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, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is ...
,
addiction
Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
, or other serious psychological issues. 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, 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, and
psychopharmacological assessments and check-ins.
Alcohol & Drug Rehab
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Programs are available for the treatment of alcoholism
Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records. The World He ...
and substance abuse
Substance misuse, also known as drug misuse or, in older vernacular, substance abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder, differing definition ...
problems, Alzheimer's disease
Alzheimer's disease (AD) is a neurodegenerative disease and the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As the disease advances, symptoms can include problems wit ...
, anorexia
Anorexia nervosa (AN), often referred to simply as anorexia, is an eating disorder characterized by Calorie restriction, food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin.
Individuals wit ...
and bulimia
Bulimia nervosa, also known simply as bulimia, is an eating disorder characterized by binge eating (eating large quantities of food in a short period of time, often feeling out of control) followed by compensatory behaviors, such as self-induc ...
, depression, bipolar disorder
Bipolar disorder (BD), previously known as manic depression, is a mental disorder characterized by periods of Depression (mood), depression and periods of abnormally elevated Mood (psychology), mood that each last from days to weeks, and in ...
, anxiety disorder
Anxiety disorders are a group of mental disorders characterized by significant and uncontrollable feelings of anxiety and fear such that a person's social, occupational, and personal functions are significantly impaired. Anxiety may cause phys ...
s, schizophrenia
Schizophrenia () is a mental disorder characterized variously by hallucinations (typically, Auditory hallucination#Schizophrenia, hearing voices), delusions, thought disorder, disorganized thinking and behavior, and Reduced affect display, f ...
, and other mental illness
A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is ...
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
Private or privates may refer to:
Music
* "In Private", by Dusty Springfield from the 1990 album ''Reputation''
* Private (band), a Denmark-based band
* "Private" (Ryōko Hirosue song), from the 1999 album ''Private'', written and also recorded ...
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'' (2024).
See also
* Deinstitutionalisation
Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the 1950 ...
* Intensive outpatient program (IOP)
Notes
{{Reflist
Deinstitutionalisation
Drug rehabilitation
Living arrangements
Treatment of bipolar disorder
Treatment of mental disorders