Addiction Treatment & Mental Health for Adults in Raleigh, NC – Green Hill Recovery
Substance Use Intensive Outpatient Program (IOP) in Raleigh, NC
When You’re Ready, We’re Here to Help
At Green Hill Recovery, our programming meets the highest standards for quality addiction treatment
New Patient Form
Substance Use Treatment Without Putting Your Life on Hold. Flexible Scheduling. Covered by Most Insurance.
Substance Use IOP at Green Hill gives you access to a full team of psychiatrists, therapists, and medication providers working together around you — three days a week, with morning and evening options so that work, school, and family are never a reason to put off getting better.
What Is An Intensive Outpatient Program (IOP) For Substance Abuse?
A Substance Use Intensive Outpatient Program — IOP — is a structured treatment program that provides nine or more hours of clinical care per week for adults dealing with substance use and co-occurring mental health conditions. Think of it as the level of care between checking into a facility and handling things on your own — built for people who need regular, structured support but are stable enough to manage between sessions.
At Green Hill, our Substance Use IOP is built around one specific focus — helping adults navigate substance use and the mental health conditions that often come with it. Our team specializes in treating both together, from day one.
Understanding Substance Use Disorder
Substance use disorder is a medical condition — not a moral failure or a lack of willpower. It changes the way the brain works over time, affecting decision-making, impulse control, and the ability to feel pleasure, motivation, or calm without substances.
For many people, substances started as a way to cope with stress, pain, trauma, or difficult emotions — and over time the brain adapted in ways that make stopping genuinely hard, even when someone desperately wants to.
That’s why getting better requires more than just deciding to stop. The brain needs time to heal. New coping skills need to be learned and practiced. And the underlying issues that contributed to substance use in the first place need to be addressed.
Most people dealing with substance use are also dealing with something else — anxiety, depression, trauma, or another mental health condition. In fact, the two are so commonly connected that treating one without the other often isn’t enough. Every member of our clinical team is trained to treat both at the same time, because that’s what lasting recovery requires.
Substance Abuse IOP Program Schedule
Getting help is hard enough without your schedule getting in the way. We offer both morning and evening options so that work, school, and other responsibilities don’t have to be a reason to put off getting better.
Morning Programming
Monday, Wednesday & Friday | 10:00 AM – 1:00 PM Three hours of structured clinical programming three days a week — available for those who can attend during the day.
Evening Programming
Monday, Wednesday & Thursday | 5:30 PM – 8:30 PM The same program, offered in the evening — for people who work, go to school, or have daytime commitments that can’t be moved.
Both options include the same clinical team, the same evidence-based curriculum, and the same standard of care. The only difference is the time.
How Do I Know If Substance Abuse IOP Is A Good Fit For Me?
Substance Use IOP is designed for adults whose symptoms are significant enough that they need structured, regular clinical support — but who are stable enough to manage between sessions without daily programming. According to the American Society of Addiction Medicine (ASAM) criteria, IOP is likely a good fit if any of the following are true:
- You've completed PHP or a residential program and are ready for a less intensive level of care — but aren't ready to go it alone
- Your substance use is causing real problems in your life — your health, your relationships, your work — but you're not in acute crisis
- You have a co-occurring mental health condition that needs to be treated alongside your substance use
- You've tried to cut back or stop on your own and haven't been able to maintain it
- Weekly therapy alone hasn't been enough to make meaningful progress
- You're motivated to get better but need more structure and support than a single weekly appointment provides
We use the ASAM criteria to make sure IOP is the right fit for where you are right now. If you need a higher level of care, we’ll tell you that and help you get there.
What To Expect During IOP At Green Hill?
Your First Day: Your first day starts with a clinical assessment so our team can understand what’s going on and start building a plan around you. From there you’ll meet your therapist, get introduced to your team, and begin settling into the rhythm of the program.
Your First Week: By the middle of your first week you’ll be fully in the program — attending groups, meeting with your individual therapist, and connecting with our medical team. Our psychiatrists and medication providers aren’t managing your care from a distance. They’re involved in your day-to-day clinical experience, which means they’re getting to know you as a person — not just a patient.
What Comes Next: Most people start to feel more stable within the first few weeks. As that stability builds, the focus of the work naturally deepens — moving from managing what’s immediately in front of you to understanding what drove the substance use in the first place. From there, sessions focus on building the coping skills to handle difficult emotions without falling back on old habits, developing the self-awareness to recognize your patterns before they get the better of you, and building the relationships, skills, and support system that keep you from falling back into the same patterns down the road.
How Effective Is Substance Use IOP?
Research consistently shows that structured, intensive outpatient treatment — especially when it includes psychiatric care and evidence-based therapies — produces meaningful and sustained improvements for adults dealing with substance use and mental health conditions.
But we don’t just point to other people’s research. We track what happens to our own patients over time — and the results speak for themselves.
Across our PHP and IOP programs, patients show significant reductions in substance use, lower risk of relapse, and stronger skills and support systems to maintain their recovery. We measure our outcomes because it helps us see what’s working and what isn’t — so we can keep getting better at what we do and make sure our patients are getting the best care possible.
Clinical Outcomes
80 IOP /PHP patients entered with active substance use (BAM) Substance Use Score > 0)
65%
achieved zero substance use by most recent assessment
Mean substance use score 4.3 → 0.9 (-79% reduction) | 52 of 80 patients
Risk Factors
84%
of patients improved
15.5 → 10.2 (high risk subgroup)
Protective Factors
60%
of patients improved
16.5 → 17.8 (mean score)
Zero-Use Maintanance
85%
Zero-Use Maintained
67 patients entering with no active use (coming from residential treatment)
Therapies Offered During Substance Abuse IOP
Group Therapy: Group therapy is the foundation of IOP at Green Hill. Sessions draw on evidence-based approaches including DBT, CBT, ACT, Motivational Interviewing, and Mindfulness — giving you practical skills you can use in your daily life. Groups also include Addiction Education, Relapse Prevention, and Experiential sessions that put those skills into practice in real time.
Individual Therapy: Once a week you’ll have dedicated time alone with your therapist — a chance to slow down, go deeper, and work with someone who knows your full story and is focused entirely on you. It’s where your treatment plan gets adjusted, your progress gets reviewed, and the more personal work gets done.
Psychiatry Services: Our psychiatrists are involved in your care every day — not just when it’s time to review your medications. They lead groups, stay up to date on how you’re doing, and work closely with your therapist to make sure everything about your treatment is working together. If medication is part of your plan — including medication for addiction treatment — our medical team handles that carefully and with your input.
Addiction Medicine: Once a week, one of our medical providers leads a group on the science behind addiction and mental health — helping you understand what’s happening in your brain and body so that a recovery process makes more sense.
Family Programming: Family is part of recovery. Green Hill offers weekly family therapy sessions — in person or virtually — using the Community Reinforcement and Family Training (CRAFT) model, one of the most research-backed approaches for families navigating a loved one’s substance use. We also offer a free weekly virtual support group for families, open to anyone whose loved one is struggling — no matter where they are in their recovery.
Recovery Management: Recovery Management is a continuing care group for patients after IOP — designed for people who have stabilized and want ongoing support as they move forward. It focuses on staying well, maintaining the progress you’ve built, and staying connected to a community that gets what you’re going through.
Does Insurance Cover Substance Abuse IOP In Raleigh?
In most cases, yes. IOP is a medically recognized level of care and is covered by most major insurance plans when clinically indicated. Green Hill Recovery is in-network with Blue Cross Blue Shield, Cigna/Evernorth, Aetna, UNC Health Alliance, Optum/United, the NC State Health Plan, TRICARE, Ambetter, and more.
We verify your insurance on your behalf and walk you through your benefits before you make any decisions. Verifying your coverage is free and takes only a few minutes.
Why Green Hill?
The difference at Green Hill isn’t a single thing. It’s how everything works together.
We practice Recovery Oriented System of Care — a model built on the understanding that recovery isn’t linear and that people need different levels of support at different times. Our programs are designed to flex around that reality. Psychiatrists, therapists, and medication providers work together as one coordinated team — treating substance use and mental health as the interconnected challenges they almost always are. And when IOP ends, you don’t lose that team. You move to the next level of support with the same people already in your corner.
Most programs treat the crisis in front of them. We built something different. Getting through the hardest part is the first step — but what comes after is just as important. We built a system designed to support people through every phase of getting better, not just the most acute one.
The Advaita Health Advantage - Life After IOP
One of the most common fears people have at the end of an IOP program is what happens next. At Green Hill, that transition is built into the system from day one.
When you’re ready to move out of IOP, many patients transition to our Recovery Management group — continuing the work in a less structured format while staying connected to a community that knows their story. From there, ongoing psychiatric and medication support is available through AIM: Advaita Integrated Medicine — our sibling company, built by us and located right next door, specifically so that our patients always have access to expert psychiatric and medication care long after a structured program ends.
Many patients are already working with an AIM provider during IOP — which means by the time the program ends, that relationship is already in place. No new intake. No explaining your story to someone new. Just the next phase of care with people who already know you.
Getting better isn’t a straight line. People need more support at some points and less at others — and sometimes things get hard again after a period of doing well. That’s a normal part of the process. We built Green Hill and AIM as one connected system precisely because we wanted our patients to always have somewhere familiar to turn, no matter where they are in their journey.
Dr. R. Dewayne Book
Chief Medical Officer
Dr. Dewayne Book oversees medical services across both Green Hill Recovery and AIM: Advaita Integrated Medicine...
Meaghan Brackin, MS, LCMHC, LCAS, CRC
Manager of Substance Use Programs
Deana Luciano is the clinical backbone of Green Hill's substance use programming. As Director of Substance Use Programs...
Deana Luciano, Ph.D., LCMHC, LCAS
Director of Substance Abuse Programs
Rachel Iroff oversees Green Hill's Mental Health IOP, bringing both clinical expertise and a genuine commitment to...
Begin IOP in Raleigh Today
You don’t need to have everything figured out before you reach out. Call us, fill out a form, or verify your insurance — we’ll take it from there. In most cases we can have you starting as soon as the next day.
Frequently Asked Questions
Inpatient treatment requires you to live at a facility around the clock. IOP provides structured clinical care several days a week while you live at home. For most adults who don’t require 24-hour supervision, IOP produces strong outcomes — while keeping you connected to your life, your family, and your community.
PHP meets five days a week for five hours a day and is designed for the most acute phase of treatment. IOP meets three days a week for three hours and is designed for people who have stabilized and are ready for a less intensive level of support. Many patients move from PHP into IOP as a natural next step in their care.
Learn more: PHP vs IOP
Most people are in IOP for four to eight weeks, depending on their clinical needs and progress. Your treatment team will work with you to determine the right length of stay based on how you’re doing — not a fixed schedule.
Look for a program with psychiatric involvement, evidence-based therapies, individualized treatment planning, flexible scheduling, and a clear plan for what happens when the program ends. A good IOP shouldn’t feel like a revolving door — it should be part of a longer clinical relationship that supports you over time.
Yes. All treatment at Green Hill is protected under HIPAA, and substance use records carry additional federal confidentiality protections under 42 CFR Part 2. Your information is never shared without your written consent, with limited exceptions required by law. If you have specific questions about confidentiality, our team is happy to walk you through what that means in practice.