The Co-Occurring IOP at High Focus Centers employs a multidisciplinary team which addresses the needs of each client from both perspectives, using a combination of evidence-based protocols from both our adolescent psychiatric and our substance abuse programs. Each patient participates in both individual and group therapy. Daily DBT skills training sessions provide tools for managing impulsivity and improving relationships, while relapse prevention and psycho-educational groups strengthen client knowledge on both disease states. The program also includes weekly family therapy as well as psychiatry sessions, where medication monitoring can be provided if necessary. Random drug screens are administered to closely monitor sobriety and compliance with medication.