Intensive Outpatient Program in Sioux Falls, SD
MWI Health's IOP in Downtown Sioux Falls treats substance use disorders and co-occurring mental health conditions through structured group therapy, individual counseling, and psychiatric support. Sessions meet three days per week, in person or virtually throughout South Dakota.
Whether you are seeking addiction treatment on its own or alongside a mental health condition, our team typically enrolls new patients within days of your first call.
Understanding IOP
What is an intensive outpatient program?
MWI Health's intensive outpatient program in Sioux Falls provides structured, clinical treatment for substance use disorders and co-occurring mental health conditions, without a residential stay. It is built for adults who need more than weekly therapy but want to keep living at home and meeting their responsibilities.
The program meets three days per week, about three hours per session, with evidence-based group therapy, individual counseling, psychiatric support, relapse prevention, and skill-building, all led by licensed clinicians.
IOP works as a step down from inpatient, residential, or partial hospitalization (PHP) care, or as a step up when standard weekly therapy is not enough. Before enrollment, our clinical team completes a thorough assessment, including a substance use screening, to confirm the right level of care.
Our IOP programs
Two IOP tracks at MWI Health
Your clinical assessment determines which track fits your diagnosis, history, and goals. Both tracks follow the same Monday, Wednesday, Thursday morning schedule, in person or virtually across South Dakota.
Substance Use IOP
Outpatient treatment for alcohol and drug use disorders, with relapse prevention, motivational work, and recovery support led by licensed clinicians.
Requires a current substance use disorder diagnosis Learn about Substance Use IOPDual Diagnosis IOP
Integrated treatment for a substance use disorder occurring alongside a mental health condition such as depression, anxiety, PTSD, or a mood disorder, addressed together by one clinical team.
Requires a substance use disorder plus a mental health condition Learn about Dual Diagnosis IOP
Your care team
Randie Abbas
Licensed Addiction Counselor
As a Licensed Addiction Counselor, Randie supports people in our Substance Use and Dual Diagnosis IOP tracks through group and individual counseling and relapse prevention, helping build the skills that make recovery hold.
Meet Randie AbbasIOP schedule
A time that fits around your life
Our IOP meets Monday, Wednesday, and Thursday from 9:00 AM to 12:00 PM, in person at our Downtown Sioux Falls clinic (317 North Main Avenue, Ste 100) or virtually for patients throughout South Dakota.
Downtown Sioux Falls
Attend structured sessions in person at our Downtown Sioux Falls clinic. Group therapy, individual counseling, and skills-based curriculum, three mornings per week, built to fit around afternoon work and family commitments.
Virtual IOP
Same schedule, same clinical team, same evidence-based curriculum, delivered to patients across South Dakota, from Sioux Falls and Rapid City to Aberdeen, Brookings, Watertown, Pierre, Mitchell, and Yankton, through secure, HIPAA-compliant video.
Program structure
What happens in each IOP session
Each week follows a consistent three-day structure designed to build emotional regulation, self-awareness, and real-world coping skills, whether your treatment centers on substance use, a co-occurring mental health condition, or both. Every session pairs a core curriculum block with an experiential component and a skills exercise.
Regulation & awareness
Emotional awareness and nervous system stabilization
You will focus on
- Managing overwhelming emotions
- Calming your nervous system
- Building practical coping skills
- Staying grounded under stress
What you will gain
- A clearer understanding of why cravings, depression, and anxiety feel so hard to control, and how to change that
- Proven skills for getting through your most difficult moments
- A stronger connection between how your body feels and what your mind is going through
Example group topics
- Understanding your emotional patterns
- What happens in your body when you are overwhelmed
Insight & internal work
Self-understanding and emotional processing
You will focus on
- Understanding your patterns
- Processing difficult experiences
- Making sense of relationships
- Finding your own voice
What you will gain
- A deeper understanding of how past experiences and trauma shape how you feel and behave today
- The ability to start shifting the stories you tell yourself about who you are and what you deserve
- Insight into why certain people, situations, or memories trigger cravings, depression, anxiety, or PTSD
Example group topics
- Parts of you that show up under stress
- Rewriting the story you tell yourself
Action & sustained change
Skill application and long-term change planning
You will focus on
- Changing unhelpful thinking
- Living by your values
- Preventing relapse
- Planning for long-term wellness
What you will gain
- Skills to recognize and interrupt the thought patterns that keep cravings, depression, and anxiety in control
- Clarity on what matters most to you and a plan for building a life that reflects it
- A personalized roadmap for staying well after IOP ends
Example group topics
- Getting back on track when things feel hard
- Building a life that aligns with your values
Monthly treatment calendar
A four-week rotating schedule
Our IOP uses a monthly rotating calendar for variety, sustained engagement, and full exposure to core therapeutic approaches. Each four-week cycle covers all three session themes across a range of evidence-based methods.
Conditions we treat
Substance use and co-occurring conditions
Every IOP participant is treated for a substance use disorder. When a mental health condition occurs alongside it, our Dual Diagnosis track treats both together as integrated care. Here is what that looks like.
Substance Use Disorders
Outpatient addiction treatment for alcohol, opioid, stimulant, cannabis, and polysubstance use, using CBT, motivational interviewing, relapse prevention, and psychiatric support, with medication-assisted treatment coordination when clinically appropriate. See our Substance Use IOP.
Co-Occurring Conditions
Integrated treatment for adults managing both a substance use disorder and a mental health condition, with one clinical team coordinating care across both. Our most integrated track is the Dual Diagnosis IOP.
Depression
When depression occurs alongside a substance use disorder, we treat both together using CBT, behavioral activation, and pharmacotherapy coordinated with your psychiatrist.
Anxiety
Evidence-based care for generalized, social, and panic-related anxiety that co-occurs with a substance use disorder, using practical coping strategies, exposure-based techniques, and DBT skills.
Trauma & PTSD
Trauma-informed care for adults whose trauma or PTSD co-occurs with a substance use disorder, including CPT, EMDR-informed approaches, and somatic techniques delivered in a supported group setting.
Mood Disorders
Coordinated treatment for bipolar and related mood conditions that co-occur with a substance use disorder, through medication management, DBT skills, and individualized psychotherapy.
Admissions & intake
How to start IOP at MWI Health
From your first call to your first session, our team handles insurance verification, the clinical assessment, and scheduling, so you can focus on getting better. Most people begin within days of their first contact.
Contact us
Same dayCall (605) 800-7477 or submit the intake form. Our coordinator gathers basic information and answers your first questions.
Insurance verification
Within 24 hoursWe contact your insurance directly to verify IOP benefits and explain any out-of-pocket costs before you decide anything. We handle this for you.
Clinical assessment
1 to 2 daysA licensed clinician completes a confidential evaluation, including a substance use screening, to confirm your diagnosis, level of care, and whether Substance Use or Dual Diagnosis IOP fits.
Begin treatment
Within daysOnce your assessment is complete and insurance is confirmed, we schedule your first session, in person in Downtown Sioux Falls or virtually from anywhere in South Dakota.
Meet your clinical team and group members. Review program expectations, scheduling, and confidentiality.
Work with your therapist to set personalized goals based on your assessment and clinical needs.
Begin group therapy and individual counseling as part of your structured weekly schedule.
When appropriate, meet a psychiatric provider for medication evaluation and management as part of your plan.
Good to know
Frequently asked questions about IOP
An Intensive Outpatient Program is a structured level of treatment that provides therapy several days per week without an overnight stay. At MWI Health, our IOP includes group therapy, individual counseling, and psychiatric support, meeting three days per week for about three hours per session. It suits adults who need more support than weekly therapy but do not require round-the-clock supervision.
Our IOP treats substance use disorders, including alcohol, opioid, stimulant, cannabis, and polysubstance use. When a mental health condition such as depression, anxiety, PTSD, trauma, or a mood disorder occurs alongside a substance use disorder, our Dual Diagnosis track treats both together as integrated care.
MWI Health offers two IOP tracks. Substance Use IOP is for adults with a substance use disorder. Dual Diagnosis IOP is for adults who have a substance use disorder alongside a mental health condition. A confidential assessment determines which track fits your situation.
Most people are in IOP for about 8 to 12 weeks, though the exact length depends on your progress and clinical recommendations. Treatment plans are reviewed regularly, and our team helps you plan the right time to step down to standard outpatient care.
Inpatient treatment means living at a facility around the clock, while IOP lets you live at home and attend sessions during the day. IOP offers comparable therapeutic intensity, including group therapy, individual counseling, and psychiatric support, while you practice new skills in your everyday environment between sessions.
Yes. IOP is designed to let you keep your daily responsibilities. Sessions run on a single morning schedule, and our virtual option adds flexibility, so most people continue working or attending school throughout the program.
Yes. Our virtual, or online, IOP delivers the same evidence-based treatment through secure, HIPAA-compliant video. It follows the same schedule, curriculum, and licensed clinical team as our in-person program and is available to patients throughout South Dakota.
Medically reviewed
Reviewed by Clay J. Pavlis, MD
Board-certified psychiatrist and Chief Medical Officer of MWI Health.
Explore our programs
Related IOP programs at MWI Health
Explore our IOP tracks, or get in touch with our admissions team to find the right fit.
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Take the first step toward feeling better
Our admissions team is available Monday through Friday, 8:00 AM to 5:00 PM, to answer your questions, verify your insurance, and get you started with a confidential assessment.
Not for emergencies. If you are in immediate danger, call 911 or call or text 988 for crisis support, available 24/7.