Intermediate Care Program (ICP)

St. Louis Behavioral Medicine Institute’s Intermediate Care Program (ICP) provides intensive outpatient levels of evidence-based behavioral healthcare for a variety of mental health disorders. Individually tailored, in-depth treatment plans are administered to address patients’ specific problems directly. The ICP is recognized as an intensive treatment program by the International OCD Foundation and is certified and licensed by the Missouri Department of Mental Health

ICP patients require more structure, closer supervision, or more hours of treatment than standard outpatient care provides but do not require overnight supervision. ICP allows patients to practice at home what they are learning throughout the day in treatment. The ICP clinical team is trained to work with all age groups and includes clinical specialists in childhood and adult disorders.

ICP Services

The primary component of treatment at the ICP is individually administered Cognitive Behavior Therapy (CBT). However, treatment involves several additional services that supplement or enhance CBT.

The Core Treatments:

  • Supervised individual CBT
  • Group therapy
  • Pharmacotherapy
  • Family consultation/counseling
  • Self-conducted homework exercises

Other Services:

  • Motivational enhancement and commitment
  • Mindfulness & emotion regulation skills
  • Distress tolerance
  • Social & other behavioral skills training
  • Nutritional counseling

Special Programs for Treatment Reluctance:
These unique services focus on individuals who have difficulty engaging in treatment or refuse help altogether.

  • Treatment Readiness Therapy (TRT) identifies obstacles that interfere with therapy and provides interventions to overcome these obstacles.
  • Consultation for Families of Treatment-Refusers (CFTR) assists families dealing with an anxious or depressed individual who will not seek help. CFTR helps reduce family distress and teaches alternative ways to approach treatment-refusers.

Treatment Approach

The individualized treatment approach provides patients with tailored, in-depth treatment for their anxiety or depression. A primary therapist is responsible for overseeing the implementation of your treatment plan. You can work with your existing therapist and/or psychiatrist if desired, but we can assign one to you as necessary. 

Before being admitted to the program, you will spend one or more 45-minute sessions with your primary therapist getting prepared to enter ICP. You and your therapist will design a personalized treatment plan based on cognitive-behavioral principles. Once you are in ICP, you and your primary therapist will meet once or twice per week to evaluate your progress and adjust your treatment plan accordingly. 

Initially, most patients receive two or three hours of care/therapy, five or six days per week (four or more hours of daily care are available for those who need it). In addition to meeting with your primary therapist, you will attend a 2-hour therapy session each day. These sessions are called Supervised Individual Treatment Experiences (SITE). 

Each SITE session begins with a brief check-in group meeting where participants discuss progress and difficulties that you may have encountered since the last SITE session to collaboratively seek solutions. You will spend the remainder of the SITE session working under the supervision of SITE staff as they follow the individualized treatment plan that you will have developed with your primary therapist. 

SITE sessions available Monday-Friday: 

  1. Session A: 10 am – 12 pm
  2. Session B: 1 – 3 pm
  3. Session C: 3 – 5 pm

You and your primary therapist will determine the number of days per week that you will attend SITE, but most patients initially attend five days per week. Ordinarily, you attend the same session every day. As discharge approaches, care may be tapered to fewer hours a day or fewer days per week. Length of stay varies, but most patients are discharged after four to six weeks.

Aftercare & Discharge

Working with a Clinician after Discharge
Patients can receive individual follow-up treatment at the Institute, thus ensuring continuity of care. When the referring clinician or another provider oversees follow-up treatment, the ICP team provides consultation to facilitate a smooth transition and continued recovery.

Relapse Prevention
Patients in the ICP are taught strategies to help prevent relapse and maintain the build upon the gains they achieved while in the program. They learn the early signs of a setback and what to do to reverse a setback and to keep it from progressing into a relapse. 

Frequently Asked Questions

How do I get into the program?
If you are already being seen by an outpatient COARD clinician, your clinician can refer you to the program and will guide you through the process of admission. 

If you are not being seen by a member of the COARD clinical team, you can call the intake office at 314-289-9411 and an intake coordinator will schedule you for a screening, usually conducted over the phone. During the screening, the clinician will review the problems you are experiencing, your mental health history, and if the program is right for you. If the clinician feels that the ICP is not the best program they will recommend an alternative.

What if I need to be in the ICP for more than a few hours a day, e.g., in a Partial Hospital Program?
The ICP can provide a Partial Hospital level of care if you need it. We can provide referrals to facilities that do offer these higher levels of care, if necessary.

Will I need to devote time to working on my problem when I am not at the Institute?
In addition to time spent in SITE, most patients engage in an hour or more of daily self-guided therapy homework that is typically an extension of the work they did in SITE. 

Will I need to take medical leave?
If your work or school situation allows you to attend the SITE session you’ve been assigned and you are able to follow through with your therapy homework exercises, then you may not need to take a leave. However, there are significant advantages to taking time off to concentrate on therapy. If you have questions about this issue, please discuss it with your primary therapist. 

Where do I stay if I’m coming from outside of St. Louis?
We do not make lodging arrangements but we can provide you with a list of area accommodations, local recreation, dining, shopping and other resources.

How much do intensive services cost?
Intensive services are more expensive than standard outpatient care. However, most insurance plans cover it. The specific amount you will pay varies depending on the type of insurance coverage you have.

We’re Only a Phone Call Away

Our Intake Coordinators are always available at 314-289-9411 to schedule a confidential assessment if you, a loved one, or a patient may be experiencing a mental health issue. For additional questions about our programs, you can also use our online contact form.

In the case of a medical emergency or crisis, please dial 911 or go to the nearest emergency room.

Contact Us

New patients please call Intake Coordinators at:


City of St. Louis, Missouri (Macklind)

1129 Macklind Ave, 
St. Louis, MO 63110 
314-534-0200 (returning patients)

Chesterfield, Missouri (West County)

16216 Baxter Rd. Stes 205 and 225,
Chesterfield, MO 63017
636-532-9188 (returning patients)

Belleville, Illinois

521 W. Main St. Ste 201B, 
Belleville, IL 62220
618-825-0051 (returning patients)