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Partial Hospitalization Program

Full-Day Therapy, Independent Living

Partial Hospitalization Program

Full-Day Therapy, Independent Living

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Purpose of Transitioning to PHP

PHP is a structured program providing care at least five days a week for no less than six hours per day. Partial Hospitalization Program patients attend daily programming, structured group therapy, and weekly individual therapy sessions, while continuing to live at home.

During inpatient treatment at Arrow Passage Recovery, you can completely focus on getting well and sober without the distractions of everyday life. The purpose of PHP is to move patients away from around-the-clock supervision and offer more real-life experiences in the community.

We provide greater access to the community and outside support group meetings, while teaching how to have fun in recovery through recreational activities and experiential therapies. PHP at Arrow Passage Recovery provides a mix of outpatient individual and group counseling in a setting with medical services. Nurses and physicians are available for clinical care, such as medically supervised withdrawals.

Patients often enter a PHP after being an inpatient, and the PHP is used as a step-down in the intensity of services provided.

Overall, the partial hospitalization program at Arrow Passage Recovery can be just as effective as a residential program, provided you have the support and safety of a healthy living environment. Additionally, this type of program makes a great follow-up or aftercare treatment after a residential rehab.

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PHP at Arrow Passage Recovery

The staff at Arrow Passage Recovery partial hospitalization program assess each patient and generate a unique treatment plan. Treatment often includes classes about drug use as well as therapies.

While in the Arrow Passage Recovery PHP program we will provide all the support, structure, and resources that you would have in a residential treatment center. You will be assigned a counselor or caseworker who will work with you to develop an individual treatment plan.

Relapse prevention, education, and other services are also offered. We encourage you to create a recovery community by bonding with your peers. Along with achieving sobriety, our goal is to help you learn how to have fun in recovery.

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Dual Diagnosis and Partial Hospitalization Programs

Despite its name, a Partial Hospitalization Program (PHP) doesn’t necessarily take place in a hospital. Rather, it’s a type of treatment program that falls between residential (24/7) care and Intensive Outpatient (IO) care. PHPs are especially well-suited for people with both substance abuse and mental health disorders.

For more than 11 million Americans, substance abuse exists alongside a mental health disorder. This co-occurring condition is also called dual diagnosis. In adult Americans, ages 18 and older, in 2017, there were 18.7 million people with a substance use disorder. 1

Among these individuals, 8.5 million (45.6 percent) had some form of mental illness (AMI or any mental illness).
Among those who had some form of mental illness, 3.1 million (16.5 percent) had a serious mental illness (SMI).
People with co-occurring disorders are especially well-suited to treatment within partial hospitalization programs due to the intensive and specialized care offered.

What Is a Partial Hospitalization Program?

Partial hospitalization programs are short-term, comprehensive, intensive, clinical treatment programs. The level of care is less intense than inpatient treatment but more intense than traditional outpatient care. 2 For people experiencing acute and difficult substance abuse issues and/or psychiatric symptoms and do not require around-the-clock care, a partial hospitalization program may be the best option.

The goals of partial hospitalization programs are to help:

  • Maintain abstinence
  • Manage psychiatric disorders, where psychiatric disorders are co-occurring with their chemical dependencies
  • Develop a supportive environment that fosters ongoing recovery
  • Deal with psychosocial stressors related to psychiatric/substance abuse disorders

Typically, a partial hospitalization program is a step below the intensive immersion of a residential treatment facility (where care is provided 24/7) and a step above an outpatient program (where a person may spend only an hour or two per day, only several days a week).

PHP treatment is typically attended all day (or a minimum of 4-6 hours) for an average of five days a week. Some PHPs may also offer weekend or evening hours. Partial hospitalization is not a substitute for inpatient care.
Partial day programs use the same evidence-based treatments as an inpatient programs: counseling, psychotherapy, group sessions and alternative therapies. Modalities such as Cognitive Behavioral Therapy(CBT), Solution-Focused Therapy, and Dialectical Behavioral Therapy(DBT) are three commonly used therapies in PHPs.

What Is It Like In a PHP?

Partial hospitalization programs focus on helping people with substance abuse problems maintain their abstinence by providing the following services within a structured environment each day. 

Partial hospitalization programs typically last from six to 12 months. Upon completion, an outpatient treatment program (OP) that lasts six months or longer is needed. An OP helps with recurrent mental health conditions, such as depression or bipolar disorders, as well as managing any medication assisted therapy and supportive counseling. 3

Counseling and psychotherapy sessions are provided for individuals and groups by psychologists, psychiatrists and therapists. Medical care is administered by healthcare professionals.
A supportive environment is fostered while attending a PHP, which helps people stay in recovery for the long-term. A PHP also suits people with stress and anxiety issues by offering a protective environment. Within this sheltered setting, people learn about dealing with stressors and triggers and managing their psychiatric and substance abuse symptoms.  
It’s important for treatment to address all disorders. If not, relapse is likely to occur due to untreated issues. By administering psychiatric services and prescribed medications, a PHP helps participants manage their psychiatric disorders when mental illness and addiction exist together.
Skill building and education classes may be given to help people effectively deal with daily life.
Alternative therapies are conducted in PHP environments, such as art and music therapy, biofeedback, equine therapy and recreational activities. Alternative treatment offers people with substance abuse problems additional therapies to enhance the probabilities of successful recovery and long-lasting sobriety.
Drug testing may be conducted to ensure ongoing sobriety.

How Is Detox Different in a PHP?

A medically supervised detox is the necessary first step in treatment to prevent painful and sometimes dangerous withdrawal symptoms from occurring once illicit substances are stopped or reduced. After an initial assessment, the best detox option is determined.

A medical detox can be conducted on an outpatient or inpatient basis depending on:
  • Severity of the addiction
  • Substances abused
  • Amount and length of the history of abuse
  • Psychosocial issues
  • Age
  • Co-existing medical and/or psychiatric conditions

Inpatient programs provide detox services to clients who are in danger of severe withdrawal who will then need the highest level of medically managed intensive care. In contrast, PHPs provide services to clients with mild-to-moderate withdrawal symptoms that probably won’t be severe or life-threatening. 

Who Is a Good Candidate for a PHP?

There are several scenarios that would make a person a good candidate for entry into a PHP:

  • In some cases there is a need for psychiatric and medical care and supervision to provide stabilization and to prevent the use of illicit substances. Once the person is stabilized, a transition into inpatient treatment typically occurs.
  • A person might also use a PHP as a transitional tool from residential treatment into everyday living. Rather than go into outpatient treatment after residential rehab, entering a PHP first can help make the transition to the outside world easier.
  • A PHP can be an excellent first step towards independent living, because it’s possible to maintain autonomy, while also receiving intensive therapeutic treatment on a consistent basis.
  • For some people, a partial hospitalization program is an ideal alternative to inpatient treatment because they can go home at night and attend to personal obligations. Also, a PHP is an affordable alternative to residential rehab.

Following an inpatient medical detox and residential rehab, a PHP is a good way to gradually transition back into the community with a steady foundation of recovery.

How Might This Impact My Family?

Anytime a family member is in substance abuse treatment, it will affect the family. Partial Hospitalization Programs are a good option for people with family obligations as the impact to the family can be minimized by offering a workable, effective alternative to inpatient treatment with less stigma and burden to the family. 4

Partial Hospitalizations programs provide the freedom to fulfill family obligations in the evenings and on weekends. PHPs also help to shorten the length of treatment and reduce the expense compared to residential rehabs, so the financial burden is less on the family. Due to these advantages, partial hospitalization programs have grown steadily since the mid-1980s.

How Can I Make My Treatment a Success?

According to the National Institute on Drug Abuse (NIDA), there are more than 14,500 specialized drug treatment facilities in the US that provide therapy, counseling, medication and other treatment services for people with substance use disorders. 5 While you can find the help you need at one of these facilities, there are some things that you can do to make sure you’ll have the best possible chance of recovery success.
A medically supervised detox is the best way to prepare for treatment. Since drugs and/or alcohol can create changes in the brain, professional treatment can help you stop taking substances and help avoid the painful and sometimes dangerous withdrawal symptoms.
To increase the odds of long-term sobriety, look for a PHP that treats all issues in recovery using traditional and alternative modalities.
Keep the lines of communication open with therapists, so they can continually customize the level of care and treatment plan.
In a PHP, therapy occurs only part of the time. Get the most out of therapy by taking it seriously, completing any homework assignments and doing journal writing. Put the skills you’ve learned in therapy to good use. The more you think about and use the skills learned in therapy, the better your outcome can be. 
Don’t leave treatment just because you see improvement. Many people in recovery believe they don’t need therapy because they are doing better. Addiction can be challenging to overcome without help and support. Staying in treatment increases the chances of long-term success.
A person in recovery needs loved ones to provide long-term support. Family and friends can help motivate you to stay engaged in treatment, provide a safe living environment, and be there to talk in darker times. For your loved ones, attending a family therapy program provides the assistance to help families heal and gives them guidance on the best ways to be helpful.
Your treatment program should provide access to peer support groups. These support groups typically use the 12-step model introduced by AA (Alcoholics Anonymous), and there are many variations on this model that can provide support during early recovery. Peer support group attendance helps you maintain your sobriety for the long-term and provides you with fellowship along with support and recovery tools.  
Since relapse is a real possibility, have a comprehensive relapse prevention plan. Relapse is typically a sign that something was missing from treatment and is a good place to start an evaluation of the situations that lead to the relapse. Once you complete formal treatment, a plan based on your unique needs should be ready for you to use in case you relapse or feel you are about to. Some effective components to include in a relapse prevention plan can be:
  • Go to an emergency support group meeting
  • Schedule a therapy session
  • Call a peer or loved one for support
  • Reenter a treatment program

Resources

  1. https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHFFR2017/NSDUHFFR2017.pdf
  2. https://www.ncbi.nlm.nih.gov/books/NBK64109/#
  3. https://archives.drugabuse.gov/sites/default/files/approachestodacounseling.pdf
  4. https://www.ncbi.nlm.nih.gov/pubmed/4059096
  5. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states
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