Daily Session Schedule

This chapter presents how all the pieces of the Prolonged Exposure-Intensive Outpatient Program (PE-IOP) fit together to form a program. The authors discuss areas for variations and ways to improve efficiency. Each day of the PE-IOP program is described, with each component noted and the detailed specifics outlined. Suggested time markers for sessions are presented.

Variations and How to Decide

Prolonged Exposure for PTSD in Intensive Outpatient Programs (PE-IOP) ◽

10.1093/med-psych/9780190081928.003.0008 ◽

2020 ◽

pp. 115-122

Author(s):

Sheila A. M. Rauch ◽

Barbara O. Rothbaum ◽

Erin R. Smith ◽

Edna B. Foa

Keyword(s):

Program Design ◽

Prolonged Exposure ◽

Imaginal Exposure ◽

Outpatient Program ◽

This therapist guide presents the scaffold and structure for the Prolonged Exposure-Intensive Outpatient Program (PE-IOP). The program is focused on exposure as provided through individual imaginal exposure and group in vivo exposure. The format presented is based primarily on the model used in the Emory Healthcare Veterans Program (EHVP), but this chapter provides a focus on the most common variations in program design with a discussion of how to decide between the different potential variations. Relevant inclusions and exclusions are presented along with rationales.

Intensive Outpatient Program Using Prolonged Exposure for Combat-Related PTSD: A Case Study

Cognitive and Behavioral Practice ◽

10.1016/j.cbpra.2021.06.001 ◽

2021 ◽

Author(s):

Casey L. Straud ◽

Tabatha H. Blount ◽

Carmen P. McLean ◽

Cindy A. McGeary ◽

Lauren M. Koch ◽

...

Keyword(s):

Prolonged Exposure ◽

Outpatient Program ◽

Integrative Interventions

Prolonged Exposure for PTSD in Intensive Outpatient Programs (PE-IOP) ◽

10.1093/med-psych/9780190081928.003.0006 ◽

2020 ◽

pp. 93-100

Author(s):

Sheila A. M. Rauch ◽

Barbara O. Rothbaum ◽

Erin R. Smith ◽

Edna B. Foa

Keyword(s):

Patient Population ◽

Prolonged Exposure ◽

The Core ◽

Normal Part ◽

Positive Coping ◽

Outpatient Program ◽

In addition to the core of prolonged exposure in the Prolonged Exposure-Intensive Outpatient Program (PE-IOP), the program also includes integrative interventions designed to encourage positive coping, wellness, and maintenance of gains from PE-IOP. These integrative interventions can vary based on availability, cost, patient population, etc. While they can vary, program implementers should be cautious that the chosen interventions have a general rationale that fits the overall PE-IOP milieu by supporting approaching and not avoiding trauma memories and reminders and that emotions are not dangerous but a normal part of life. The authors discuss the rationale for inclusion of interactive interventions as well as how to decide what interventions to use.

Foundations of Prolonged Exposure

Prolonged Exposure for PTSD in Intensive Outpatient Programs (PE-IOP) ◽

10.1093/med-psych/9780190081928.003.0001 ◽

2020 ◽

pp. 1-10

Author(s):

Sheila A. M. Rauch ◽

Barbara O. Rothbaum ◽

Erin R. Smith ◽

Edna B. Foa

Keyword(s):

Primary Care ◽

Patient Care ◽

Emotional Processing ◽

Prolonged Exposure ◽

Mechanisms Of Change ◽

Alternative Treatments ◽

Processing Theory ◽

Outpatient Program ◽

This chapter presents the foundations for prolonged exposure (PE) therapy as they have been developed in emotional processing theory to immerse the provider in theory that will guide all decisions during PE, whether they are using the intensive outpatient program (PE-IOP) in this manual or another model (e.g., PE-Primary Care, or standard PE). The authors present a discussion on how PE works and on the research supporting the theorized mechanisms of change. In addition, alternative treatments are described, including medication and considerations for patients who are already on medications when they are engaged in PE-IOP. The chapter ends with a discussion of why this PE-IOP model was developed and when it may be indicated for patient care.

An intensive outpatient program with prolonged exposure for veterans with posttraumatic stress disorder: Retention, predictors, and patterns of change.

Psychological Services ◽

10.1037/ser0000422 ◽

2020 ◽

Cited By ~ 2

Author(s):

Sheila A. M. Rauch ◽

Carly W. Yasinski ◽

Loren M. Post ◽

Tanja Jovanovic ◽

Seth Norrholm ◽

...

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Disorder ◽

Prolonged Exposure ◽

Outpatient Program ◽

Exposure in PE-IOP

Prolonged Exposure for PTSD in Intensive Outpatient Programs (PE-IOP) ◽

10.1093/med-psych/9780190081928.003.0004 ◽

2020 ◽

pp. 47-88

Author(s):

Sheila A. M. Rauch ◽

Barbara O. Rothbaum ◽

Erin R. Smith ◽

Edna B. Foa

Keyword(s):

Emotional Processing ◽

Prolonged Exposure ◽

Imaginal Exposure ◽

Exposure Session ◽

Outpatient Program ◽

Intensive Outpatient ◽

The Individual

This chapter presents in-depth details of how to implement the exposure component of the Prolonged Exposure-Intensive Outpatient Program (PE-IOP), including places where variation is acceptable and why. The authors present the logistics and rationale for individual sessions that include imaginal exposure and individualized trauma emotional processing. In addition, the authors present in vivo group exposure session logistics and rationale. The in vivo group includes the general psychoeducation components of PE, the in vivo exposure hierarchy creation, and the practice of in vivo exposure. The exposures may occur in a group or individually, escorted or non-escorted, as clinically indicated for the individual patient.

Pilot outcomes from a multidisciplinary telehealth versus in‐person intensive outpatient program for eating disorders during versus before the Covid‐19 pandemic

International Journal of Eating Disorders ◽

10.1002/eat.23579 ◽

2021 ◽

Author(s):

Cheri A. Levinson ◽

Samantha P. Spoor ◽

Ani C. Keshishian ◽

Alexandria Pruitt

Keyword(s):

Eating Disorders ◽

Outpatient Program ◽

An intensive outpatient program for suicidal college students

Journal of American College Health ◽

10.1080/07448481.2021.1879814 ◽

2021 ◽

pp. 1-6

Author(s):

Rachel H. Salk ◽

Eydie L. Moses-Kolko ◽

Carla D. Chugani ◽

Susan Mastruserio ◽

Erin Wentroble ◽

...

Keyword(s):

College Students ◽

Outpatient Program ◽

Outcome Study Findings of an Intensive Outpatient Program for Missionaries and Clergy

Journal of Psychology and Theology ◽

10.1177/009164711604400403 ◽

2016 ◽

Vol 44 (4) ◽

pp. 281-289 ◽

Cited By ~ 2

Author(s):

Jeanne L. Jensma

Keyword(s):

Repeated Measures ◽

Outcome Study ◽

Psychological Healing ◽

Education Group ◽

Outpatient Program ◽

Short Period ◽

Significant Clinical Improvement ◽

Intensive Outpatient ◽

Christian Leaders

This article reports the findings of an outcome study done at ALONGSIDE, a counseling-focused retreat center that offers three-week intensive outpatient programs for Christian leaders, the majority of whom are missionaries. Repeated measures research utilized the Outcome Questionnaire - 45.2 (OQ-45.2) to explore whether or not clients participating in the three-week intensive outpatient program realized significant clinical progress and whether or not therapeutic gains were retained after the conclusion of the program. Missionaries and other Christian leaders took the inventory online a month before coming to ALONGSIDE, upon arrival, at the end of the three-week program, and three months after the program concluded. The results indicated that a month of time before arrival did not bring about a significant reduction in symptomatology among the 191 subjects, but three weeks of ALONGSIDE's intensive outpatient program resulted in significant clinical improvement which remained when the inventory was taken again three months post-program. This suggests that in a fairly short period of time, an intensive outpatient program consisting of psycho-education, group psychotherapy, and individual and/or marital counseling within a milieu of intentional Christian community can be a highly effective model for promoting enduring psychological healing.