( Ages 8–13 )
The Sage Program: Mood and Resiliency Intensive Services provides mental health support for youth experiencing challenges such as depression, mood instability, and trauma-related emotional stress. Youth learn practical skills to manage emotions, cope with difficult situations, and build resilience. Treatment includes evidence-based approaches such as Dialectical Behavior Therapy (DBT) and is tailored to each youth and family.

Sage offers two levels of care depending on how much support your child needs. Program benefits include structured support, personalized treatment plans, family engagement and support, emotional regulation, increased self-awareness, and improved distress tolerance. Here's how they compare:
Details | PHP | IOP |
|---|---|---|
Who It's For | Youth needing more support | Youth needing ongoing support |
Schedule | 4 days/week | 3 days/week |
Daily Time | ~7 hours | ~2.5 hours |
Program Hours | 8:45–3:30 PM (full-day) | 4:00–6:30 PM (after school) |
Length | 6–8 weeks | 8–16 weeks |
Age | 8-13 | 8-13 |
Focus | Stabilize symptoms | Manage symptoms |
Support Level | Higher support | Moderate support |
Main Goal | Stabilize and move forward | Build everyday skills |
Who We Serve
Sage serves youth ages 8–13 experiencing mood-related challenges, including depression and mood instability, that affect everyday life. Youth may experience ongoing sadness, irritability, big emotional ups and downs, or lose interest in activities they usually enjoy. At Ryther, we provide supportive, inclusive, and evidence-based care for youth and families.
Sage PHP: Mood and Resiliency
Monday–Thursday | 8:45 AM–3:30 PM
Full-day treatment for youth who need more support than weekly therapy or IOP, but do not need 24-hour inpatient care. Youth build skills to manage emotions, cope with challenges, and get back to everyday routines. Youth participate in:
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Individual Therapy: One-on-one sessions focused on your child’s needs and goals.
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Family Therapy: Helps families communicate and support progress at home.
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Group Therapy: Practice skills for managing emotions, stress, and relationships.
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Experiential Activities: Art, movement, and team activities help youth practice skills and connect with others.
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Parent Coaching: Gives caregivers tools to support their child at home.
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Psychiatry: Evaluations and medication management when needed.
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Meals: Breakfast, lunch, and a snack are provided each day.
Sage IOP: Mood and Resiliency
Monday, Tuesday, Thursday | 4:00–6:30 PM
Part-time treatment for youth who need more support than weekly therapy but can continue with their everyday routines. Youth build skills while staying connected to home and school.
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DBT Skills: Practical tools for managing emotions, handling stress, and improving relationships.
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Individual & Family Therapy: Supports individual goals and helps families work through challenges.
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Group Therapy: Practice coping and relationship skills through activities and hands-on learning.
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Therapeutic Environment: Indoor and outdoor spaces for youth to engage, connect, and practice new skills.
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Psychiatry: Medication support when needed.
What Makes Sage Different?
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Whole-Person Approach: We consider emotional, behavioral, and relationship challenges when planning treatment.
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Trauma-Informed Care: Sage uses the Attachment, Regulation, Competency (ARC) model to understand how experiences can affect emotions, relationships, and behavior.
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Culturally Responsive Care: Treatment is shaped around each youth and family’s needs and experiences.
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Support for Families: Parents and caregivers learn ways to support their child during and beyond treatment.
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Different Levels of Support: PHP and IOP provide different levels of care based on each youth’s needs.
Insurance & Referrals
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Referring providers can contact us to discuss whether Sage may be a good fit for a client.
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We accept First Choice, Premera, Regence, Blue Cross, Blue Shield, Kaiser Permanente, LifeWise, Optum United Behavioral Health, United Healthcare Community Plan of Washington, and all Medicaid MCOs: Molina, United Health Care, Wellpoint, Community Health Plan of Washington, and Coordinated Care.


