Intensive Outpatient Program for Youth in Alameda County

An intensive outpatient program (IOP) for youth is a structured level of care where a teen attends several sessions a week while living at home and staying in school. Project Eden provides the outpatient level of that continuum for young people across Alameda County. Medi-Cal is accepted, no-cost and sliding-scale options are available, and there is no judgment here.

Clinically Reviewed By Itzia Cruz, Clinical Services Director, LCSWLast reviewed: September 2026

Key Takeaways

  • Project Eden provides youth outpatient counseling, not an intensive outpatient program. An assessment determines what level of care fits.
  • Who it serves: adolescents and young adults in Alameda County who are using substances or at elevated risk, plus their families.
  • What is included: assessment, individual counseling, family counseling, group counseling, parent support, and a written treatment plan.
  • What it costs: Medi-Cal accepted. Prevention services are free. Outpatient counseling is sliding-scale.

What Is an Intensive Outpatient Program for Youth?

An intensive outpatient program for youth is a structured treatment level in which an adolescent attends multiple counseling sessions each week, usually after school or in the evening, while living at home. It sits between standard outpatient counseling and residential treatment. Families choose it when weekly sessions are not enough but a young person does not need to leave home.

Project Eden provides the outpatient level of that continuum. Below is how the levels generally differ.

 

Outpatient counseling

Intensive outpatient (IOP)

Residential treatment

Where the teen lives

At home

At home

At the treatment facility

School

Continues normally

Continues, sessions scheduled around it

Usually on-site schooling

Typical intensity

Weekly or twice-weekly sessions

Several structured sessions per week

24-hour care

Family involvement

Family counseling and parent support

Family sessions, varies by program

Family sessions, varies by program

Offered by Project Eden

Yes

No

No

How do I know which level my teen needs?

The assessment answers that question, not a web page. Project Eden staff meet with the young person individually, with the parent or guardian, and with the family together, then build a treatment plan around what they find.

Overview

About Project Eden

Project Eden has provided prevention, education, and treatment services to young people and families in Alameda County since the late 1960s. Counseling, school-based prevention, and family support sit in one program, so a young person can move between them without starting over somewhere new.

Our History & Community Impact

Project Eden was founded in the late 1960s by a Castro Valley pediatrician and a Hayward Unified School District administrator in response to growing substance use challenges among local youth.

Since then, Project Eden has provided prevention, education, intervention, and treatment services to children, adolescents, adults, families, and communities throughout Hayward, Castro Valley, San Leandro, Union City, Livermore, Dublin, Pleasanton, and San Lorenzo.

Our programs support youth who are already engaging in high-risk use of alcohol, marijuana, fentanyl, or other substances, as well as young people whose behaviors or life circumstances place them at elevated risk for substance use.

• Living in a household affected by substance use
• Conflict with parents or caregivers
• Academic struggles or poor school performance
• Behavioral challenges at home or school
• Involvement with the juvenile justice system
• Identity-related stress or social challenges
• Mental health concerns such as anxiety or depression

Understanding the risks associated with substance use is essential. Our programs help youth make informed decisions and build healthier coping strategies.

We focus on strengthening support systems, setting boundaries, identifying positive alternatives, and building protective behaviors that reduce high-risk use.

Students are referred by faculty, staff, families, or themselves. No referral from a school or a court is required

Outpatient Treatment

What Project Eden Provides

Project Eden’s Youth Outpatient Program addresses the physical, emotional, psychological, social, and educational needs of adolescents and young adults. Staff work from a foundation of compassionate care, substance use disorder expertise, and unconditional welcome.

  • Assessment. Staff meet with the young person and the family to understand the nature and degree of the challenge, then develop a treatment plan built for that family.
  • Individual counseling. A confidential space for a teen to build a trusting relationship with an adult, work through the challenges of living without alcohol and drugs, set their own goals, and connect with the recovery community.
  • Family counseling. Sessions focused on rebuilding damaged relationships, educating the whole family about high-risk substance use, and establishing clear rules and consequences at home.
  • Group counseling. Peer sessions where young people process challenges together, practice life skills, and build healthy relationships. Positive peer support matters for anyone making a significant change.
  • Parent support group. Sessions for parents and guardians covering youth recovery, family relationships, anger management, conflict resolution, effective parenting, and co-dependency.
  • Treatment planning. A written plan developed with the young person and the family that sets goals, guides services, and tracks progress over time.

What to Expect: How Intake Works

  1. Call or send the contact form. Staff gather basic information and schedule an assessment. If there are urgent safety concerns, they will help you connect to the right immediate support.
  2. Assessment with the young person and a caregiver. A counselor meets with the teen individually, with the parent or guardian, and with the family together to understand strengths, risks, and goals.
  3. A treatment plan is built with you. Together you set goals and decide the mix of individual, family, and group counseling that fits.
  4. Counseling begins. Individual sessions, family work, and group counseling start. Parent support is available for communication, boundaries, and parenting strategies.
  5. Progress is reviewed. Staff check in, adjust the plan as things change, and support the transition when the young person is ready to step down.

If you need help right now

Struggling with alcohol, tobacco, marijuana, or other drugs?

Text (510) 256-9420 and someone will text you back Monday through Friday, 9am to 5pm.

If this is an emergency, call 911. If you are feeling suicidal and want to harm yourself, call 988.

Youth Prevention Services

Substance Use Prevention & Education

Project Eden provides substance use education and supportive services in Alameda County school districts. Students are referred by faculty, staff, families, or themselves for prevention, education, and support with high-risk substance use, decision-making, refusal skills, anxiety, depression, anger management, and parental conflict.

What the prevention team provides:

  • Substance use prevention and education sessions
  • Classroom presentations and faculty professional development
  • Parent workshops, including bilingual presentations
  • Crisis intervention, information and referrals, and consultation with school staff
  • Community cultural events and tabling at school sites

Evidence-based curricula in use: Botvin’s LifeSkills, Be Brave Be Sensitive suicide prevention, Project SUCCESS, Brief Intervention, Safety First Training, and Prime Solutions.

Project Eden’s prevention team has run bilingual parent workshops with Tiburcio Vazquez Health Center at local high schools, covering how to spot signs of use and how to open a conversation.

Service area and school partners

Project Eden serves young people and families across Alameda County through school and community partnerships, including:

Tennyson High School · Hayward High School · Mt. Eden High School · Arroyo High School · Conley Caraballo High School · Livermore High School · Castro Valley High School · Granada High School · San Leandro High School · Winton Middle School · Martin Luther King Middle School · Anthony W. Ochoa Middle School · Cesar Chavez Middle School · Joe Mitchell Middle School

Project Eden also provides services in Hayward, Castro Valley, San Leandro, Union City, Livermore, Dublin, Pleasanton, and San Lorenzo.

Free & Affordable Counseling Options

Are there free options?

Yes, Youth Services Program services are free to all participants.

Yes the Youth Outpatient Program services are offered on a sliding fee scale.

There is an initial $40 charge for the alcohol and other drug assessments. 

Yes we accept Medi-Cal insurance.

Call (510) 650-0155 and tell us a bit about your family’s situation. Staff will walk you through the free, sliding-scale, and Medi-Cal options and what each one would mean for you.

Youth Resources

Life can be stressful, confusing, and sometimes overwhelming. These resources are designed to help teens better understand mental health, substance use, relationships, and ways to ask for help.

Resources for Parents and Familes

Supporting a young person through stress, mental health challenges, or substance use concerns can feel overwhelming. Explore practical guidance, conversation tips, and evidence-based resources designed for parents, caregivers, and families.

Unsure how to talk with your teen about substance use and prevention?

Our Saving Face or Saving Lives Family Resource Guide can help you start the conversation.

Why Families Choose Project Eden

Nearly sixty years in this community.

Project Eden has served Alameda County families since the late 1960s and joined Horizon in 1993.

A nonprofit safety net, not a private-pay program.

Horizon Treatment Services has served the Bay Area since 1976 and works with families, businesses, and public agencies across Alameda, Santa Clara, and San Mateo counties.

Accredited and licensed.

Horizon holds a CARF 3-Year Accreditation and is DHCS licensed.

Bilingual and affirming.

Services run in English and Spanish, and LGBTQIA+ young people are welcome.

Prevention and treatment in one place.

School-based prevention and outpatient counseling sit in the same program, so a young person can move between them without starting over somewhere new.

Frequently Asked Questions

What is an intensive outpatient program (IOP) for youth?

An intensive outpatient program for youth is a structured level of care where a teen attends several treatment sessions a week while living at home and staying in school. It is more intensive than weekly counseling and less intensive than residential treatment.

Does Project Eden offer an intensive outpatient program?

Project Eden provides youth outpatient counseling: individual, family, and group sessions, plus parent support and treatment planning. The right level of care for your teen is determined at assessment.

What is the difference between outpatient and intensive outpatient for teens?

Outpatient counseling generally means fewer sessions per week with more scheduling flexibility. An intensive outpatient program adds more frequent, scheduled group and individual sessions. Both keep the young person at home and in school.

How does my teen start at Project Eden?

Call (510) 650-0155 or send the contact form. Staff will gather basic information and schedule an assessment with the young person and a parent or guardian.

What happens at the assessment?

Staff meet with the young person individually, with the parent or guardian, and with the whole family together. They use that to understand strengths, risks, and goals, then build a treatment plan for that family.

Who is the Youth Outpatient Program for?

Adolescents and young adults in Alameda County who are using alcohol, marijuana, fentanyl, or other substances, or whose circumstances place them at elevated risk. Families are part of the work.

Do we need a referral from a school or a court?

No. Students are referred by faculty, staff, families, or themselves.

Start With an Assessment

An assessment is the step that answers the level-of-care question for your family. It costs nothing to ask.

Text (510) 256-9420, Monday through Friday, 9am to 5pm.

Or send us a message:

Itzia Cruz

Clinically Reviewed By

Itzia Cruz

Clinical Services Director, LCSW

Last reviewed: September 2026

Itzia Cruz is a Licensed Clinical Social Worker with a lifelong commitment to serving marginalized communities. She has worked with a wide range of underserved populations, including children and young people involved in the Child Protective Services and foster care systems, chronically ill patients, special…

LCSW

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