Hailey Tran
Partial hospitalization, also known as a Partial Hospitalization Program (PHP), is a type of treatment program for mental illness, addiction, or other serious psychological issues. It is a structured outpatient treatment program for those who require more intensive care than traditional therapy can provide, but who do not need to be hospitalized. PHPs can be provided in either a hospital setting or by a free-standing community mental health center. Treatment typically includes individual and group therapy, medication management, and other services, and patients return home at night. PHPs aim to provide comprehensive mental health services to help individuals function effectively in society while managing their condition.
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What You'll Learn
Partial hospitalization is an outpatient program
The goal of partial hospitalization is to provide a higher level of care for individuals who need more support than traditional outpatient therapy can offer but do not require 24-hour inpatient hospitalization. It aims to improve an individual's functioning, prevent relapse, and reduce the need for full hospitalization. Partial hospitalization programs focus on the overall treatment of the individual, including their specific mental health needs, with the goal of long-term positive outcomes.
During a typical day in a partial hospitalization program, patients may participate in various treatments and therapies. This can include group therapy, psych-educational groups, skill-building activities, individual therapy, medication management, and psychopharmacological assessments. The specific services provided are tailored to the patient's needs and diagnosis. For example, an individual struggling with an eating disorder may attend a partial hospitalization program specializing in eating disorders.
Partial hospitalization programs are usually provided by hospitals or community mental health centers. These programs are often covered by health insurance, and the cost can vary depending on the program, the patient's needs, and their location. In the United States, Medicare may cover partial hospitalization for individuals who require at least 20 hours of therapeutic services per week.
Partial hospitalization offers several benefits. It provides a structured and intensive treatment program while allowing patients to return to their homes and families each night. This can be especially beneficial for individuals who cannot be away from their families or work and helps reduce the cost of long-term care. Partial hospitalization can also serve as a transition step from inpatient to outpatient care, helping to shorten the length of inpatient hospitalization.
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It treats mental illness, addiction, and serious psychological issues
Partial Hospitalization Programs (PHPs) are designed to treat mental illness, addiction, and other serious psychological issues. They are structured outpatient treatment programs for those who need a higher level of care than regular therapy or outpatient care can provide. PHPs are not a substitute for inpatient care, particularly for patients who are actively suicidal or homicidal. However, they can be used as an intermediate step to shorten inpatient admission.
PHPs are intended to avert or reduce inpatient hospitalization. Patients in a PHP continue to reside at home but commute to a treatment centre for several hours a day, up to seven days a week. Treatment typically includes individual and group therapy, medication management, psych-educational groups, skill-building, and psychopharmacological assessments.
The programs are designed for the diagnosis or active treatment of a serious mental disorder when there is a reasonable expectation of improvement or when it is necessary to prevent a relapse or full hospitalization. PHPs can provide superior or equivalent recovery-based care with greater patient satisfaction compared to inpatient treatment. Patients are able to return quickly to their own environments, which can help with crisis stabilization.
The Association for Ambulatory Behavioral Healthcare publishes guidelines for PHPs and encourages them to embrace the concept of "mental health recovery". This is a journey of healing and transformation, enabling a person with a mental health problem to live a meaningful life in a community of their choice while striving to achieve their full potential.
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It is a midpoint between inpatient and outpatient services
Partial Hospitalization Programs (PHPs) are a midpoint between inpatient and outpatient services. They are intensive outpatient programs designed for the diagnosis and treatment of serious mental health issues. Patients do not stay overnight in a hospital and instead return home each night. This allows them to remain with their families and maintain their work lives.
PHPs are intended to reduce the need for inpatient hospitalization. They can be used as a transition from inpatient to outpatient care, or to shorten the length of inpatient stays. PHPs are also used to prevent relapse and maintain a patient's functional level. They are not a substitute for inpatient care for patients who are actively suicidal or homicidal.
PHPs offer comprehensive mental health services, including individual and group therapy, medication management, and crisis stabilization. Patients spend several hours a day in treatment, typically between 4 and 8 hours each day, up to 5 days a week. Treatment can last from a few weeks to several months, depending on the patient's symptoms and progress.
PHPs are often covered by health insurance, and patients can receive treatment in either a hospital setting or a free-standing community mental health center. The cost of a PHP will vary depending on the program, the patient's needs, and their location.
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It can be provided in a hospital or community mental health centre
Partial Hospitalization Programs (PHPs) are offered in hospitals or free-standing community mental health centres (CMHCs). PHPs are intensive outpatient programs that provide comprehensive mental health services to patients who require care beyond therapy. They are designed for patients with serious mental health issues who need more structure and support than outpatient care can provide but do not need 24-hour care.
PHPs allow patients to reside at home and commute to the treatment centre for several hours a day, typically ranging from 4 to 8 hours, up to 5 days a week. This model enables patients to maintain their daily routines and connections with their families and work while receiving the necessary treatment.
The treatment during a typical day in a PHP may include group therapy, psych-educational groups, skill-building sessions, individual therapy, and psychopharmacological assessments and check-ins. These programs aim to help patients understand their illness, adjust to medication regimes, develop important coping skills, and set recovery goals.
PHPs can be beneficial for patients who are at risk of a mental health relapse or are struggling to manage their symptoms effectively through regular outpatient visits. They offer a higher level of care than traditional outpatient therapy, providing patients with a structured and intensive treatment program.
The duration of a PHP can vary depending on the patient's needs, ranging from a few weeks to several months. These programs are often covered by health insurance, and the costs may depend on the specific program, the patient's requirements, and their location.
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It can be covered by health insurance
Partial Hospitalization Programs (PHPs) are often covered by health insurance. This is because they are a form of outpatient treatment, which means the patient does not have to stay in a hospital overnight. PHPs are designed for those who need a higher level of care for a serious mental health condition but do not require 24-hour care. This means that PHPs can be a more cost-effective alternative to inpatient hospitalization, which can be expensive.
The specific services covered by insurance in a PHP vary. For example, Medicare may cover occupational therapy as part of mental health treatment. However, Medicare may not cover all recommended services, and patients may have to pay some or all of the costs. It is important to understand what costs insurance will cover and what costs are the patient's responsibility.
PHPs are typically provided in either a hospital setting or by a free-standing community mental health center (CMHC). Treatment can include group therapy, psych-educational groups, skill-building, individual therapy, medication management, and psychopharmacological assessments and check-ins. PHPs can be beneficial for patients who are unable to be away from their families or work, as they can continue to reside at home while receiving treatment.
The American Association for Partial Hospitalization (AAPH) defines a PHP as:
> "an outpatient program specifically designed for the diagnosis or active treatment of a serious mental disorder when there is a reasonable expectation of improvement or when it is necessary to maintain a patient's functional level and prevent relapse or full hospitalization."
PHPs can provide superior or equivalent recovery-based care with greater patient satisfaction compared to inpatient treatment. They can also offer crisis stabilization for patients, as they are able to return quickly to their own environments.
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Frequently asked questions
A partial hospitalization program (PHP) is a structured outpatient treatment program for those who need a higher level of care for a serious mental health condition.
PHPs provide people with comprehensive mental health services, including individual and group therapy, medication management, skill building, psych-educational groups, and psychopharmacological assessments.
PHPs are for people with mental health conditions who need more structure and support than outpatient care can provide. They are for people who are having trouble functioning in day-to-day life, are at risk of a mental health relapse, or whose symptoms are not being managed by regular outpatient visits.
PHPs can provide superior or equivalent recovery-based care with greater patient satisfaction compared to inpatient treatment. Patients and families were found to be more satisfied with the care one year after discharge from a PHP compared to inpatient treatment. PHPs can also provide crisis stabilization for patients because they are able to return quickly to their own environments.
Partial hospitalization programs typically last anywhere from 4 to 8 hours each day, up to 5 days a week. Depending on your symptoms, you may spend weeks or several months in a PHP.
