What is a Partial Hospitalization Program?
Learn more about how a partial hospitalization program (PHP) can help you get clean and achieve long-term sobriety here.
Understanding a Partial Hospitalization Program (PHP)
A partial hospitalization program (PHP) is an intensive outpatient treatment program. It provides a structured, therapeutic environment while allowing you to live at home.
PHPs typically involve five to eight hours of treatment each day, four to five days a week. The length of treatment depends on the individual’s needs. It can last from one to several weeks. A team of professionals works together to develop an individualized treatment plan. You’ll receive comprehensive mental health services. These include psychotherapy, medication management, and skill-building activities.
How Can A Partial Hospitalization Program Help Me?
A partial hospitalization program can provide many benefits. It can help individuals develop the skills to manage their mental health disorders. These skills include improved communication, problem-solving, and coping strategies.
Effectiveness of a Partial Hospitalization Program
A Partial Hospitalization Program vs. Other Treatment Options
About 1 in 5 Americans suffer from a mental illness in any given year. Treatment for mental health issues can be provided at varying levels of care. It can be broadly categorized into three tiers: inpatient, partial hospitalization program (PHP), and outpatient.4
Inpatient Programs
Inpatient care is the most intensive level of care. It includes 24-hour monitoring and support in a hospital or clinic setting. Inpatient programs are usually short-term, typically lasting up to thirty days.
PHPs
Outpatient Programs
The least intensive form of care is an outpatient program. This may include standard outpatient programs (SOP) or intensive outpatient programs (IOP).
Outpatient Behavioral Health
Which Level Should You Choose?
Consider Your Symptoms
Outpatient programs are suitable for those with milder mental health conditions that can be managed in the community setting. SOPs are appropriate for individuals who have access to support and can benefit from light treatment. IOPs may be useful if you’re looking need more guidance and cannot commit to PHP or inpatient care due to work or family commitments.
Consider Cost
As an alternative inpatient, a partial hospitalization program (PHP) has proven to be better in terms of cost-effectiveness and duration. In a study, PHPs have been shown to be more effective in reducing symptoms than standard psychiatric programs. There was also a decrease in medication use, with only 38% of patients needing medication compared to 78% in the standard psychiatric program.5
Who Can Benefit From a Partial Hospitalization Program?
Partial hospitalization programs can benefit people suffering from various mental health disorders. These include depression, anxiety, bipolar disorder, schizophrenia, borderline personality disorder, and substance abuse. Consider the criteria below when searching for treatment options.
Basic PHP Criteria
- Being over the age of 18 (underage individuals may be able to take part in a partial hospitalization program with parental consent)
- Having an acute psychiatric condition requiring intensive treatment
- Showing a willingness to take part in the program
- Having adequate support at home or being able to live independently
Additional PHP Candidate Criteria
- Show signs of a mental health disorder that need intensive therapeutic services
- Need support and structure
- Lack access to outpatient services or a supportive home environment
- Need medication management and/or medical monitoring
- Are at risk of hospitalization or relapse
Special Populations PHP Treatments
- Teens/adolescents
- Elderly
- Dually diagnosed (coexisting mental health and substance use disorders)
- Military personnel or veterans
- LGBTQ+
- Culturally diverse groups
Teens
Elderly
Dual Diagnosis
Dual diagnosis is a situation where an individual has both a mental health disorder and a substance use disorder. It is estimated that about 25% of people with mental illness also abuse substances.7
Veterans
LGBTQ+
The LGBTQ+ community has an increased risk of mental health issues due to discrimination and stigma. Studies have shown that these individuals are more likely to experience depression, anxiety, substance abuse, and even suicide compared to the general population.
Culturally Diverse Groups
Drawbacks and Limitations of PHP
- Your condition is severe or complex, a higher level of care may be necessary
- There are safety concerns, such as thoughts of harming yourself or others
- Unsafe home environment
- Long-term substance abuse
- You’re unable to commit to a set schedule
Severe Symptoms
Unsafe Home Environment
Long-Term Substance Abuse
Your body may have developed a physical dependence on drugs or alcohol. This means that withdrawal symptoms may occur if you suddenly stop using the substance. While detoxification can help reduce these symptoms, inpatient treatment may be needed to address any underlying medical or psychological issues.9
Commitment Issues
Is a Partial Hospitalization Program Still Worth Considering?
PHP Benefits
- Structure:- A structured program can provide a sense of stability, routine, and purpose while in treatment.
- Relapse prevention: You’re closely monitored during treatment, making it easier to spot warning signs of relapse and act on them quickly.
- Access to specialized care: Programs provide access to a variety of specialists and therapies, giving you the opportunity to explore different approaches.
- Support system: Recovering with a community of peers can provide encouragement and motivation to stay on track.
- Safety: PHPs provide a safe environment where you can focus on recovery without the potential distractions of everyday life.
- Accountability: Regular attendance in treatment can help build accountability and responsibility for your progress.
- Continuity of care: You have the same team throughout your treatment, allowing for more effective communication and developing a deeper understanding of your condition.
- Access to community resources: PHPs provide referrals to community resources, such as support groups and sober living housing.
What Kind of Treatment is Provided in a Partial Hospitalization Program?
PHP treatment typically includes individual and group therapy and medication management.
Individual Counseling
What is Individual Therapy?
Group Therapy
Group therapy provides a supportive environment where participants can share their experiences. They also have the opportunity to learn from each other. Many PHP programs incorporate 12-Step meetings. These meetings are based on a 12-Step program, where individuals support each other in recovery. They also act as a source of accountability.
Medication Management
Other Evidence-Based Treatment
- Cognitive behavioral therapy (CBT): This focuses on identifying and changing negative or unhelpful thought patterns.
- Dialectical behavioral therapy (DBT): This teaches skills to help manage emotions and decrease impulsivity.
- Eye movement desensitization and reprocessing (EMDR): EMDR uses eye movements to process and resolve traumatic memories.10
- Motivational interviewing (MI): MI encourages behavior change and helps individuals identify their own motivations.
- Acceptance and commitment therapy (ACT): This helps people accept their thoughts, feelings, and behaviors without judgment.
- Traumatic incident reduction therapy (TIR): TIR helps individuals process and overcome traumatic events.
- Experiential therapy: This helps patients overcome emotional barriers through expressive activities such as art therapy, music therapy, and/or recreational therapy.
What is Cognitive Behavioral Therapy?
Personalized Treatment Planning in a Partial Hospitalization Program
- Medical doctors
- Psychiatrists
- Psychologists
- Social workers
- Substance abuse counselors
- Therapists
- Nutritionists
- Nurses
- Vocational counselors.
Medical History
- Have you ever been diagnosed with a mental illness or addiction?
- How long have you been using drugs or alcohol?
- Are there any triggers that cause you to use drugs or alcohol?
- Do you have a family history of mental illness or addiction?
- Are there any physical or emotional symptoms that concern you?
Physical Exams and Lab Tests
Psychological Testing
Substance Use History
Social and Family History
- How is your relationship with your family members?
- Have there been any major changes in your life recently?
- Are there any social or cultural factors that influence your decisions?
How Do You Know If PHP Is Successful?
Your treatment team will measure your progress to ensure you meet the program’s goals. They may use tools such as questionnaires and surveys, physical exams, lab tests, or interviews.
- Short-term outcomes: These are measured during your stay in the program and include things like how quickly you’re able to stay sober, your emotional stability, and your ability to take on new responsibilities.
- Long-term outcomes: These are measured after you have completed the program. They look at things like whether or not you’ve been able to maintain sobriety, if you still require additional support, and if you’re able to live independently.
What to Expect After Completing a Partial Hospitalization Program
Virtual Aftercare Resources
Telehealth Therapy Sessions
Telehealth services are also available for speaking with your therapist from home. This ensures you do not miss any important appointments or lose momentum in your recovery process.
What if I Need Further Help After Completing a Partial Hospitalization Program?
If you need more help, reach out to your treatment team. They will be able to discuss further options with you and determine the best course of action. One option may be an intensive outpatient program (IOP). This is a lower level of care that allows you to attend fewer hours in a structured setting.
Essence Healthcare Partial Hospitalization Program Treatment
If you are seeking help at a partial hospitalization program, Essence Healthcare can help. At Essence, we understand that treatment is a personal journey. Our team will work with you to create an individualized plan that best meets your needs.
Our Team
Our Treatment Options
Our partial hospitalization program considers any physical health issues you may have. We will work with your primary care provider to ensure that all your needs are being met. Dual-diagnosis treatment is also available to people struggling with co-occurring disorders.
Contact Essence Healthcare Today
If you or a loved one are struggling with mental health or substance use disorders, know that you don’t have to go through it alone. We are here to guide you toward a brighter future. Together, we can make sure that recovery is within reach.
Resources
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047716/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419972/
- https://pubmed.ncbi.nlm.nih.gov/3811995/
- https://www.cdc.gov/mentalhealth/learn/index.htm
- https://ajp.psychiatryonline.org/doi/10.1176/ajp.156.10.1563
- https://www.ncbi.nlm.nih.gov/books/NBK68420/
- https://pubmed.ncbi.nlm.nih.gov/35834863/
- https://www.ptsd.va.gov/understand/common/common_veterans.asp
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085800/
- https://www.apa.org/ptsd-guideline/treatments/eye-movement-reprocessing