Outpatient rehab lets you get real addiction treatment without moving into a facility. Pathways runs four outpatient options that differ in intensity and format: a full intensive outpatient program, an evening version for people who work, a remote track, and standalone individual counseling. All four run under one clinical team. We accept most major insurance.
Four ways to do outpatient at Pathways
The reason Pathways offers four outpatient formats is simple: recovery does not look the same for a warehouse worker on graveyard shifts, a parent of three, someone two hours away in the foothills, and someone a year sober who wants to keep a therapist. Each option below solves a different version of that problem.
Intensive Outpatient Program (IOP). The most structured of the four. Nine hours of clinical work a week across three sessions, for people who need serious support but sleep at home. This is where most people land coming out of residential or detox.
IOP Evening Track. The intensive outpatient program on a Monday, Wednesday, and Friday evening schedule, so a day job does not have to be the thing that stops treatment.
Virtual IOP. The same clinical hours over secure video, for people anywhere in California who cannot get to Roseville three times a week.
Individual Therapy. One-on-one sessions, either bolted onto a program or on their own, for people who mainly need a consistent therapist rather than group structure.
Not sure which one fits? The next two sections lay out who outpatient suits and how to figure out your level.
Is outpatient the right level for you?
Outpatient works when two things are true: you have somewhere stable and sober to sleep, and your withdrawal risk does not need medical supervision. When those hold, outpatient gives you the therapy without pulling you out of your life.
Three groups tend to be the best fit. People wrapping up detox who are steady enough to start therapy without a residential stay. People leaving residential or PHP who want to hold onto their progress as they re-enter daily routines. And people whose work or family situation simply cannot absorb a live-in program, but who need more than a weekly therapist.
If you are still detoxing, or home is a place where using is hard to avoid, outpatient is the wrong first move, and we will tell you that plainly on the intake call before anyone signs up for anything.
What the therapy actually looks like
Whichever format you pick, the clinical spine is the same. Licensed therapists run Cognitive Behavioral Therapy and Dialectical Behavior Therapy as the backbone, bring in EMDR and brainspotting when trauma is part of the picture, and use mindfulness and music therapy inside the group work. One-on-one time is where the plan gets tailored to your history; group time is where the skills get tested against other people who understand the fight.
One practical advantage of Pathways: detox, residential, PHP, and all four outpatient formats run under one roof and one team. If your needs change partway through, you shift levels without starting over with new clinicians or retelling your whole story.
What we treat in outpatient care
Our outpatient programs treat alcohol, opioids, benzodiazepines, stimulants, and polysubstance use, alongside co-occurring conditions like depression, anxiety, PTSD, and bipolar disorder.
Insurance for outpatient rehab
We accept most major insurance for outpatient treatment, including PPO plans with out-of-network benefits and Kaiser HMO. Call (916) 735-8377 or submit the verification form to confirm your benefits in about 15 minutes, free and confidential.
Outpatient rehab serving Sacramento and Northern California
The outpatient office sits on Sunrise Avenue in Roseville, drawing people from Sacramento, Placer County, and the towns around them: Rocklin, Lincoln, Citrus Heights, Folsom, Carmichael. Since outpatient means sleeping at home and driving in for sessions, that location matters in a way it would not for residential care, and Roseville keeps the commute manageable from most of the metro. Pathways has been treating addiction in this region since 2010.
Frequently Asked Questions About IOP
What is outpatient rehab?
Which outpatient program should I choose?
Can I keep working during outpatient treatment?
Do I need detox first?
Does insurance cover outpatient rehab?
Where are you located?
Figure out your outpatient level in one call
Four formats, one quick conversation to find yours. Call (916) 735-8377 and the intake team will walk you through which outpatient level matches your situation, or verify your insurance online first in about 15 minutes. No cost, no obligation.