Levels of Care: Partial Hospitalization Program (PHP)

Levels of Care: Partial Hospitalization Program (PHP)

PHP at New Light MedicalA Partial Hospitalization Program (PHP), is one part of a larger addiction treatment plan. It is a crucial step in recovery from addiction and is preceded by detox and a stay in a (short or long-term) in-patient rehabilitation facility. PHP serves as a transitional step to ensure a smooth reintegration into normal society so that the client can return to their life as a healthier individual.

When a patient receives treatment for addiction, it’s important that they are not simply treated for their chemical dependence and then released to their own devices. Relapse rates for addicts who receive insufficient treatment are higher than those who are able to put more time and professional assistance into their rehabilitation. This means each step-down available to someone suffering from addiction should be utilized to improve their chances at long-term recovery. PHP therapy occurs after inpatient care and before an intensive outpatient program (IOP) begins, giving clients a way to spend part of their time under the watchful eye of medical professionals while regaining independent life skills and habits.

If you or a loved one are struggling with substance abuse or addiction, and believe a PHP program may be right for you, New Light Medical can help. Call us today to set up a consultation, and see how we can assist in detox and recovery.

What Is PHP?

Addiction Treatment Plan - PHPPartial Hospitalization (PHP), in the context of addiction treatment, refers to a phase of the transition back into normal life for an addict that involves attending many therapy sessions while living independently (often at housing overseen by a treatment provider). It is sometimes referred to as ‘day/night rehab’ or just ‘day treatment’, due to its commitment during normal work hours (and some evenings). More broadly, PHP is a level of care for patients with many conditions, commonly seen used for facilities that treat mental health and compulsive disorders like clinical depression, eating disorders, and addiction.

The process of undergoing an addiction treatment program usually includes the following steps:

  • Admission and detox
  • Inpatient/residential treatment (long- or short-term)
  • Outpatient treatment (PHP, then IOP)
  • Recovery Community / Alumni Support

PHP is a part of outpatient treatment, along with Intensive Outpatient (IOP) programs. While PHP entails that clients receive clinical treatment on most days of the week including day and afternoon groups, IOP only meets in person for a shorter period of time a couple times each week.

By the time that PHP treatment begins, the patient’s dependency on chemicals should be diminished and more focus can be put on rewiring habits and motivations. Being free from the physical impairments often accompanying detox, intensive therapy can be extremely effective during PHP classes. Though the patient is living outside of a treatment center, it is often with others in recovery. They have a strong support system and are still shielded from most of the stressors of the world while they work on themselves.

How Long is a Partial Hospitalization Program?

How long is detox, inpatient treatment, php treatment?Although this is a common question from the loved ones of clients and prospective clients, there is no simple answer. This is because, at most treatment centers, the treatment times vary on a case by case basis. The time spent in each phase of the program depends greatly on the progress made in some cases, so PHP can be open-ended, especially if the client has not received detox treatment or inpatient treatment due to some extraneous circumstances.

On average, a PHP stay can last anywhere from one month to six months, and as short as one week. Different treatment facilities have different views and standards for PHP, which causes this high level of variation. Unfortunately, a factor in the maximum length of a PHP program is often determined by the patient’s insurance company or financial status. As we will discuss later, it’s important to find a facility that can accommodate your needs for an addiction PHP program.

What to Expect In PHP

We should make note that every facility is different and that while the definition of PHP never changes — even when discussing different conditions—different standards and schedules are common the industry as a whole.

Some facilities treat PHP as the first step in recovery (after ending chemical dependence), it’s important to value these programs for their role in a greater recovery journey. As a client recovers, they change their motivations, develop positive behaviors and mindsets and become more and more prepared to return to everyday life. PHP is often the first step in that time away from the hospital and can be the first breath of independence for a client.

At New Light Medical, our partial hospitalization program follows a schedule from 9:00 am to 3:00 pm on Monday thru Saturday, six days a week.

In the morning, clients are picked up and brought to clinical office from their residential housing. Group sessions take place before and after lunch until clients return to their residences at 3:00 pm. After the day’s PHP obligations, New Light Medical ensures that patients take part in community activities and outside meetings.

Types of PHP Groups and Topics

PHPExample Schedule of PHP group meetings — those that occur twice daily at New Light Medical — take a variety of different forms and cover a variety of different topics. Here are a few examples of types of meetings that are held in a group setting:

  • Mindfulness and meditation
  • Yoga
  • Addiction education
  • Self-regulation
  • Coping with guilt and shame
  • Stress management
  • Family and relationship dynamics
  • Relapse prevention
  • Healthy boundaries
  • Nutrition
  • Conflict resolution
  • Decision-making
  • Nursing and medication
  • Distress tolerance
  • Life skills
  • Art therapy
  • Music therapy
  • Bibliotherapy
  • Cinematherapy

Also included in PHP are case management meetings and family therapy. Case management is a personal advisor to each patient. They make sure each schedule is tailored to the patient’s needs and their plan for future success is in place. The goal of these meetings is to continue to reinforce positive thinking and decision-making for clients. As they draw closer and closer to their release from treatment, skills in family therapy give clients the chance to start rebuilding relationships, develop positive coping methods and strategies to help them stay healthy and able to prevent being triggered or relapsing once back in society.

Why PHP Is Important

To put it simply: when we discuss reintegrating a client struggling with addiction back into daily life, every step in that process is important. PHP represents a step down from full-time inpatient treatment that doesn’t just release a client back into their life without taking the time to adequately prepare them and ease them through the process.

According to the National Institute on Drug Abuse, effective treatment occurs when the patient receives around the clock care and a smooth transition back into society. The purpose of PHP is to give the client their first breath of independence while continuing to help them develop positive behavioral strategies.

Partial Hospitalization Program - New Light

What to Look for in a PHP Program

When you choose a Partial Hospitalization Program for you or your loved one as result of a struggle with addiction, there are a few things to look for:

  • The facility treats PHP as part of a process, not as the only solution
  • The facility treats addiction treatment and recovery as a holistic process
  • The facility doesn’t simply check your loved one in for a set period of time

A truly effective approach to addiction understands that not all addicts are the same and that addiction is a holistic problem — it demands a multifaceted response.

At New Light Medical, your loved one will receive individualized care from medical professionals and therapeutic experts throughout the process of recovery. Call us today to start your new life (855) 224-8707.

Resources
  • PHP for treating more than addiction – http://mentalhealthcenter.org/treatments/mental-health-php/
  • What makes up Outpatient Treatment – https://www.ncbi.nlm.nih.gov/books/NBK64094/
  • Effective Treatment – https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment