Partial Hospitalization Program (PHP) in Pennsylvania
Synergy Houses Levels of Care
What Is a Partial Hospitalization Program?
Once you have made the decision to pursue treatment for substance abuse or mental health challenges, it can be difficult to know what kind of program is best for you. One option many people are not aware of is a Partial Hospitalization Program or PHP. During a PHP, clients receive daily support that is similar to inpatient treatment, but they return home to a supportive environment each night.
A Partial Hospitalization Program (PHP) is a type of care that falls between inpatient and outpatient services. In a standard inpatient program, a person checks into a hospital or clinic for round-the-clock care, which is necessary for certain conditions or at certain times during a person’s recovery journey. In outpatient care, a person continues with their normal daily routine but attends one-on-one or group meetings with therapists, counselors, or doctors.
A PHP provides an intermediate option for those who require more care than an outpatient program provides but who do not need or want to stay overnight in a hospital or clinic. Generally, a person participating in a PHP receives care in a hospital or clinic during the day for several hours but returns home to sleep each night and spends weekends at home.
During their time at the hospital or clinic, a person in a PHP might work with a therapist, psychiatrist, psychologist, social worker, and/or case manager to set goals, learn and practice new coping skills, and manage any co-occurring disorders.
How (and Why) Partial Hospitalization Programs Work
Partial Hospitalization Programs support recovery by allowing patients to receive intensive treatment while stepping outside the clinical setting for a short time each day. This type of treatment plan is helpful for those who need substantial support and guidelines but who no longer require supervision 24/7. PHPs are focused on helping clients manage crises by stabilizing their acute symptoms.[1]
While daily schedules are flexible in a PHP, depending on the specific PHP and the client’s needs, the day often begins with individual therapy. During this time, the therapist will help the client set goals and review their progress. Group therapy and family therapy are often also part of a PHP, which allow participants to experience support and camaraderie with their peers and from family members. Medication management is also part of most PHPs, which allows patients to experience holistic care.
A PHP serves as an important step between inpatient care and an Intensive Outpatient Program. A client is usually eligible for a PHP once they have completed their initial inpatient care. Partial hospitalization can help prevent relapse because of the intense, hands-on care the patient receives as they transition back into their daily life.
Efficacy of Partial Hospitalization Programs
Research demonstrates that Partial Hospitalization Programs (PHPs) are effective “for many acutely ill psychiatric patients and their availability can result in more effective use of inpatient resources.”[2] In a study done by A. H. Schene and B. P. Gersons, they conclude that, “PHP seems in particular to enhance social role functioning, which might be attributed to the fact that contact between patient and environment is not disturbed by hospitalization.”[3] Because the link between inpatient and PHP treatment is clear, people are more likely to remain in the PHP and to assume more autonomy and responsibility for their own recovery. Khwaja and Westermeyer found similar outcomes in their study, asserting that “PHPs also utilize a recovery-oriented approach, empowering patients to choose options and helping them understand that the recovery is not a linear growth, that it can have ups and downs, and that a temporary move downward is not a ‘failure.’”[4] Patients feel more confident in their ability to manage their own recovery because of the support they receive before moving into regular outpatient care.
Frequently Asked Questions about Synergy’s Partial Hospitalization Program in Pennsylvania
How do I know if a PHP is the right move for me?
Partial Hospitalization Programs are important for those who are dealing with substance abuse or mental health conditions that require more support than a traditional outpatient model can give. If you find that you are struggling with day-to-day tasks, are at risk of relapse, or your symptoms aren’t managed with normal outpatient appointments with a doctor or therapist, a PHP may be right for you. Keep in mind that you will need a supportive home environment to return to at the end of each day where you can implement the skills you learn during your time at the hospital or clinic. A PHP is not the right option for someone who is suicidal or may harm others.
How long do Partial Hospitalization Programs in Pennsylvania last? How long will I be in the program?
The length of the PHP depends on the client’s needs, but most last somewhere between two weeks and six weeks. Daily sessions usually last between four and eight hours a day. When you talk with a case manager about treatment options, they can help you decide if a PHP is right for you and how long you will receive this type of care.
Your progress will be assessed throughout the program as well so that changes can be made depending on your ongoing needs.
What happens after completing a PHP?
Often, those who complete a PHP move into outpatient treatment. A good option for a next step is an Intensive Outpatient Program, where clients still attend daily meetings with therapists and other professionals, but they are able to attend work or school in addition to living at home.
Sources
[1][4] Khawaja, I. S., & Westermeyer, J. J. (2010). Providing Crisis-oriented and Recovery-based Treatment in Partial Hospitalization Programs. Psychiatry (Edgmont (Pa. : Township)), 7(2), 28–31. https://pmc.ncbi.nlm.nih.gov/articles/PMC2848466/
[2] Russell, V., Mai, F., Busby, K., Attwood, D., Davis, M., & Brown, M. (1996). Acute day hospitalization as an alternative to inpatient treatment. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 41(10), 629–637. https://pubmed.ncbi.nlm.nih.gov/8978941/
[3] Schene, A. H., & Gersons, B. P. (1986). Effectiveness and application of partial hospitalization. Acta psychiatrica Scandinavica, 74(4), 335–340. https://doi.org/10.1111/j.1600-0447.1986.tb06251.x
