Teen Intensive Outpatient Program NC

One of the more challenging questions parents face is knowing if their teen's behaviors require a higher level of care or not. This is also a question many individual providers face as well. The reason being is that many providers don't know what the levels of care actually are and when they should recommend them to their client. The most basic answer is if your teen or your client needs more than once a week individual therapy it's very possible they actually need IOP. It can be a lot more nuanced than that. We created a Level of Care decision tree for families and providers to use when deciding if their teen may need a higher level of care. This is not a diagnostic tool but a guideline to help you decide when to seek additional services. You can click below to sign up to receive a copy of our Levels of care decision tree for free.

Free Adolescent Levels of Care Decision Guide Free guide to determine adolescent levels of care

Krippa Family Psychological & Wellness Services’ Virtual Intensive Outpatient Program (IOP) for adolescents across North Carolina—now enrolling and meeting afterschool at 4:00 PM. Groups run by Dr. Sarah Spade

Who it’s for

Teens (ages 11–18 (if still in High School) experiencing:

Anxiety, depression, or mood changes

School avoidance or social stress

Emotion regulation challenges, self-esteem concerns, or family conflict

Need for more than once-weekly therapy—without inpatient care

Self-harm
Suicidal Ideation
What teens (and families) can expect

Afterschool schedule at 4:00 PM to reduce school disruption

Evidence-based care: DBT-informed skills (mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness) CBT, Movement

Group therapy + individual support to build insight and real-life coping

Family involvement: parent DBT Skills group and regular check-ins to strengthen home routines

Care coordination with existing therapists, schools, and medical providers

Safety planning & crisis navigation with clear communication pathways

Why Virtual?

Accessible statewide (NC residents)

Consistent attendance from home

Lower barriers for busy families and rural communities

How to get started

Quick phone consult to confirm fit and answer questions

Intake & safety plan tailored to your teen

Begin the program—groups start at 4:00 PM on scheduled weekdays

Now enrolling for rolling starts.
Call: (919) 893-9444-Option 1
Email: [email protected]
Learn more: teeniopnc.com

If your teen is already working with a therapist, we’re happy to coordinate care. If you’re unsure whether IOP is the right level, we can help you decide.

Krippa Family Psychological is teaming up with Healing Hearts Healing Minds to bring additional mental health services to the triangle to prevent trends su***de. Healing Hearts Healing Minds is a 501(c)3 and is currently seeking donations to help build a much needed teen su***de prevention program. Donations are tax deductible. Please share with anyone who might be able to make a much needed donation. Su***de is the second leading cause of death for teens.