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

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

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.

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.

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)

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