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Robust Support for Youth with Acute Needs. 


IOP clients attend sessions several times a week, usually for several hours each session. These sessions may include individual therapy, group therapy, and skill-building activities.


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IOPs offer flexibility by providing treatment sessions after school. This enables clients to receive the necessary care while minimizing disruptions to their daily lives. 


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IOPs serve as a transition step for clients stepping down from inpatient or residential treatment, or as a step-up for those needing more than traditional outpatient therapy.


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Ryther's Intensive Outpatient Programs are structured treatment programs designed to provide intensive therapy and support for individuals struggling with mental health, substance use, or other behavioral health concerns. Unlike residential or inpatient programs where patients stay overnight, participants in an IOP return home each day after completing their therapy sessions.

DBT Program ( * Not accepting clients at this time *):

  • This program lasts 12 weeks and requires participants to be on-site 4 days per week.

  • The DBT IOP takes place every Monday, Wednesday, and Thursday from 4:00-7:00 PM at Ryther’s Main Campus.

  • There is also at least one individual session (Tuesdays or Fridays for 50 minutes).

  • Psychiatry is available on an as needed basis.

COD Program Schedule:

  • The COD IOP program (SUD level 2.1) is a voluntary program for youth with a history of mental health concerns and substance use.

  • The COD IOP takes place every Monday, Tuesday, and Thursday from 4:00-7:00 PM at Ryther’s Main Campus.

  • There are 9 hours of therapy per week and participants must attend sessions sober.

  • Psychiatry is available on an as needed basis.

  • Referring providers, please contact us to consult and ask any questions as you explore program fit for clients you are considering referring.


  • We accept the following insurance: Blue Cross, Blue Shield, First Choice, First Choice, Kaiser Permanente, LifeWise, Premera, Regence, and all Medicaid MCOs: Molina, United Health Care, Wellpoint, Community Health Plan of Washington, and Coordinated Care.



Ryther’s Co-Occurring Disorder Program focuses on helping teens, ages 13-18, gain skills to address and overcome mental health and substance use challenges. Clients receive a comprehensive SUD assessment at the time of intake. In some instances, once per week SUD therapy is recommended, while in other instances, full COD IOP is recommended.

Learn More Here.


* Not accepting clients at this time *


Ryther’s Dialectical Behavior Therapy Intensive Outpatient Program serves teens 13-18 with acute mental health needs. This program is designed for teens who are experiencing suicidal ideation, self-harm, school avoidance/failure, chronic interpersonal challenges, and feelings of low self-worth.

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