The IOP Step-Down Fellowship trains clinicians in one of behavioral health’s most clinically demanding and underserved niches: supporting clients as they leave intensive outpatient (IOP), partial hospitalization programs (PHP), residential treatment, or inpatient care and transition into outpatient therapy.
This is where relapse most often happens. It’s also where the right outpatient clinician — one who understands ASAM step-down criteria, continuity of care planning, and the psychological terrain of leaving a structured treatment environment — can make all the difference. Andrew H. Kim has extensive experience providing and supervising step-down care, and he brings that expertise directly to fellows in this track.
Fellows will develop fluency in ASAM Level of Care criteria, step-down treatment planning, communication with HLOC providers, relapse prevention in a newly outpatient context, and how to help clients rebuild a sustainable routine when the structure of intensive treatment is removed. This fellowship is deeply integrative: the clinical work draws from motivational interviewing, trauma-informed care, attachment-based approaches, CBT, DBT, and medication-assisted treatment (MAT) literacy.
Fellowship cohorts are expected to include 7 to 10 fellows, with the complexity of this clinical work balanced by close, individualized supervision. Fellows will not just be trained — they will be genuinely mentored.