Levels of Care

IOP vs PHP, side by side.

Two outpatient levels of care, treating the same conditions with the same therapies and the same medical oversight. What separates them is how much of your week treatment takes.

The short answer

Same care. A different amount of it.

A partial hospitalization program fills most of your day, five days a week. An intensive outpatient program takes part of the day, three to five days a week, in the morning or the evening. Nearly everything else about the two is the same.

Both are outpatient care. You sleep in your own bed either way, neither one admits you anywhere, and neither one asks you to disappear from your life. The difference is measured in hours, which is exactly how the field measures it: an intensive outpatient program provides nine or more hours of structured treatment a week, and a partial hospitalization program twenty or more. That single number is most of what you are choosing between.

They also sit at the same place on the same map. The U.S. Substance Abuse and Mental Health Services Administration puts both at Level II of the continuum of care, between standard outpatient therapy and residential treatment, and describes these levels as points on a continuum rather than separate categories. Intensive outpatient treatment, in that guidance, does three jobs at once: it is a place to start, a step down from residential care, and a step up when weekly therapy has not been enough.

It is worth saying plainly that more structure is not automatically better care. A national review published in Psychiatric Services found that 50 to 70 percent of participants reported abstinence at follow-up, and concluded that intensive outpatient programs are as effective as inpatient treatment for most people seeking care. That review counts partial hospitalization inside its definition, so the evidence covers both levels rather than favoring one. The question is not which program is stronger. It is how much structure your week needs right now.

At The Redpoint Center, both run on the same clinical model, with the same therapies and the same medical oversight. The rest of this page is the honest version of the difference.

Six real differences

Where IOP and PHP part ways.

These are the things that actually change between the two programs. Everything not on this list stays the same.

Moderate structure

IOP

Intensive Outpatient

Structured and flexible

Your week

Part of the day, three to five days a week, mornings or evenings

Hours a week

9 or more (ASAM Level 2.1)

Keeping work or school

Yes. The schedule is built around it

Where it is offered
  • All six Colorado offices
  • A separate virtual IOP statewide
Family sessions

Available during the week

What it steps to

Down to outpatient care, or up to PHP

Most structured

PHP

Partial Hospitalization

The most structured level

Your week

Most of the day, Monday to Friday, 9:00 a.m. to 2:00 p.m.

Hours a week

20 or more (ASAM Level 2.5)

Keeping work or school

Not during program hours

Where it is offered
  • Fort Collins
  • Boulder
  • Longmont
Family sessions

Monday through Friday

What it steps to

Down to IOP, then outpatient care

The nine and twenty hour figures are level-of-care standards from the American Society of Addiction Medicine, not Redpoint's own schedule. Your exact plan is set with your care team.

Shared clinical model

What does not change.

Most comparison pages stop at the schedule. Here is the part that matters just as much: choosing between these two does not change the care you get, only how much of it lands in a given week.

The therapies you get

The same clinical modalities run in both: DBT, CBT, ACT, EMDR, motivational interviewing, experiential groups, and mindfulness-based relapse prevention, combined and adjusted to fit you.

Trauma-informed care

The same team, trained the same way, working through what sits underneath without the risk of re-traumatization.

The support around treatment

Case management, recovery coaching, family support, and alumni support come with either program. The service list is identical.

You sleep at home

Neither program is a residential stay and neither is a hospital admission. You go home at the end of the day in both.

Common patterns

Which one usually fits.

These are patterns, not criteria. Plenty of people land somewhere these lines do not describe, which is what the assessment is for.

You have just finished residential treatment

PHP is the usual next step. It holds the daily rhythm of treatment steady while you start sleeping at home again.

You are holding down work, school, or caregiving

IOP is built for exactly this. Sessions run mornings or evenings, three to five days a week, so the rest of your life keeps running.

Getting through the day is the hard part

PHP puts you with your care team every weekday, with family sessions running Monday through Friday alongside it.

You are stepping down and want to keep momentum

IOP is where most people go after PHP, and where you go before outpatient care and alumni support.

Weekly therapy or IOP has not been enough

Stepping up to more structure is what the continuum is designed for. Needing more is information, not failure.

Five weekdays in one building is not realistic

IOP runs at all six Colorado offices and includes evening groups, and Redpoint also runs a separate virtual IOP statewide. PHP runs at three offices.

Getting placed

You do not have to get this right.

Nobody is asked to diagnose their own level of care. Here is who actually decides, and how much room there is to change course.

  1. 1

    You call, and we listen

    About 10 minutes

    A free, confidential conversation about what has been going on. Nobody asks you to name a program or defend a choice.

  2. 2

    A clinical assessment sets the level

    Placement comes from what the assessment finds, not from what you picked on a website. SAMHSA's guidance is that people should be matched to the level of care their clinical need calls for, and that is how we do it.

  3. 3

    The level moves as you do

    SAMHSA describes clients stepping up to more intensive treatment or down to less intensive treatment as needed, with duration increased or decreased based on clinical need. Starting in one program does not lock you into it.

Insurance usually covers both

Most major plans cover partial hospitalization and intensive outpatient alike. What you would actually pay depends on your specific plan, so The Redpoint Center checks your benefits at no cost and explains exactly what we find before you start. No obligation either way.

Accepted insurance

Employer and EAP partners

Don’t see your plan? Call us and we will check it, including out-of-network benefits.

Good to know

Questions people ask before choosing.

Is PHP or IOP better for mental health?

Neither one is better. They are the same care at two different intensities, and the right one depends on how much structure your week needs right now. A national review in Psychiatric Services covering both levels found 50 to 70 percent of participants abstinent at follow-up, and rated intensive outpatient care as effective as inpatient treatment for most people. More hours is not the same as better outcomes, so the goal is the level that matches your clinical need rather than the most intensive one available.

How many hours a week is each program?

A partial hospitalization program runs 20 or more treatment hours a week and an intensive outpatient program runs nine or more, under the level-of-care standards used across the field. At The Redpoint Center, PHP runs Monday through Friday from 9:00 a.m. to 2:00 p.m., and IOP runs three to five days a week in the morning or the evening. Our care team has some flexibility to work around your schedule.

How long do people stay in IOP or PHP?

There is no fixed length for either one, because treatment length is individualized rather than set by a calendar. Your care team reviews your progress regularly and steps you down when you are ready, and SAMHSA guidance is that duration should be increased or decreased based on clinical need. Most people move down the continuum in stages: PHP into IOP, IOP into outpatient care, then alumni support.

Is PHP the same as being hospitalized?

No. Despite the name, a partial hospitalization program is outpatient care: you are not admitted, you do not stay overnight, and you sleep at home every night. The American Society of Addiction Medicine is blunt about the naming, noting that PHP is a misnomer as these services are not delivered in a hospital setting. In its fourth edition the same criteria rename this level high-intensity outpatient (HIOP). The name describes how intensive the day is, not where you live.

Can I keep working or going to school?

With IOP, yes, and that flexibility is the main reason people choose it. Sessions run mornings or evenings, three to five days a week, and Redpoint also offers an evening IOP and a virtual IOP for schedules that a daytime program cannot fit. PHP is harder to combine with a job or a class schedule, since it runs 9:00 a.m. to 2:00 p.m. on weekdays.

Can I switch from one to the other?

Yes, and moving between levels is how the continuum is designed to work. SAMHSA describes clients stepping up to more intensive treatment or down to less intensive treatment as needed, so starting in one program does not commit you to it. Stepping down from PHP to IOP is the most common path, and stepping up from IOP to PHP happens when someone needs more support than IOP is giving them.

Which one does insurance cover?

Most major plans cover both partial hospitalization and intensive outpatient care. What you would pay out of pocket depends on your specific plan rather than on which program you choose, which is why The Redpoint Center checks your benefits at no cost before you start. You can verify your insurance online or call (303) 219-0973.

Where do you offer each program?

Our intensive outpatient program runs at all six Colorado offices, and our partial hospitalization program runs at three of them: Fort Collins, Boulder, and Longmont. If PHP is the right level for you but the nearest office does not offer it, we will say so and work out what makes sense. You can see every office on our locations page.
Still have a question? Call (303) 219-0973

Still not sure which one?

A ten-minute conversation settles this faster than any comparison table. Call The Redpoint Center and a real person will talk it through with you, work out which level actually fits, and tell you if the answer is neither. Free, confidential, and no obligation.

(303) 219-0973

Or text us at (970) 475-8646

We accept most major insurance plans and our team will help verify your coverage at no cost.