Outpatient Programs

Our IOP programs are led by expert, licensed clinicians who have extensive training and experience in guiding patients who are working toward perhaps the most important goals of their life. We practice a team approach to your care and work collaboratively to help you achieve your goals.

• Dialectical Behavior Therapy (DBT) IOP
• Dialectical Behavioral Therapy for Substance Use (DBT-S) IOP
• Women’s IOP
• Mood Disorders IOP
• Adolescents IOP

Most IOP Programs currently run for 8 weeks, 3 days per week with some tracks virtual and some in-person. We are an adjunctive treatment program so participants are required to be in treatment with a psychiatrist and therapist during their enrollment. The Silver Hill Hospital IOP tracks participate with insurance and managed care companies that cover IOP programs.

Problematic behaviors evolve as attempts to cope with a situation or solve a problem. While these behaviors might provide temporary relief, they often are not effective in the long-term. Dialectical Behavior Therapy (DBT) assumes that you are doing the best you can, AND you need to adopt new behaviors to improve your effectiveness. The function of DBT skills is to help enhance your capabilities. There are four core skills taught in DBT:

• Mindfulness: the practice of being fully aware and present in the moment
• Distress Tolerance: how to build tolerance for sitting with emotional distress
• Interpersonal Effectiveness: how to ask for what you want and say no while maintaining self-respect and building healthy relationships with others
• Emotion Regulation: learn how to manage emotions, decrease emotional reactivity as you work on building a life worth living

In our 8-week program you will build skills and identify triggers. The program is divided into three segments:

• Diary Card Review: Diary cards can be an effective way to learn about yourself. You use the card to set and work towards weekly goals as you monitor DBT skill use.  These cards are reviewed in a group setting to help identify problematic behavior patterns and develop strategies to change behaviors.
• Homework Review: After each session there will be a homework assignment to help you practice the new skills you are learning. You will review your homework in a group setting and receive skills coaching from the group leader.
• Skills Training: During skills group, you’ll learn about and practice each new skill, talking through scenarios with other people in your group. DBT group leaders provide skills coaching to keep you on track.

Adult Dialectical Behavior Therapy (DBT) Skills Group

Adults: 18+

In-Person Monday, Wednesday, Friday 9:00am – 12:20pm

In-Person Monday, Wednesday, Thursday 9:00am – 12:20pm      

Virtual Monday, Tuesday, Thursday 9:00am – 12:20pm

The Adolescent DBT IOP teaches the core DBT skills in a manner and setting sensitive to the needs of adolescents and helps apply these skills in their lives.

The group is intended for adolescents currently seeing a psychiatrist/therapist, who are looking to reinforce and accelerate their treatment through focused Dialectical Behavior Therapy skills-building alongside a group of supportive peers.

Adolescents: ages 13-17 (18 if still enrolled in high school)

In-Person Monday, Tuesday, Thursday 3:00pm – 6:20pm

Dialectical Behavioral Therapy for Substance Use (DBT-S) is a modified version of DBT that incorporates substance abuse prevention strategies that support recovery. DBT-S is designed to promote abstinence, reduce the adverse impacts and length of relapses, and encourage building a life worth living. This program targets:

• Decreasing substance abuse
• Relieving physical discomfort associated with abstinence
• Decreasing cravings
• Avoiding opportunities and cues to abuse substances
• Reducing behaviors that support drug abuse
• Increasing community support of healthy behaviors

Adults: 18+

In Person Monday, Wednesday, Thursday 9:00am – 12:20pm

A unique program designed for people who identify as female to help improve communication, set boundaries, and build self-worth. Patients will embark on a journey of self-discovery and empowerment. This 8-week program blends Dialectical Behavior Therapy (DBT) skills, and process groups to help attain safety in your relationships, thinking, behavior, and emotions. 

DBT assumes that many of the problems you may be experiencing are caused by skills deficits. A key focus in DBT is to improve your ability to use skillful behavior when needed. This program, while touching on many skills, has an emphasis on interpersonal effectiveness strategies. 

Process groups provide a compassionate space to work towards healing with the support of highly trained therapists and peers who understand your struggles. Process groups are flexible and adaptive to the unique circumstances of all the participants, ensuring that your personal needs are addressed. 

Some topics that will be explored in this program are:

• Coping with Triggers
• Healing from Anger
• Setting Boundaries in Relationships
• Asking for Help
• Self-Compassion

Adults: 18+

Virtual Monday, Wednesday, Friday 9:00am – 12:20pm

This is a unique, multi-modal group designed to treat patients who struggle with primary mood disorders such as Major Depressive Disorder, Bipolar I or II Disorder, and related symptoms. Unlike our other IOP groups, the Mood Disorders IOP meets 4 days a week for 6 weeks. Group topics and themes include mood disorders and anxiety psychoeducation, family and relationships, distress tolerance, daily functioning, and illness management.

Therapeutic approaches include CBT, DBT, experiential therapies, and group process to enhance understanding of mental illness and increase coping skills while decreasing severity of symptoms. Patients will learn skills for coping with their symptoms, discuss and practice in group, and document their efforts to use skills with daily homework and a DBT Diary Card.

Participants in the Mood Disorder IOP have the option to continue seeing their existing providers to minimize treatment disruption or utilize a psychiatrist and therapist through Silver Hill Hospital if they do not have providers in place. Patients utilizing full-service IOP are expected to meet individually with both their Silver Hill MD and Therapist weekly.

Track 1:

In-Person 4 days per week over 6 weeks: Mondays, Tuesdays, and Wednesdays 1:00 PM -4:30 PM, Fridays *9:00 AM -12:30 PM

Track 2:

In-Person 3 days per week over 8 weeks: Tuesdays, Wednesdays, Thursdays from 9 AM-12:20 PM

We also offer a once weekly DBT Group. The group is designed to serve as a “maintenance” group, to support people who have completed a comprehensive DBT program or a DBT IOP program. It is open to anyone who meets criteria, is not in an active crisis, and is residing in CT or NY.

Participants should plan for a 6-month enrollment to review 24 DBT skills, though a 3-month enrollment can be considered with specific requests. The fee for the group will be $170 per person weekly. Most insurance plans will be out-of-network for these services, and if so, participants may submit invoices for out-of-network insurance reimbursement if they have those benefits.

Weekly DBT Group 1 (virtual): Tuesdays 1-2:30 PM 
Weekly DBT Group 2 (virtual): Thursdays 9-10:30 AM 

We offer low-fee individual psychotherapy with psychology interns, psychiatry residents, and post-graduate trainees. This service intended for patients looking to explore and manage symptoms in non-DBT treatment modalities. All trainees are supervised closely by attending psychologists and psychiatrists.

The coordination of community-based services for all stages of a person’s recovery process. The goal is to provide clients quality mental health support that is customized to their individual needs and aids in achieving their recovery goals. This service is for individuals who have recently discharged from inpatient, transitional, sub-acute, sober living or outpatient care, or, who may be receiving care from practitioners in the community and need additional case management support. Patients can enroll in the Care Navigation and Support Program for a minimum of one month, but a three month minimum is recommended to ensure ongoing support as needed. 

The Care Navigation and Support Program seeks to reduce hospitalizations and support patients’ recovery through a holistic approach that considers each individual’s overall biopsychosocial needs. Care coordination includes traditional mental health services but may also encompass primary healthcare, housing, transportation, employment, social relationships, and community participation.

Silver Hill Hospital is proud to partner with Freedom Institute, a state-of-the-art outpatient treatment and recovery center for individuals suffering from alcoholism, substance misuse, abuse, addiction, and related underlying mental health issues located in Midtown Manhattan. Visit freedominstitute.org or call (212) 838-0044 to learn more.