Examining the feasibility of implementing a matrix model intensive outpatient program in a remote Alaskan setting

Frank Ponziano
Wed, 22 Apr 2026 17:43:16 PDT

Significance: The Matrix Model is possibly the only evidenced-based, intensive outpatient approach for addiction that has been shown to be effective at treating addiction. However, the model has not been evaluated for its effectiveness in remote Alaskan settings, such as Fairbanks, Alaska. Specific Aim: This study examined the feasibility of the Matrix Model compared to Treatment as Usual (TAU) in Fairbanks, Alaska. TAU is defined as any other outpatient substance abuse treatment (SAT) other than Matrix Model treatment program. The model's philosophy will be examined, and a method for determining its feasibility for implementation in Fairbanks, Alaska, will be outlined. This project will provide a method for an agency to examine their readiness and philosophical compatibility for the Matrix Model. This research intends to explore contextual variables, such as environment, culture, policy, participant barriers, funding, and organizational philosophy. Methods: This study has reviewed the literature regarding evidence-based, intensive outpatient programs, other treatment philosophies, and the contextual variables that affect program implementation in the literature. Moreover, this study provides an analysis of the Matrix Model versus TAU to help guide a Fairbanks agency considering Matrix Model Intensive Outpatient Program (IOP). IOP is a 12 to 16 week intensive outpatient SAT that meets for 9 or more hours per week that integrates individual, family, and group counseling along with weekly drugs screens. Implications: This project aims to contribute to the body of knowledge regarding the Matrix Models effectiveness compared to TAU in remote Alaskan settings.