Partial hospitalization programs may be something you have heard about but want to know more about it. Whether you are in recovery for substance abuse or mental health issues, it is important to learn more about this type of program to see if it is a right fit for your needs. Here is more about who benefits from a partial hospitalization program (PHP) and what it can do for you.

What is a Partial Hospitalization Program?

A partial hospitalization program (PHP) is a type of treatment program that does not require person to stay in residence or in-treatment. Instead, it is a part-time program where the patient can go home each evening. The type of treatment a PHP is involves a structured program where a patient visits the center during the day. There, they will undergo therapy as well as groups focused on skill building and other helpful components of recovery and living sober. When the scheduled time has passed, the patient does not have to stay and can return home.

This is a program provided by the union of the American Association for Partial Hospitalization (AAPH) and the National Association of Private Psychiatric Hospitals (NAPPH). It was approved in 1988 by Congress and specifically designed for the diagnosis or active treatment of a serious mental disorder when there is a reasonable expectation for improvement or when it is necessary to maintain a patient’s functional level and prevent relapse or full hospitalization.

The type of treatment a PHP is involves a structured program where a patient spends time at the facility during daytime hours – typically about six hours a day. There, they will undergo therapy as well as groups focused on skill building and other helpful components of recovery and living sober. The patient then can leave the treatment center each day when the PHP is done.

Who Does It Benefit?

There are typically two types of people who find this program ideal for their needs.

  1. Step Down Patients. For some patients, they have finished residential treatment or an in-patient situation. This treatment may have been for mental health or substance abuse but they are at the level where a structured program meets their needs without in-patient treatment for the rest of their recovery. This allows them to better make the transition to a lifestyle that is sober and healthy.
  2. Low Risk Patients. Some patients thrive in a PHP environment because they do not have the same level of needs or severity of issues s others. These patients need rehabilitation but their needs are not as severe as someone who requires 24/7 care.

This type of program allows those who need treatment to have flexible options. It means that you can go to school or work while receiving care as well as live at home and visit during treatment sessions.

Here are just a few of the many benefits of a partial hospitalization program.

A More Normal Lifestyle

With a PHP, patients have a more normal lifestyle where they can work, go to school, and live at home. Many people want the support of their family, have children, or need to be able to go to work and those things are not as easy with in-patient treatment. It gives more freedom to do the things you need while still getting the treatment you need.

Prepares for Real Life

One of the most positive aspects of a partial hospitalization program is the fact that it prepares patients for real life scenarios. While in-patient rehab is important to many, there isn’t always help 24/7, especially after completing a program. A partial hospitalization program prepares patients for living independently with training in a variety of areas.

There are various treatments used during a partial hospitalization program. These may include cognitive behavioral therapy or group therapy sessions. Also typical for this type of program is medication management and even family therapy.

Who Qualifies for a Partial Hospitalization Program?

For a person to qualify, they must not need constant care. These patients must have a stable life where they are already living in a home-based environment. This means that they should have a place to live, transportation, and the ability to prepare their own food away from the treatment center. In some cases, transportation may be provided but this depends on the center and their specifications. Also, it is helpful to inquire with your insurance provider because they may provide transportation to the program while you are in treatment.

Does Insurance Pay for a PHP?

Medicare Part B (Medical Insurance) may provide partial hospitalization coverage if you meet certain requirements and your doctor certifies that you would otherwise need inpatient treatment. 

You pay a percentage of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professionals if your health care professional accepts Assignment. You also pay Coinsurance for each day of partial hospitalization services provided in a hospital outpatient setting or community mental health center, and the Part B Deductible applies.

If you have private insurance, if your private hospitalization program is covered, you typically have a co-pay that has to be taken care of each visit. Some insurance companies reimburse you if you have Out-of-Network Reimbursement Benefits. Of course, to find out for sure you will need to inquire with your insurance company or discuss payment options with the program’s counselor.

The best course of action is to discuss the partial hospitalization program with your therapist. The two of you can make a decision if this is the right type of treatment for your needs. Many people do well with this type of program and can successfully transition into a healthy lifestyle apart from hospitalization. To find out more about what we offer in a partial hospitalization program, check with our admissions team.