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What Comes After Virtual IOP Ends? 

Finishing an intensive outpatient program doesn’t usually mean support suddenly stops.  A good treatment plan looks ahead before the last

Finishing an intensive outpatient program doesn’t usually mean support suddenly stops. 

A good treatment plan looks ahead before the last IOP session arrives. As symptoms become more manageable and you need less structure, your care team can help you transition into a lower level of support that continues the progress you’ve made. 

Wondering what treatment might look like after IOP? Contact Vitalize Behavioral Health to talk with the team about step-down planning and ongoing care. 

What Happens After IOP? 

What happens after IOP depends on your symptoms, goals, progress, and the kind of support you still need. 

For many people, the next step is traditional outpatient care. That might mean individual therapy once a week or every other week, continued medication management, family therapy, or another form of ongoing mental health support. 

Vitalize explains that treatment plans are reviewed regularly and that participants can step down to a lower level of care when it makes sense for their progress. 

The transition is usually planned rather than abrupt. Your treatment team can talk with you about what has improved, what still feels difficult, and where continued support may be most useful. 

Why Does Step-Down Care Matter? 

IOP gives you more frequent support while symptoms are affecting daily life. Once that level of structure is no longer necessary, continuing with less intensive care can help you keep using the skills you’ve built. 

Research on DBT-informed partial hospitalization and intensive outpatient treatment has also looked at step-down models, where people move from a more intensive program into a lower level of care as symptoms improve. One study published in Research in Psychiatry and Behavioral Sciences found significant symptom improvement among participants receiving PHP, IOP, and PHP-to-IOP step-down treatment. 

That doesn’t mean everyone follows the same path. Some people may be ready for weekly therapy, while others may continue to need psychiatric support or a more gradual transition. 

Is Aftercare Planned Before IOP Ends? 

Ideally, yes. 

Aftercare planning can start while you’re still attending Virtual IOP, giving you time to talk through what will help you maintain progress once the program ends. 

Your plan might include: 

  • Ongoing individual therapy 
  • Medication management 
  • Family or relationship support 
  • Continued use of CBT or DBT skills 
  • A plan for recognizing symptoms that may be returning 
  • Follow-up with other mental health providers 

Vitalize offers several mental health treatment options, which can make it easier to discuss what level of support fits as your needs change. 

What If You Start Struggling Again? 

Needing more help later doesn’t erase the progress you made in IOP. 

Mental health needs can change over time. If symptoms begin interfering with daily life again, reaching out early gives you and your provider a chance to decide whether outpatient care should be adjusted or whether a higher level of support is needed again. 

The end of IOP is one transition in treatment, not necessarily the end of mental health care altogether. 

As you prepare for the next stage of treatment, contact Vitalize Behavioral Health to discuss ongoing support and what your care plan could look like after IOP. 

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Andy Brimmer, MBA

Andy Brimmer, MBA

DIRECTOR OF BUSINESS DEVELOPMENT

Andy Brimmer is a dynamic Director of Business Development with extensive experience in sales strategy, talent sourcing, and client relationship management across the healthcare sector. Based in Fresno, California, Andy holds an MBA from Purdue Global and a BS in Business Administration from California State University, Fresno. He has a proven ability to drive revenue growth, negotiate contracts, and build strong pipelines using tools like ZoomInfo, LinkedIn Recruiter, and various CRMs. With a background that spans staffing solutions, medical recruitment, dental sales, and career development, Andy brings a well-rounded and strategic approach to business growth and team leadership.

Angel Dean, MS

Angel Dean, MS

Director of Operations

Angel Dean is an accomplished healthcare executive with over 15 years of leadership experience in medical administration, provider services, and surgical specialty management. She holds a Master of Science in Healthcare Administration and a Bachelor of Science in Business Administration from Cal State East Bay. Angel has held senior roles including Executive Director, where she spearheaded operational strategy, team development, and revenue growth. Fluent in Urdu and Punjabi, Angel excels in strategic planning, employee development, and healthcare compliance.

Simi Bhaurla, LPCC

Simi Bhaurla, LPCC

ADULT IOP CLINICAL DIRECTOR

As Adult IOP Clinical Director, I oversee our adult intensive outpatient program, guiding both the clinical work and the overall experience so the care you receive is grounded, coordinated, and truly built around you.

MacKena Dean, M.A., APCC

MacKena Dean, M.A., APCC

LEAD ADULT IOP/PHP CLINICIAN

As Lead Adult IOP/PHP Clinician, I provide direct clinical care while helping ensure the delivery of high-quality, evidence-based treatment across our adult program, creating a therapeutic environment where clients feel supported, empowered, and equipped for lasting recovery.

Background and Experience

Prior to joining Vitalize Behavioral Health, I gained valuable experience working with individuals experiencing a wide range of mental health concerns across diverse clinical settings. That background strengthened my ability to work with complex clinical presentations, facilitate meaningful group therapy, and collaborate with multidisciplinary teams to provide comprehensive, client-centered care, closely aligning with Vitalize’s mission of delivering personalized, evidence-based behavioral health services.

Areas of Specialization

I have a passion for working with adults navigating anxiety, depression, trauma, mood disorders, life transitions, and interpersonal challenges.

Therapeutic Approach

I believe that healing occurs through authentic connection, collaboration, and helping clients recognize their own strengths. My therapeutic approach integrates evidence-based interventions while honoring each client’s values, culture, and lived experiences.

Leadership and Philosophy

As the Lead Adult IOP/PHP Clinician, I am committed to fostering a culture of clinical excellence, teamwork, and compassionate care. I am passionate about helping clients build resilience, develop practical coping strategies, and achieve meaningful progress toward their personal goals, embodying Vitalize’s commitment to individualized care that empowers every client to thrive.

Corion Duran, LMFT

Corion Duran, LMFT

Clinical Director

I am a client-centered and ACT-focused clinician with a significant history working with children and adolescents. I deeply believe that therapy needs to be driven by the people we are working with, in order to achieve their own unique goals and personal ideals in regards to what they want their lives to be.

Areas of Specialization

  • Trauma
  • Depression
  • Anxiety
  • LGBTQ+
  • Children and Adolescents

Therapeutic Approach

I was trained as a person centered therapist through my graduate program and quickly gravitated towards acceptance and commitment therapy, which is a third wave behavioral therapy that focuses on acceptance of emotions and thoughts, coping effectively and committing to living our lives by our own values and ideals. I also utilize play therapy with younger clients that allows them to explore and process their emotions and struggles through a developmentally appropriate process. What clients can expect more than anything else is receiving therapy that is tailored to their needs. This would include exploring what gets in the way of them living how they want in a deep, meaningful way, developing skills and strategies that are tailored to their experience, and moving in a significant way towards the behaviors and goals they desire for themselves.

Education and Credentials

  • B.A. Psychology
  • M.S. Counseling
  • Marriage Family and Child Counseling, LMFT
  • Trained in Affirmative Therapy, Trauma-Informed Care, Acceptance and Commitment Therapy

About Me

Primarily I gravitated towards becoming a therapist as I grew up with family members who needed mental health care in significant ways and I saw first hand how good, quality care benefitted them. I also attended therapy as a child and teenager and will be forever grateful that I saw competent, ethical therapists. Beyond that I am also a lifelong athlete who has seen the benefits of sports and meaningful experiences on people’s lives. I have been a whitewater river raft guide for the past 15 years and have worked on the Kings River and the American River.

Nadiyah Parks, LPCC

Nadiyah Parks, LPCC

REGIONAL CLINICAL DIRECTOR

As the Regional Clinical Director of the Adult IOP/PHP program, I bring over three years of experience in intensive outpatient care and six years in crisis intervention and emergency response alongside law enforcement. My clinical work is grounded in a psychodynamic approach through a trauma-informed lens, with a focus on helping clients understand how their past informs their present functioning. I became a therapist after starting my work as an emergency response advocate, where I supported individuals and families during some of their most difficult moments. Over time, I realized my true calling was in helping people not just survive those experiences, but heal from them, and that’s what led me to the deeper, ongoing work of therapy.

Areas of Specialization

  • Dialectical Behavioral Therapy
  • EMDR
  • Cognitive Behavioral Therapy
  • Internal Family Systems (IFS)

Education and Credentials

  • Bachelor of Science, Criminology, Victimology Emphasis
  • Master of Arts, Clinical Counseling
  • Certified Sexual Assault Crisis Counselor
  • EMDR Trained Therapist

Therapeutic Approach

Working with me, you can expect a warm, judgment-free space where empathy, curiosity, and understanding guide our work together. I believe in meeting you where you are, moving at your pace, and allowing you to take the lead in your healing process. My goal is to create a space where you feel safe, seen, and supported as we explore what matters most to you.

Dr. Jonathon Baird, Psy.D

Dr. Jonathon Baird, Psy.D

CHIEF EXECUTIVE OFFICER

I specialize in a neurological-psychological approach, integrating comprehensive neuropsychological assessments with empirically based, trauma-informed treatment. My work emphasizes brain-behavior relationships to inform personalized interventions across clinical and forensic settings.

Areas of Specialization

Specializes in neuropsychological and psychological assessment, with extensive experience conducting comprehensive evaluations across the lifespan, including intellectual, achievement, adaptive functioning, and forensic assessments. My clinical expertise spans trauma-informed care, forensic psychology, and behavioral and cognitive-behavioral therapy. I have provided psychological services in diverse settings, including correctional institutions, developmental centers, and outpatient clinics, addressing a broad spectrum of mental health concerns such as anxiety, depression, psychosis, impulse control disorders, and relational dysfunction. Particularly skilled in forensic evaluations, including fitness to stand trial, conservatorship, and risk assessments, frequently serving as an expert witness.

Therapeutic Approach

My approach combines neurological and psychological principles to provide individualized, brain-based care. I focus on how cognitive functioning and emotional health intersect, using comprehensive assessments and evidence-based therapies like CBT. Clients can expect a supportive, structured environment aimed at promoting insight, resilience, and lasting change.

Education and Credentials

  • Doctorate of Psychology (PsyD) in Clinical Psychology
  • Master of Arts (MA) in Clinical Psychology
  • Bachelor of Arts (BA) in Psychology