Suboxone Intensive Outpatient Program (SIOP)
Suboxone Induction Phase
Suboxone Intensive Outpatient Program
While the SIOP was designed for suboxone induction for opiate abuse it can be modified for alcohol use disorder being treated using Naltrexone (Vivitrol).
During an ambulatory detox the first phase of treatment for most people who are diagnosed with moderate to severe opiate use disorder is to participate in a Suboxone Intensive Outpatient Program. This phase of treatment is five days and includes the suboxone induction phase. During the suboxone induction phase, there are three distinct stages.
Day One (Detox Day one) Procedure
This will be the longest day.
You must show up in a “semi-withdrawn” state. This is very important and if you are not you will not be allowed to begin the induction as serious complications could result.
A semi withdrawn state means:
- Not using methadone** or long-acting painkillers for at least 48 hours
- Not having used heroin or any short-acting painkillers/opiates for at least 24 hours
- Not having used alcohol within 24 hours
**For methadone you must be tapered down to 30mg per day or less before you begin your suboxone induction
Being in this semi withdrawn state will allow the Suboxone to work and lessen your withdrawal symptoms. However, if you are not in withdrawal taking suboxone will cause severe withdrawal symptoms and we will not be able to proceed with the suboxone induction procedure.
If you are NOT in withdrawal, please notify your detox nurse immediately before you are dosed with suboxone
Day Two (Detox Day Two) Procedure
Plan on being at your treatment center for about 5 hours on this day. Please bring lunch and unopened non-alcoholic beverages.
On the second day, you will generally proceed through these steps
Step one: Medical assessment
Step Two: Physician follow up
Step Three: Observed Dosing and Lab tests
Step Four: IOP Scheduling and Case management
Stage Three (Days 3-7)
These days are your first days of recovery! You should begin an Intensive Outpatient Program.