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PHP Treatment & Partial Hospitalization Program
A partial hospitalization program (PHP) is a bridge between inpatient and outpatient treatment. Learn how a PHP can help with the transition to independent living.
Home Treatment Programs Partial Hospitalization Program (PHP)
Partial Hospitalization Program (PHP)
Partial hospitalization programs bridge the time between inpatient and outpatient addiction treatment and help people prepare for life in recovery.
By The Recovery Village
Editor Camille Renzoni
Medically Reviewed By Kevin Wandler, MD
Updated on 10/20/21
A partial hospitalization program (PHP) provides a connection between the acute, structured setting of inpatient treatment and the autonomy of outpatient treatment. Research shows that PHPs greatly reduces symptoms of substance use disorders and mental health conditions at less cost than inpatient or residential settings.
As a result, an increasing number of partial hospitalization programs have been developed across the country to meet the demand for treatment. Partial hospitalization, which offers access to acute medical and mental health services in a compressed time frame, is particularly well-suited for managing co-occurring disorders, or two conditions that occur at the same time.
Those who are likely to thrive in a partial hospitalization setting include patients who have completed medical detox and inpatient care and are both willing and able to fully engage in therapy.
Table of Contents
What Is Partial Hospitalization?
Most PHPs offer amenities that have at least some similarity to inpatient treatment. But exactly what is partial hospitalization, and how does a PHP lead to positive treatment outcomes?
One way to formulate a partial hospitalization definition is to understand the differences between PHP and its inpatient and outpatient treatment counterparts. Partial hospitalization programs consist of short-term, intensive treatment that has less acuity than inpatient treatment, but offers more services and a higher level of care than outpatient treatment.
During most partial hospitalization programs, patients are not required to stay overnight, but the program has at least six hours of therapeutic program activities from five to seven days per week. However, program requirements vary.
Activities in a PHP usually include:
Mental health counseling
Several types of therapy, including traditional and holistic options
Relapse prevention planning
Education about mental health conditions
Other psycho-educational activities
Access to indoor and outdoor amenities, as medically appropriate
Partial hospitalization can itself be a starting point for recovery processes but is usually a direct segue from inpatient hospitalization. Since PHP is often the first treatment after inpatient, it is an integral aspect of establishing healthy habits for sobriety.
How Partial Hospitalization Works
The PHP model of treatment became widely popular in the 1990s due to its effectiveness. A growing body of research shows that partial hospitalization programs reduce symptoms associated with addiction and mental health conditions.
Typically, partial hospitalization programs are offered as a step-down program after completion of inpatient hospitalization or residential treatment. These programs allow patients to reintegrate into the world outside of the protective structure of acute inpatient care. However, PHPs are still able to offer high-level services and therapeutic programming on a relatively short-term basis.
In PHP, clients are usually physically and psychologically stable and do not need inpatient hospitalization. Clients participate in activities several times per day. These activities consist primarily of individual and group therapy sessions designed to improve a patient’s self-confidence, decision-making skills, and communication abilities. Nurses provide continuous assessment and education about medication, and patients have regular access to both medical and psychiatric care.
Planning for treatment in a PHP usually starts during the preceding inpatient or residential stay. Program administrators help patients understand the structure of the program and help ensure that clients know exactly which costs will be covered and by whom.
Services Offered in PHP
Partial hospitalization programs usually offer a variety of services, including:
Evaluation and treatment of drug and alcohol addiction
Evaluation and treatment of co-existing mental health conditions
Individual, group and family therapy
Medication-assisted treatment, if necessary
Nutritional and dietary counseling
Support and mutual-help groups, such as 12-step-based groups
Exercise, recreational and activities therapy
Benefits of Partial Hospitalization Programs
Since PHPs bridge the space between inpatient hospitalization and outpatient treatment, the benefits of partial hospitalization programs feature elements common to both forms of treatment:
Structured, intensive therapy
Addiction Treatment: Partial Hospitalization Program
Partial hospitalization programs are an important form of addiction treatment for people who need adequate support, but not inpatient treatment.
Partial Hospitalization Programs for Substance Use Disorders
Written by: Marisa Crane Edited by: Kelly Doran
Last updated on December 30, 2021
If you or a loved one are struggling with addiction, there are several treatment types to choose from. Depending on your individual needs and the substance being misused, a partial hospitalization program (PHP) may be an appropriate level of care, or as continuing care following inpatient treatment.
What Is a Partial Hospitalization Program?
A partial hospitalization program (PHP) is a type of outpatient treatment program that caters to people struggling with addiction. Typically, a person entering a PHP requires a higher level of care than standard outpatient care provides. People in a PHP receive comprehensive treatment services and medical monitoring during the day, but don’t stay overnight at the facility.
A PHP is sometimes referred to as a day treatment program, which offers outpatient addiction treatment services such as drug counseling, individual and group therapy, access to medical care, and medication if needed. If a person needs immediate medical attention, they work closely with hospital centers to make sure people get the help they need. There is also easy access to higher levels of care if needed.2
People typically attend the recovery center 3 to 5 days a week for about 4 to 6 hours each day, while still residing at home. A PHP is a more intensive program than typical outpatient programs, which may only meet once or twice a week.3
Individuals entering a partial hospitalization program may be using it as a “step-down” service after receiving treatment in an inpatient program.2 Partial hospitalization is best for people who do not require 24-hour supervision, but who would still benefit from a high level of support.
Services in Partial Hospitalization Programs
Before treatment services begin, the staff assess the person’s needs and develop an individualized treatment plan based on the person’s substance misuse and other co-occurring mental or physical health conditions.
People in a PHP may work closely with several different treatment professionals including doctors, nurses, social workers, therapists, and psychiatrists. Below are the typical services offered in a PHP program near you:Detox: Not every facility will offer medically supervised detox, but some partial hospitalization programs have physicians available to provide people with medication while they safely detox from drugs or alcohol. PHPs that offer detox generally only treat those with mild to moderate withdrawal symptoms.2 Individuals with severe or life-threatening withdrawal symptoms may require the supervision and medical support offered by a professional detox facility prior to enrolling in a PHP for ongoing treatment.Medical services: Nurses and doctors are on staff to administer medication and treat any complications as a result of substance misuse or other health conditions.Medication management: People may benefit from medication when recovering from certain types of substance misuse. FDA-approved medications have certain purposes like helping to decrease cravings, block the rewarding effects of alcohol or certain drugs, and manage uncomfortable withdrawal symptoms.1Individual therapy: The person meets with a therapist or drug counselor one-on-one to work on unhealthy behaviors to help maintain long-term abstinence and recovery.Group counseling: Group counseling sessions tend to focus on one specific topic or skill and are facilitated by a certified mental health professional. Topics include educational groups, relapse prevention, stress management, coping skills, life skills, recreational activities and team building, and family education and therapy.Aftercare planning: Treatment teams prepare a person for leaving treatment by creating an aftercare plan, which may include relapse prevention tactics such as support groups, 12-step programs, sober living homes, or group or individual counseling.Holistic treatments: Depending on the recovery facility, some PHPs may offer holistic treatment options, such as yoga, meditation, nutrition, equine therapy, fitness classes, and art and music therapy.
Further, many partial hospitalization programs are equipped to treat people with co-occurring disorders. If you or someone you love has a psychiatric condition and struggles with drug or alcohol misuse, a PHP program may be beneficial if it meets the level of care needed.
How Long Does a PHP Last?
The length of a partial hospitalization or day treatment program varies greatly depending on the person’s needs. Each PHP has a different approach, and every person is unique. For treatment to be most effective, it needs to be for an adequate length of time so a person can establish healthy patterns of behavior.5
While enrolled in a PHP, the participant will generally attend treatment 5 days a week, for about 4 to 6 hours each day, then return home in the evening.3
Once someone completes a PHP, he or she may transition to a standard outpatient program that meets 1 to 2 times per week, in order to maintain sobriety and stability.
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Partial Hospitalization Programs for Addiction Rehab
Partial hospitalizations offer a more intensive level of care than standard outpatient but still allow you to live at home. Learn more.
Partial hospitalization programs (PHPs)—sometimes known as day treatment programs—are addiction recovery programs that deliver a high level of care but allow patients to return home each night after treatment.1 PHPs offer a similar treatment intensity and daily structure to that of inpatient/residential programs.1,2 These programs usually meet between 4-6 hours a day and at least 5 days a week.1
People may either transfer or “step down” into a PHP program from an inpatient program or “step up” from a relatively less intensive, standard outpatient program. In other cases, people may enroll in a PHP as their initial entry into treatment.
What Are PHPs?
A partial hospitalization program is a hospital-based form of outpatient drug rehabilitation. These programs offer services comparable to a residential inpatient program, including access to mental health care services, if needed; however, they do not require the person to stay at the program full-time.1 Different partial hospitalization programs may be tailored to meet the needs of adolescents or adults.
The American Society of Addiction Medicine (ASAM) recommends that PHPs provide 20 hours of programming per week, while IOPs provide 9 hours per week.
The key difference between a PHP and an intensive outpatient program (IOP) is the amount of time the person spends in the program. The American Society of Addiction Medicine (ASAM) recommends that PHPs provide 20 hours of programming per week, while IOPs provide 9 hours per week.2 PHPs also offer medical and psychiatric services, while IOPs may be less likely to offer these services.3
PHPs tend to offer at least 5 days of treatment each week but may in some cases go up to 7 days per week. The length of a program varies based on individual needs, but the typical amount of time someone will spend in a program is 14 to 21 days.1
PHP Treatment Components
Some of the services that PHPs may include are:2,4
One-on-one therapy. Group therapy. Family meetings. Medical services.
Treatment of comorbid (i.e., co-occurring) mental health disorders.
Employment and educational assistance.
Who Should Participate?
Partial hospitalization may be a good fit for people who:4
Need a high level of care but can remain clean outside of a rehab center.
Have already completed a hospital or residential treatment program but feel at imminent risk of relapse.
Have a hard time motivating themselves to continue treatment.
Have a co-occurring disorder (e.g., anxiety or depression in addition to a substance use disorder).
Live in environments where they are at risk for using drugs and have little support.
Are not making optimal recovery progress in an IOP.
People may enter PHPs in a variety of ways. Some people enroll directly into them while others are admitted after they complete a hospital or residential program, which is known as “step down.” And still others seek partial hospitalization as a “step up” form of treatment. This is common when someone experiences a relapse while enrolled in a less intensive form of outpatient program or is at risk of relapse because of a major life change or mental health symptoms.
What Should I Expect?
A PHP program typically begins with a diagnostic interview performed by one of the licensed clinicians.8 Another member of the treatment team will take a medical history and perform a physical. As part of this intake examination period, the patient will also be evaluated for any significant mental health issues that might need additional treatment attention as well as undergo alcohol and drug screening.8
A multidisciplinary team of mental and medical health providers will use the information from these assessments to develop an individualized treatment plan, with input from the patient and their family. The plan outlines goals for the person to meet while in treatment as well as a discharge and relapse prevention plan.
Most programs meet Monday through Friday, from anywhere between 8:00 a.m. and 5:00 p.m. Most days are structured around several group meetings, with occasional one-on-one sessions with a therapist or physician.
A multidisciplinary team of mental and medical health providers will use the information from these assessments to develop an individualized treatment plan, with input from the patient and their family.
Many programs will drug test at the outset of the program, then conduct random drug testing during the program.2,4
Medication management is also a core part of most PHPs. A nurse or other medical professional will supervise a patient’s use of treatment medications, such as methadone or buprenorphine.4
Partial hospitalization programs employ several types of therapies on an individual and group level. Therapy is designed to help people commit to their treatment plans; adjust maladaptive thoughts and change patterns of behavior that support continued drug use; build relapse prevention and other recovery skills; and improve important areas of their lives, such as their social lives, family relationships, and employment/education.4