How care is structured
Levels of Care
Leora offers outpatient treatment at several intensities, from every weekday down to one or two days a week, with ambulatory detox before them and a discharge plan made with you at the end. Where you start is a clinical decision made at the assessment, and people move between levels as their needs change.
- Where
- Columbus and Dayton, Ohio
- Admissions
- Columbus (614) 665-8878Dayton (937) 660-4145
Compared Side by Side
| Level of care | How often | Time commitment | Where |
|---|---|---|---|
| Outpatient Withdrawal Management (Ambulatory Detox) | Visit schedule set at the assessment | Through the acute withdrawal phase | Columbus, Dayton |
| Partial Hospitalization | Monday to Friday | 9:00 am to 4:15 pm | Columbus, Dayton |
| Intensive Outpatient | 3 to 5 days a week | 3 hours a day, 9 to 15 hours a week | Columbus, Dayton, Statewide, fully remote |
| Outpatient | 1 to 2 days a week | 2 hours of therapy group per session, plus individual appointments | Columbus, Dayton |
| Virtual IOP | Daytime (mental health) or evening (substance use) | Ask admissions about the weekly schedule | Statewide, fully remote |
Placement is a clinical decision made at the assessment, not a menu choice. Medication management runs alongside every level.
- Outpatient Withdrawal Management (Ambulatory Detox)A medically supervised outpatient program that manages the physical symptoms of withdrawal while you keep living at home. Nurse practitioners and registered nurses assess and monitor you at the Columbus and Dayton facilities. It covers mild to moderate withdrawal, and not everyone is a candidate.
- Partial HospitalizationThe most intensive level of care Leora offers: Monday to Friday, 9:00 am to 4:15 pm, in mental health, dual diagnosis and substance use tracks, with medication management at least once a week and a session with your therapist every week. You go home at the end of each day.
- Intensive OutpatientThree to five days a week, three hours of therapy group a day, which comes to nine to fifteen hours a week, plus individual appointments. It runs in Columbus and Dayton in separate mental health and substance use tracks, and virtual IOP is available anywhere in Ohio.
- OutpatientThe least intensive level of care at Leora: two hours of therapy group one or two days a week, plus individual appointments. For some people it follows intensive outpatient, and for others it is the starting point. It runs in Columbus and Dayton.
- Virtual IOPLeora's virtual intensive outpatient program is fully remote and runs by telehealth anywhere in Ohio: a daytime program for mental health and an evening program for substance use.
Partial Hospitalization Program
This is the most intensive level Leora offers. It runs Monday to Friday, 9:00 am to 4:15 pm, in mental health, dual diagnosis and substance use tracks. Medication management with a nurse practitioner is at least once a week, and you have an individual session with your therapist every week.
Intensive Outpatient Program
Three to five days a week, three hours of therapy group a day, which comes to nine to fifteen hours a week, plus individual appointments. Intensive outpatient runs separate mental health and substance use tracks at both facilities. A nurse practitioner reviews medication every two to three weeks, and case management and peer recovery support are there as needed. Virtual IOP runs by video anywhere in Ohio: a daytime program for mental health and an evening program for substance use.
Outpatient Program
One or two days a week, two hours of therapy group each time, plus individual appointments. Medication is reviewed with a nurse practitioner every two to three weeks, depending on your plan. It fits around work and family care, and it is the next step down from intensive outpatient.
Detox and Discharge Planning
Ambulatory detox comes before the other levels for people in mild to moderate withdrawal. It is medically supervised withdrawal management on an outpatient basis, assessed and monitored by nurse practitioners and registered nurses. Before discharge from any level, your team plans the next step with you: a lower level of care, outpatient therapy, and community recovery support such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
The Placement Decision
Partial hospitalization runs mental health, dual diagnosis and substance use tracks, and intensive outpatient runs separate mental health and substance use tracks. Outpatient treats drug and alcohol addiction, including when a mental health condition occurs alongside it. The level is set at the assessment, and it depends on what comes out there: what you have been using and how much, your medical and psychiatric history, the medications you take, and whether home is a stable place to be. Where withdrawal is in question, a nurse practitioner and a registered nurse carry out that assessment.
Two people who drink the same amount can land in different places. Tell the assessing clinician about any past withdrawal seizure, since severe withdrawal needs more than an outpatient program can give.
Your schedule and how you would get here are taken into account too, since a plan you cannot attend does not work. Leora accepts all major commercial insurance and Medicaid.
Moving Between Levels
Stepping down means fewer hours as you hold steady, from partial hospitalization to intensive outpatient and then to outpatient. How long each level lasts depends on your progress toward the goals you set with your treatment team.
Stepping up happens for ordinary reasons: a return to use, sleep or mood getting worse, a death in the family, cravings that individual sessions are not reaching. Saying early that things are slipping leaves more options open.
What Leora Does Not Provide
Leora is an outpatient provider with no beds at either facility. It does not run a residential program or an inpatient unit. Ambulatory detox covers mild to moderate withdrawal that does not need 24/7 medical supervision, and not everyone is a candidate. When the assessment points to care Leora cannot provide, you are told so.
If you are in immediate danger, call 911 or go to the nearest emergency department. For a suicide or mental health crisis, call or text 988.
Common Questions
How do I know which level I need?
Can I keep working while I am in treatment?
How long does each level last?
Does Leora offer residential or inpatient treatment?

Hope inspired
Talk to Admissions About the Right Next Step.
Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio, from ambulatory detox to outpatient therapy groups. Walk-ins welcome. Call now, or leave your number and admissions will call to set up your assessment.
