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How Do Clinicians Know If Virtual IOP Is Working? 

Clinicians know a virtual intensive outpatient program is working by tracking changes in symptoms, safety, daily functioning, participation and progress toward individual

Clinicians know a virtual intensive outpatient program is working by tracking changes in symptoms, safety, daily functioning, participation and progress toward individual treatment goals. They don’t rely on one good day or a client simply saying they feel better. 

Evaluating virtual IOP outcomes involves combining standardized assessments with clinical observations and the client’s real-life experiences. Progress should become visible both during sessions and in life outside the program. 

Wondering how improvement is measured in virtual treatment? Explore how Vitalize uses ongoing assessment to keep care connected to your needs and goals. 

The Virtual IOP Progress Dashboard 

  • Symptom assessments show whether anxiety, depression or other concerns are changing. 
  • Attendance and participation reveal how consistently the client engages in care. 
  • Daily functioning shows whether treatment is improving life outside sessions. 
  • Safety reviews help clinicians respond to changing risks. 
  • Treatment plans are adjusted when progress slows or needs change. 

Progress Begins With a Clear Starting Point 

Clinicians establish a baseline at admission so future changes can be measured. The initial assessment may cover symptoms, sleep, relationships, work or school performance, medication, safety and previous treatment. 

The client and care team then develop specific goals. One person may want to reduce panic attacks, while another may focus on returning to work, improving communication or using coping skills before reaching a crisis. 

Vitalize’s Virtual IOP uses individualized treatment planning to guide structured online care for California adults. 

Symptom Scores Tell Part of the Story 

Standardized questionnaires help clinicians compare symptom severity over time. Depending on the client’s concerns, assessments may measure depression, anxiety, trauma symptoms, substance use or suicide risk. 

The National Institute of Mental Health explains that outcome measures can help determine whether treatment improves a person’s health and functioning. These tools also help patients and clinicians make more informed decisions about care. 

Scores are useful, but they are not interpreted alone. A small numerical change may still matter if the client is sleeping better, leaving home more often or managing responsibilities more consistently. 

Clinicians Watch What Changes Between Sessions 

Improvement should eventually appear in everyday life, not only during therapy conversations. Clinicians may ask whether the client is: 

  • Completing basic routines more consistently 
  • Using coping skills during stressful moments 
  • Communicating needs more directly 
  • Missing fewer work or school days 
  • Reconnecting with supportive people 
  • Experiencing fewer crises 
  • Following the medication plan safely 

Vitalize’s Intensive Outpatient Program combines clinical support with opportunities to practice new skills between treatment days. 

Showing Up Is Important, but Attendance Is Not the Finish Line 

Attendance and participation help clinicians understand engagement, but completing sessions does not automatically mean treatment is working. Clinicians also consider whether the client contributes to discussions, practices skills and applies feedback. 

Research on a virtual psychiatric day program measured feasibility through attendance, treatment completion and aftercare planning while also tracking depression, anxiety, mental health and suicide risk. Participants showed improvement across those clinical measures, although the study’s nonrandomized design means its results should be interpreted cautiously. 

Safety Is Reviewed Throughout Treatment 

Safety reviews help clinicians recognize whether risk is improving, remaining stable or increasing. Clients may be asked about hopelessness, self-harm, suicidal thoughts, substance use or changes in their ability to remain safe at home. 

The treatment team may update a safety plan, involve approved supports or recommend a higher level of care when virtual IOP no longer provides enough protection. 

Medication-related changes may also be reviewed through Vitalize’s psychiatry and medication management services

What Happens When Progress Stalls? 

When progress stalls, clinicians should revisit the treatment plan rather than assume the client is failing. They may explore barriers such as an incorrect diagnosis, medication side effects, inconsistent attendance, technology problems, an unsafe home environment or goals that are too broad. 

Possible adjustments include: 

  • Changing therapeutic strategies 
  • Revising treatment goals 
  • Increasing individual support 
  • Reviewing medication 
  • Involving family when appropriate 
  • Moving to a different level of care 

Routine outcome monitoring is intended to help clinicians identify when treatment is not producing the expected response and make changes sooner. 

Success Looks Different for Every Client 

Successful virtual IOP outcomes may include fewer symptoms, stronger coping skills, improved safety and greater independence. Progress is rarely perfectly linear, and occasional difficult days do not erase broader improvement. 

The clearest sign that virtual IOP is working is that the client can manage more of daily life with greater stability and less intensive support. 

Ask Vitalize Behavioral Health how progress will be measured, discussed and used to shape your virtual treatment plan. 

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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.

Dana Charles, LMFT

Dana Charles, LMFT

CLINICAL DIRECTOR OF VIRTUAL IOP SERVICES

As Clinical Director of Virtual IOP Services, I lead our telehealth intensive outpatient programming, making sure the care you get through a screen feels every bit as personal, structured, and supportive as care in the room.

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