Psychiatric Disease

Intensive Outpatient Treatment Program

Cleveland Clinic’s Center for Behavioral Health has established an Intensive Outpatient Program (IOP) to provide treatment for adults who suffer from mood disorders as well as dual diagnoses [i.e. mood disorders combined with substance abuse]. This comprehensive adult behavioral program, which is located at two Cleveland Clinic hospitals — Lutheran and Marymount hospitals — has been created to address the unique needs of patients who can benefit from more concentrated services beyond a weekly therapy session while maintaining active lives in the community. Overall, the aim of the IOP is to help patients reduce mood disorder symptoms, regain their lost confidence, and achieve greater levels of functioning, including returning to work, resuming their daily activities, and returning to their roles as contributing members of their families. The program is available three to four days per week and is generally four to six weeks in duration, with an average group size of eight to 12 patients.

Reduction in Illness Severity Following Intensive Outpatient Treatment Program (N = 124)

January 1 – December 31, 2020

CGI-S = Clinical Global Impression – Severity

The Clinical Global Impression-- Severity (CGI-S) is a standardized 7-point scale that requires the clinician to rate the severity of the patient’s illness at the time of assessment. The CGI-S is widely used in behavioral health to measure severity of symptoms, with higher scores indicating greater severity of illness (1 = normal, 7 = most ill). Mean group scores at initial assessment and at the program’s completion are displayed for a sample of adult outpatients (N=124 ; 52% female, 32% male; average age 41.3 years) evaluated and treated in the IOP in 2020. On average, patients experienced a significant reduction, defined as >2 point change in CGI-S, in overall severity of illness following completion of the program, from a mean baseline score of 6.2 (severely ill) to a follow-up score of 3.6 (mildly ill) (P < 0.0001). Median duration between initial and follow-up assessment was 6 weeks.