By Deborah Reed
WKTV Managing Editor
Wedgwood Christian Services is already seeing positive results from their revived Intensive Outpatient Program (IOP), a six-week program that provides support for adolescents and adults with moderate to significant substance use.
Wedgwood’s IOP was relaunched in November 2024 after a brief pause due to staff transitions and low participation. WCS decided to revamp and revive IOP when a need for the program became evident.
“We started seeing a need for it and had some really good team members for that,” said Nick Bayer, Clinical Supervisor at WCS, adding that significant time was spent constructing a plan for the program. “It also gave us a real opportunity to sit down and say, How do we want to do it?”
Topics for each session are pre-planned to guide and retain focus of the group. One change was making IOP a closed group.
“We run it in six-week closed groups where you don’t have kids dropping and dropping out, it’s the same kids coming in,” said Bayer. “It really helped build that connection between people so they don’t have to retell their stories, or a new person doesn’t know what’s going on, as well as establishing a very specific curriculum.”
Why is IOP needed?
Research shows that one in seven teens will need treatment for substance use disorders. However, only 5% of adolescents in Michigan receive the needed treatment. Wedgwood’s IOP is one of the few federally funded treatment programs exclusively geared toward adolescents and young adults.
Engaging clients in therapy two or three days each week, IOP sessions are three hours in length and held at Wedgwood’s Ekhart Counseling Center in Grand Rapids. The program provides guidance, support and a plan for adolescents, young adults, and their families to rebuild lives and provide hope for the future.
Motivational interviewing is a major component in earlier stages of treatment while later stages focus on creating a new lifestyle, coping with triggers and urges, and maintaining a strong commitment to recovery.
WCS offers outpatient, intensive outpatient and residential care for substance use treatment. Bayer describes Wedgwood’s IOP as an in-between stage of care. Though intensive in terms of the amount of work and energy being put in, it does not completely disrupt the participant’s life.
Some youth slotted for residential care often try IOP first since residential availability is often low. IOP offers a higher level of support and therapeutic interventions without the intensity of a residential experience.
Vital connections
Wedgwood’s IOP recently completed the first six-week cohort – and is already seeing positive results.
Bayer said the IOP builds a feeling of support and unity among youth that is desperately needed. With several IOP youth on probation, being surrounded by other youth who understand the emotions of that situation is important.
“It’s one thing for me as an adult to talk with them about what it’s like to navigate the feelings of being a teenager on probation. It’s another thing for a peer also going through it to say, I know what it feels like.”
Access and exposure
Bayer said lack of available resources and the current culture contribute to rising adolescent substance use, with few adolescents receiving needed treatment.
“The nature of being an adolescent is to blame for substance use, different pressures and not knowing about different options,” Bayer said. “They’ve got a lot going on.”
Access and exposure to substances are also significantly higher than in the past. It is not hard to obtain cannabis or marijuana, Bayer said, and cannabis is currently the drug of choice.
“The supply is significant,” said Bayer. “My two-stoplight town has five dispensaries in it, and you see advertisements for it all over. As an adolescent, you’re bombarded with these messages constantly.”
So how do we help our youth?
Wedgwood’s IOP focuses on teaching abstinence and reduction from substances, while also teaching skills and interventions to replace the symptoms of THC and substance use.
“A lot of them are self-medicating,” said Bayer. “They’re having the stress, anxiety and agitation of going through adolescence. They find that maybe cannabis helps them calm down. But now they’re reliant upon it.”
Motivational interviewing – a therapeutic approach using questions and rapport to help clients identify their needs and create their own therapeutic goals – is helpful because it creates ownership in the client.
“It’s really effective when it comes to substance use counseling because the big thing for change is motivation,” said Bayer. “If they don’t want to stop using, they’re not going to. It’s so much more meaningful when the goal comes from the person; they are much more likely to strive to meet that.
“It’s where the therapist is the ally of the individual. They are striving toward their goals, and you are supporting them in getting there.”
Much of that support is helping clients build skills in self-control and in safety when using. Because, Bayer said, there is a high rate of relapse in substance use.
“There’s a phrase we use in addiction treatment: relapse is part of recovery,” said Bayer. “Those that suffer with addictions enter treatment on average six or seven times before they have a sustained remission. It’s just hard, and relapse is part of recovery.”
WCS strives to give positive therapeutic support so clients in a relapse situation are not anxious about returning for care.
A full spectrum of care
Wedgwood’s IOP is accepted by most insurance plans, is licensed by the State of Michigan, and provided in several counties. Learn more about Wedgwood’s IOP and other substance use care here.
To learn more about Wedgwood Christian Services and the care they offer, click here.
Questions can be directed to counseling@wedgwood.org and 616-942-7294.
*Listen to the WCS Coffee Break Conversation podcast episode with Nick Bayer about understanding and supporting recovery here.
