Partial Hospitalization Program
A partial hospitalization program (PHP) is an intensive psychiatric outpatient treatment that provides less than 24 hours of daily care that is designed to provide patients with an individualized and attentive treatment program that is not typically provided in a regular outpatient setting.
The PHP option is not limited to people who are ending a hospital stay; it also meets the needs of people who live in the community and need a higher level of care without the services of overnight, 24-hour nursing or supervision.
Partial hospitalization provides individual and group psychotherapy, social and vocational rehabilitation, occupational therapy and other services to help patients maintain their abilities to function at home, at work, and in social circles. However, because their treatment setting helps them to develop a support network of friends and family that can help monitor their conditions when they are not in the hospital, they can return home at night and on weekends.
Partial hospitalization or day treatment works best for people whose symptoms are under control or need the service in order to prevent hospitalization. Partial hospitalization is most effective for patients who are ready for therapy and rehabilitation that can move them comfortably back into the community.
Partial hospitalization is active treatment that incorporates an individualized treatment plan that describes a coordination of services wrapped around the particular needs of the patient, and includes a multidisciplinary team approach to patient care under the direction of a physician. The program reflects a high degree of structure and scheduling which yields tremendous benefits for the patient.
Psychosocial Rehabilitation (PSR) is a therapeutic rehabilitative, skill building and recovery service for individuals to gain the skills necessary for them to remain in or return to their naturally occurring community settings and activities.
The PSR program is designed to assist individuals with impaired functioning who would benefit from an organized program offering supportive interventions to such as group skill building activities that focuses on the development of skills to be used by individuals in their living, learning, social and working environments.
Areas of focus can include social, problem solving, coping skill development, illness and medication self-management and prevocational skills. For those that meet criteria educational skills, careers and job readiness can be provided.
Additional skills include budgeting, money management, hygiene, meals, safety planning, chores, safe environment independent living assistance, building social relationships in the community and assistance with finding resources within the community.
Individual therapy is a powerful intervention for children, adolescents, or adults who are experiencing depression, anxiety, loss, or difficulty adjusting to transition and change. The goal is to manage one's feelings and behaviors, make important decisions and achieve personal goals. Individual therapy allows the individual to address personal topics in a one on one experience in order feel more in charge of his or her life.
Individual therapy may be used to work on present issues or to assist in processing problems from the past. Therapy can be short term or long term depending on the needs and response of each session.
Issues related to family, marriage, employment, school and interpersonal relationships are commonly encountered in the treatment process. Marital or Couples counseling is an effective intervention when the difficulties of a relationship is compromised by arguments, problems of communication, and by the influence of unresolved conflicts.
Couples are helped to understand particular triggers to deeper, underlying issues, to be able to more directly and productively express their needs and feelings, and to respond to each other in a more loving, compassionate way.
Targeted Case Management
Adult targeted case management serves individuals who have serious and persistent mental illness with co-occurring conditions such as drug and alcohol abuse and other special populations.
The goal of the services are to assist the consumer in obtaining resources and services that build on their strengths and meet their needs to help them to function at their highest level in the community. It is a partnership between the case management team and the consumer that focuses on recovery and the self-management of mental illness and life.
The case management team and the consumer plan, coordinate, monitor, adjust and advocate for services and supports that are directed toward the achievement of the individual's personal goals for community living.
How do I know if I need treatment?
Everyone has setbacks and difficulties. Learning to deal with feelings and problems affects every single human being. When we lose our ability to deal effectively, it may be time to seek professional help.
Some examples which might mean you need help can be:
› If you have experienced trauma or loss and can not cope.
› If emotional difficulties make it hard for you to function from day to day.
› If you are crying several times per day and feel overwhelmed by sadness.
› If you have no desire to leave your home or meet with friends or family.
› If you don’t want to get out of bed.
› If you can’t keep you (not bathing) or your home clean.
› If your relationships are not stable and children are impacted.
› If you often have trouble finding or keeping a job.
› If your child has academic problems at school.
› If your child is exhibiting behavioral problems in the home and/or school setting.
› If you or your child’s actions are harmful to yourselves or others.
Mental health treatment can help you identify and process your feelings more effectively. Talking about the problems and working with a therapist can help you process the issues that have held you, your partner or family from feeling more stable. By working with a treatment plan and identified goals, you will learn to cope and make more confident decisions and improve the impaired relationships.
If I seek therapeutic services for help, does it mean there is something wrong with me or my family member?
No, it does not. We all need to talk about our problems from time to time. Feedback from a professional can many times help us see a solution to the problems we face.
What are some of the benefits of therapy?
Therapy can offer unlimited benefits, some of which include your ability to:
› Reduce your level of stress.
› Set limits and boundaries with others.
› Choose healthy relationships.
› Better understand yourself.
› Manage your time, anger, and impulses.
› Be more productive.
› Find hope.
› Increase your self-confidence.
› Improve your marriage and family relationships.
› Be in charge of your life.
What should I expect when I call to schedule an appointment?
An Intake staff member will talk to you about your concerns and assist you with any insurance verifications. An appointment then will be scheduled with a licensed clinician to perform an intake assessment. After the initial intake is completed, you will be provided with recommendations for treatment that can range from a therapist to more formalized intensive treatment. Psychiatrists are available should medication be recommended. Note: Not all issues require medications.
If I begin therapy, how should I try to gain the most from it?
The most important step in gaining from therapy is recognizing you need the assistance. Working closely with the clinician to identify the treatment goals and plan is imperative.
Dade Family Counseling CMHC offers many approaches to therapy and the various formats in which it may occur — including individual, group, and family therapy. Despite the variations, all therapy is a two-way process that works when patients and their therapists communicate openly and when patients are present for all scheduled sessions and actively participate.
You and your therapist both have responsibilities in establishing and maintaining a good working relationship. Be clear with your therapist about your expectations and share any concerns that may arise.
How can I tell whether therapy is working?
As you begin therapy, you should establish clear goals with your therapist. Keep in mind that certain tasks require more time to accomplish than others. You may need to adjust your goals depending on you respond to the therapy. After a few sessions, you should feel a good rapport with your clinician and you should begin to have an idea of how therapy will work. This work is not always easy but relief from the issues is the goal for improving your quality of life.
How will I know when I’m done?
You and your therapist will periodically review your progress or any lack of progress and try to identify strategies to reach the treatment goals. Working together with clear communication will help both parties achieve the treatment outcomes.
Therapy isn’t easy. But clients who are willing to work in close partnership with their therapist often find relief from their emotional distress and begin to lead more productive and fulfilling lives.