Treatment Programs
A full continuum of evidence-based care for lasting recovery.
IBRP Rehab offers comprehensive treatment programs designed to meet each individual where they are. From medical detox through outpatient care, our clinical team provides personalized, evidence-based treatment at every stage of recovery.
Medical Detox
Medical detox at IBRP Rehab runs three to seven days on a dedicated wing of the El Camino Real campus, with a physician on site daily and nurses on the wing around the clock. We accept detox admissions at any hour. A nurse completes vitals and comfort medication within the first twenty minutes of arrival; the intake paperwork waits.
Our protocols cover alcohol, opioids (including fentanyl), benzodiazepines, stimulants, and polysubstance presentations. Medication-assisted treatment — buprenorphine, methadone bridging, naltrexone — is available and discussed openly, not used as a wedge. We monitor withdrawal symptoms with CIWA and COWS scoring and adjust comfort protocols every two hours through the acute phase.
Detox is not treatment; it is the corridor that makes treatment possible. Most patients transition directly into residential care by day four, carrying the clinical trust built during detox into the longer work ahead.
Residential Treatment
Residential care at IBRP runs thirty to ninety days across 62 beds. The clinical structure is community-meeting-driven: the day opens with a full-house gathering, breaks into peer mentorship pairings, and closes with an evening house meeting. Between those anchors sit individual therapy, medical and psychiatric check-ins, creative-arts blocks, and experiential work.
Every resident is paired, within the first 72 hours of admission, with a peer mentor who is six to eight weeks further along in their own stay. The pairing is not a mentor-mentee relationship in the traditional sense — it is a structured peer accountability dyad that meets daily, eats one meal a day together, and reports at the house meeting each evening. This is the clinical structure our founder wished had existed when he got sober, and it is the single most common thing alumni credit with making the difference.
A Typical Day
- 7:00 a.m. — Wake, vitals, medication pass
- 7:30 a.m. — Breakfast and peer mentor check-in
- 8:30 a.m. — Morning community meeting (full house, gratitude and intention round)
- 10:00 a.m. — CBT or DBT skills group
- 11:30 a.m. — Individual therapy, psychiatric follow-up, or case management
- 12:30 p.m. — Lunch and quiet hour
- 2:00 p.m. — Creative arts studio block (music, visual art, psychodrama, or movement)
- 3:30 p.m. — Experiential block: equine-assisted therapy, outdoor fitness, or meditation garden
- 5:00 p.m. — Peer mentor pairing conversation, journal work
- 6:00 p.m. — Dinner in the shared dining room
- 7:30 p.m. — Evening house meeting (community accountability, day-close round)
- 9:30 p.m. — Wind-down, medication pass, lights out by 10:30
Outpatient Program
Outpatient care at IBRP is structured in three tiers that support both step-downs from residential and direct admissions from the community. Each tier is clinically full — not a lighter version of the previous, but a different modality matched to a different phase.
Partial Hospitalization (PHP)
Two to four weeks of six-hour clinical days, Monday through Friday. PHP suits patients who no longer need overnight care but still need a full therapeutic schedule and ongoing medical oversight. Lunch and two group sessions remain part of the day.
Intensive Outpatient (IOP)
Eight to twelve weeks of three-hour sessions, three to four days per week. Evening IOP tracks run 6 to 9 p.m. so Bay Area professionals, first responders on rotating shifts, parents, and returning students can continue treatment without stepping away from responsibilities.
Standard Outpatient
Weekly individual therapy, monthly psychiatric follow-up, and alumni group access. Standard outpatient is the maintenance tier that sustains recovery over months and years after the more intensive phases end.
Dual Diagnosis
Most patients who arrive at IBRP carry more than one diagnosis — depression, anxiety, PTSD, bipolar disorder, complex trauma, or an unresolved psychiatric history that has been fueling the substance use for years. Treating the addiction alone leaves the trigger architecture intact, which is why every admission receives a psychiatric consult within forty-eight hours.
Dr. Ramachandran and the psychiatric team coordinate with the therapy staff in shared rounds three times per week. Medication adjustments, therapy modality selections, and trauma-focused work are sequenced together so one track never undercuts the other. EMDR, DBT skills groups, and psychodrama are all available to dual-diagnosis patients as clinically indicated.
Substances We Treat
- Alcohol
- Opioids
- Prescription Drugs
- Heroin
- Marijuana
- Fentanyl
- Barbiturates
- Cocaine
- Synthetic Cannabinoids (K2/Spice)
- Prescription Stimulants
Treatment Modalities
- Cognitive Behavioral Therapy (CBT)
- Individual Counseling
- Group Therapy
- Family Systems Therapy
- EMDR (Eye Movement Desensitization & Reprocessing)
- Equine-Assisted Therapy
- Psychodrama
- Holistic Therapies
Facility & Amenities
- Game Room
- Gourmet Meals
- Meditation Garden
- Recreation Room
- Walking Trails
- Outdoor Fitness Area
- Creative Arts Studio