How care is structured
Levels of care
Leora offers outpatient treatment at several intensities, from five days a week down to one or two, with ambulatory detox before them and an alumni program after. Where you start is a clinical decision made at the assessment, and people move between levels as their needs change.
- Where
- Columbus and Dayton, Ohio
- Admissions
- (614) 665-8878
Compared side by side
| Level of care | How often | Time commitment | Where |
|---|---|---|---|
| Ambulatory detox | Visit schedule set at the assessment | Through the acute withdrawal phase | Columbus, Dayton |
| Partial hospitalization | 5 days a week | About 6 hours a day | Columbus, Dayton |
| Intensive outpatient | 3 to 5 days a week | 3 hours a day, 9 to 15 hours a week | Columbus, Dayton, Statewide, fully remote |
| Outpatient | 1 to 2 days a week | 2 hours of therapy group per session, plus individual appointments | Columbus, Dayton |
| Virtual IOP | Morning, afternoon or evening sessions | Ask admissions about the weekly schedule | Statewide, fully remote |
| Alumni program | Ongoing after treatment | Ask admissions how it runs | Columbus, Dayton |
Placement is a clinical decision made at the assessment, not a menu choice. Medication management runs alongside every level.
- Ambulatory detoxA medically supervised outpatient program that manages the physical symptoms of withdrawal while you keep living at home. Nurse practitioners and registered nurses assess and monitor you at the Columbus and Dayton facilities. It covers mild to moderate withdrawal, and not everyone is a candidate.
- Partial hospitalizationThe most intensive level of care Leora offers: five days a week, about six hours a day, with lunch provided and a nurse practitioner every week. You go home at the end of each day.
- Intensive outpatientThree to five days a week, three hours of therapy group a day, which comes to nine to fifteen hours a week, plus individual appointments. It runs in Columbus and Dayton, and virtual IOP is available anywhere in Ohio.
- OutpatientThe least intensive level of care at Leora: two hours of therapy group one or two days a week, plus individual appointments. For some people it follows intensive outpatient, and for others it is the starting point. It runs in Columbus and Dayton.
- Virtual IOPLeora's intensive outpatient program delivered by telehealth anywhere in Ohio. It is fully remote, with morning, afternoon and evening sessions, and it treats substance use and mental health conditions.
- Alumni programAftercare for people who have finished a treatment program or are close to finishing one. It offers ongoing counseling, 12-step meetings and help finding work.
Partial hospitalization program
This is the most intensive level Leora offers. It runs five days a week, about six hours a day: four hours of therapy group, an hour of relapse prevention and an hour of nurse education, plus one or two individual appointments, which can be with your therapist, case manager, peer support, a nurse or the nurse practitioner. You see a nurse practitioner weekly. Lunch is provided.
Intensive outpatient program
Three to five days a week, three hours of therapy group a day, which comes to nine to fifteen hours a week, plus individual appointments. A nurse practitioner reviews medication every two to three weeks, and case management and peer recovery support are there as needed. Virtual IOP delivers intensive outpatient care by telehealth anywhere in Ohio, with morning, afternoon and evening sessions.
Outpatient program
One or two days a week, two hours of therapy group each time, plus individual appointments. Medication is reviewed with a nurse practitioner every two to three weeks, depending on your plan. It fits around work and family care, and it is the next step down from intensive outpatient.
Detox and the alumni program
Ambulatory detox comes before the other levels for people in mild to moderate withdrawal. It is medically supervised withdrawal management on an outpatient basis, assessed and monitored by nurse practitioners and registered nurses. The alumni recovery program comes after treatment, with ongoing counseling, 12-step meetings and help finding work.
The placement decision
Partial hospitalization and intensive outpatient treat substance use and mental health conditions, separately or together. Outpatient treats drug and alcohol addiction, including when a mental health condition occurs alongside it. The level is set at the assessment, and it depends on what comes out there: what you have been using and how much, your medical and psychiatric history, the medications you take, and whether home is a stable place to be. Where withdrawal is in question, a nurse practitioner and a registered nurse carry out that assessment.
Two people who drink the same amount can land in different places. Tell the assessing clinician about any past withdrawal seizure, since severe withdrawal needs more than an outpatient program can give.
Your schedule and how you would get here are taken into account too, since a plan you cannot attend does not work. Leora accepts all major commercial insurance and Medicaid.
Moving between levels
Stepping down means fewer hours as you hold steady, from partial hospitalization to intensive outpatient and then to outpatient. How long each level lasts depends on your progress toward the goals you set with your treatment team.
Stepping up happens for ordinary reasons: a return to use, sleep or mood getting worse, a death in the family, cravings that individual sessions are not reaching. Saying early that things are slipping leaves more options open.
What Leora does not provide
Leora is an outpatient provider with no beds at either facility. It does not run a residential program or an inpatient unit. Ambulatory detox covers mild to moderate withdrawal that does not need 24/7 medical supervision, and not everyone is a candidate. When the assessment points to care Leora cannot provide, you are told so.
If you are in immediate danger, call 911 or go to the nearest emergency department. For a suicide or mental health crisis, call or text 988.
Common questions
How do I know which level I need?
Can I keep working while I am in treatment?
How long does each level last?
Does Leora offer residential or inpatient treatment?
Hope inspired
Talk to admissions about the right next step.
Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio, from ambulatory detox to outpatient therapy groups. Walk-ins welcome. Call now, or leave your number and admissions will call you back.
