Partial hospitalization, also known as PHP (partial hospitalization program), is a type of program used to treat

mental illness A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...

and

substance abuse Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods which are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug abuse are used in public health, ...

. In partial hospitalization, the patient continues to reside at home, but commutes to a treatment center up to seven days a week. Partial hospitalization focuses on the overall treatment of the individual and is intended to avert or reduce in-patient hospitalization. The pioneer of partial hospital programs, Dr. Albert E. Moll,The News and Courier ''Center Gives Day Mental Care'' page 1. Charleston, SC, May 13, 1952. believed that some patients would be unable to be away from their families or from work and that these programs would reduce the cost of long-term care. Partial hospitalization programs in the United States can be provided in either a hospital setting or by a free-standing community mental health center (CMHC). Treatment during a typical day may include

group therapy Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, i ...

, psych-educational groups, skill building,

individual therapy Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome prob ...

, and

psychopharmacological Psychopharmacology (from Ancient Greek, Greek grc, wiktionary:ψῡχή, ψῡχή, psȳkhē, breath, life, soul, label=none; grc, wiktionary:φάρμακον, φάρμακον, pharmakon, drug, label=none; and grc, wiktionary:-λογία, -� ...

assessments and check-ins. Programs are available for the treatment of

alcoholism Alcoholism is, broadly, any drinking of alcohol (drug), alcohol that results in significant Mental health, mental or physical health problems. Because there is disagreement on the definition of the word ''alcoholism'', it is not a recognize ...

and

problems,

Alzheimer's disease Alzheimer's disease (AD) is a neurodegeneration, neurodegenerative disease that usually starts slowly and progressively worsens. It is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in short-term me ...

anorexia Anorexia nervosa, often referred to simply as anorexia, is an eating disorder characterized by low weight, food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin. ''Anorexia'' is a term of Gre ...

and

bulimia Bulimia nervosa, also known as simply bulimia, is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The aim of this activity is to expel the body of calories eate ...

, depression,

bipolar disorder Bipolar disorder, previously known as manic depression, is a mental disorder characterized by periods of depression and periods of abnormally elevated mood that last from days to weeks each. If the elevated mood is severe or associated with ...

anxiety disorder Anxiety disorders are a cluster of mental disorders characterized by significant and uncontrollable feelings of anxiety and fear such that a person's social, occupational, and personal function are significantly impaired. Anxiety may cause physi ...

schizophrenia Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social withdra ...

, and other

es. Programs geared specifically toward geriatric patients, adult patients, adolescents, or young children also exist. Programs for adolescents and children usually include an academic program, to either take the place of or to work with the child's local school.

Funding

Service providers in the United States are funded by

private insurance Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to hedge ...

as part of a designated continuum of care as well as Medicare and, for some states, Medicaid. Currently, many providers are moving the partial hospitalization model of day treatment toward more acute short-term services. Hospitals and community mental health organizations are using PHPs to handle acutely ill persons who are able to better understand their illness, become adjusted to medication regimes, develop important coping skills, and set recovery goals that enable them to function effectively as recovered individuals in the society. Most programs are required to pass comprehensive reviews from national, state, and insurance bodies. Specific guidelines for assessment, treatment, facility maintenance, performance improvement, and client outcome studies are integral to partial hospitalization programs. Th
Association for Ambulatory Behavioral Healthcare
is the premier national group, publishing the ''Standards and Guidelines for Partial Hospitalization Programs and Intensive Outpatient Programs'' (2021).

Notes

{{Reflist Deinstitutionalisation Drug rehabilitation Living arrangements Treatment of bipolar disorder Treatment of mental disorders

Funding

See also

Notes