated by a clinician or qualified team member and focuses on a different topic or area of recovery.

Can I participate in individual therapy while attending IOP?

Yes. Adult IOP can be combined with individual therapy when appropriate. Your treatment team can help determine what combination of services best supports your goals.

What happens after I complete IOP?

After completing IOP, you may step down to outpatient services, typically 2–3 hours per week. Participants can continue working with an individual therapist, participate in our alumni group, and continue accessing other Quest services based on their individual needs.

Intensive Outpatient Program (IOP) in Reno, NV

Comprehensive Support for Co‑Occurring Mental Health & Substance Use Disorders (18+)

Adult group therapy session, Intensive Outpatient Program

Quest Counseling's Adult IOP provides structured, evidence-based treatment for adults who need more support than traditional weekly therapy, but don't require inpatient hospitalization. Our Reno-based program is designed for individuals experiencing both mental health and substance use challenges, offering intensive care while allowing clients to remain connected to their daily lives, families, and communities in Washoe County.

What is an intensive outpatient program (IOP)?

An IOP is a structured level of care that combines group therapy, individual counseling, and psychiatric support — typically several hours a week — for people who need more than standard outpatient therapy but less than 24/7 residential treatment. At Quest, our Adult IOP is one part of a full continuum of care, so clients can step up or down in intensity as their needs change.

Who We Serve

Individuals 18 years or older with co‑occurring mental health and substance use disorders experiencing challenges including, but not limited to:

Anxiety and depression
Trauma-related stress
Emotional dysregulation
Substance use concerns
Difficulty functioning in daily life

Individual counseling session in an office

Program Overview

The Adult IOP is a 10‑week, group‑based program that provides 9 hours of group therapy and 1 hour of individual therapy each week, with access to additional psychiatric and support services as clinically indicated.

This program is intended for individuals who:

Have not benefited from a lower level of care, or
Are experiencing symptoms severe enough to require more intensive support

Program Schedule & Structure

Group Days: Wednesday, Thursday, Friday

Group Time: 1:00 PM – 4:00 PM

Weekly Commitment: 9 hours of group + 1 hour individual therapy

Additional services such as psychiatric appointments, medication management, and supportive services are scheduled around group programming.

Frequently Asked Questions

An Intensive Outpatient Program (IOP) is a level of behavioral health care that provides more support than traditional outpatient therapy while allowing you to continue your everyday responsibilities. Our Adult IOP includes a minimum of 9 hours of group treatment each week for 10 weeks. The program is designed to provide meaningful support while creating as little interruption to your work, family, and other important responsibilities as possible.
The first step is completing an assessment. Our clinical team uses a biopsychosocial assessment and ASAM criteria to determine the most appropriate level of care based on your individual needs.
Some signs that IOP may be appropriate include:
- You are struggling to cope with mental health or substance use concerns.
- You have tried to reduce or stop substance use but have been unsuccessful.
- Previous outpatient treatment has not provided the support you need.
- You have limited support or resources available to you.
- You need more structure and support than traditional outpatient therapy provides.
No. Our Adult IOP is designed for individuals experiencing co-occurring mental health and substance use concerns. Treatment addresses both areas together as part of a whole-person approach.
Adult IOP meets Wednesday, Thursday, and Friday from 1:00–4:00 PM.
Adult IOP is available to adults age 18 and older.with an appropriate clinical recommendation.
Yes! We accept outside referrals from providers and community partners.
Yes. We work with private insurance providers and Medicaid to help determine coverage for IOP.
For most private insurance plans, prior authorization is required. We need a completed assessment to submit for authorization, and our billing specialist works with your insurance company to determine coverage. Medicaid does not require prior authorization.
You can still begin the process of accessing care. You may complete an evaluation out of pocket and work with our team to apply for Medicaid. If you are denied Medicaid, you can complete our sliding fee scale paperwork to determine whether you qualify for reduced-cost services.
Once you have completed your assessment and are approved for the program, you'll receive a phone call with information about your start date and what to expect.
At the beginning of treatment, you'll complete a daily check-in, surveys, and identify what you hope to accomplish during your time in IOP.
Each group is facilitated by a clinician or qualified team member and focuses on a different topic or area of recovery.
Yes. Adult IOP can be combined with individual therapy when appropriate. Your treatment team can help determine what combination of services best supports your goals.
The goal is to help you transition to a level of care that continues to support your progress. After completing IOP, you may step down to outpatient services, typically 2–3 hours per week.
Participants can also:
- Continue working with an individual therapist
- Participate in our alumni group
- Continue accessing other Quest services based on their individual needs

Referrals & Assessments

Clients are referred internally or by outside agencies, and all participants complete a clinical assessment to determine medical necessity using ASAM criteria.

Admission requires a completed clinical assessment, which may be completed internally or provided by an outside clinician. We accept evaluations from other providers.

Programming is open and rolling, allowing clients to join as space becomes available. Contact our team to discuss referrals, assessments, or program availability.

Insurance & Billing

We bill client insurance as a courtesy for the full program. Our team can assist with eligibility questions and benefits verification.

Treatment Approach

Our multidisciplinary team utilizes evidence‑based practices (EBPs) in a trauma‑informed, recovery‑oriented environment, including:

Dialectical Behavior Therapy (DBT)
Cognitive Behavioral Therapy (CBT)
Motivational Interviewing
Seeking Safety (trauma‑informed substance use treatment)
WRAP (Wellness Recovery Action Plan)
Mindfulness‑based interventions

Wrap‑Around Support Services

Participants have access to comprehensive services, including:

Psychiatric Services
Medication‑Assisted Treatment (MAT)
Targeted Case Management (TCM)
Basic Skills Training (BST)
Psychosocial Rehabilitation (PSR)

sychiatric and case management support services

After Program Completion

Following successful completion of the program, clients can step down to approximately 3 hours per week of continued care, which may include:

Individual counseling
Alumni support groups
Ongoing psychiatric services, PSR, BST, and case management as needed

Quest Counseling is a Certified Community Behavioral Health Clinic (CCBHC) with locations at 6110 Plumas Street and 1025 Ridgeview Drive in Reno. We accept Medicaid and most major insurance plans. Call (775) 786-6880 to schedule an assessment and learn if our Adult IOP is the right fit for you.