PARTIAL HOSPITALIZATION (PHP)
Admitting that you need help for drug or alcohol addiction is a difficult enough task in and of itself. It can be just as difficult to determine which level of care is the right fit for you.
Residential inpatient treatment is often the go-to drug and alcohol rehab option. But many people who seek treatment cannot afford to leave home for an extended period of time. Responsibilities such as caring for young children and maintaining a steady source of income are often barriers to receiving treatment.
Luckily, there are many other thorough, though less intensive, therapeutic modalities available to you. Partial Hospitalization Programs (PHP) are treatment options for substance use and mental health disorders. During PHP, patients receive no less than four hours of direct mental health and substance abuse treatment each day. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) calls PHP coordinated outpatient care for complex needs.
In this article we’re going to cover:
-What is Partial Hospitalization Program?
-Will My Health Insurance Cover PHP?
-What makes a good PHP?
-How long does PHP last?
-What are the next steps?
If you need help for your addiction, call an Amatus Recovery Centers admissions specialist. Through a short interview process, the specialists will determine which level of care you need. As a top provider of drug and alcohol addiction treatment, our admissions specialists and clinical director will match you with the most appropriate level of care.
At each ARC facility, our caring professional staff includes licensed clinicians and behavioral health technicians. Through therapeutic sessions addressing substance abuse and mental health, we will help you build a bright future in recovery.
What is a Partial Hospitalization?
Partial Hospitalization (PHP) is a treatment option for substance use disorders and mental health disorders. PHP treatment is less intensive than residential or inpatient treatment, and more intensive than intensive outpatient (IOP) treatment.
Unlike inpatient treatment, clients do not reside where they are receiving treatment during PHP. Instead, they can live at home or in community housing while attending drug and alcohol treatment sessions. Depending on the program, sessions at a treatment facility can be as often as 7 days a week.
Often, PHP is used as a transition after completing a 30-day residential addiction treatment program. It is also frequently used as a way to avoid time-consuming residential drug and alcohol treatment. PHP allows a patient to return home to their family, or to maintain a light work schedule.
When a PHP is completed, patients often continue treatment at a lower level of care, such as IOP or outpatient (OP).
Will my health insurance cover PHP?
For many, the cost of getting quality addiction treatment stands between their active substance use and recovery. Understanding the details of your health insurance policy will help you make the best possible choice. Contact your health insurance provider and ask which drug treatment program is the best fit for you.
Amatus Recovery Centers offers premier treatment programs for addiction and mental health disorders in facilities around the country. ARC accepts most commercial insurance plans, and has three medicaid facilities.
Most commercial insurance plans will cover drug and alcohol rehabilitation programs at Amatus Recovery Centers across the country. To find out specific rates and co-pay amounts, contact your provider directly.
Medicaid covers PHP in all states, though reimbursement and co-pay amounts differ from state to state.
What makes a good PHP?
With so many addiction treatment options out there, it can be hard to tell which are good, and which aren’t. With your health and wellbeing at stake, it is important to vet a program.
If possible, take a tour of the facility. Speak to the clinicians and staff members who will be providing you care.
-Are the clinicians certified?
-Is the facility accredited?
-Is the facility safe?
-Is the living situation suitable for recovery?
-Are there opportunities to learn vocational skills?
The Pre-Screen Process
The American Society of Addiction Medicine Patient Placement Criteria (ASAMPPC) has been in place since the 1990s. The criteria was developed to minimize overtreating a patient, or mismatching a patient to the wrong level of care.
If a treatment center does not pre-screen based on the ASAMPPC 6 assessment dimensions, you should consider a different option. An Amatus Recovery Centers admissions specialist will assess your need based on the following dimensions:
If a patient seeking treatment is drunk, high or showing symptoms of withdrawal from drugs or alcohol, they need medically assisted detox. Whether detoxing from alcohol, prescription drugs, opioids, crystal meth or heroin, many but not all detox programs offer their services in a residential treatment setting.
Beginning treatment as soon as possible is extremely important. Alcohol withdrawal and buprenorphine withdrawal is potentially deadly.
2- Medical Conditions/Complications
-Collects data about which medications a patient is prescribed, their effects/reactions, and any complaints by the patient.
-Identifies problems, including displays of anger or frustration, family discord, and other relevant causative factors.
-Assesses impulsive or compulsive behaviors.
4-Readiness to Change
-Determines whether a patient is likely to be honest with therapists, doctors and clinicians during the course of their program.
5-Relapse/Continued Use/Continued Problem Potential
-Addresses the patient’s current state, and the likelihood of relapse.
-Addresses the patient’s current living situation. Is it one that will nurture a life in recovery?
Quality PHPs will offer several different therapeutic modalities. They should include individual, group, and family sessions; psychiatric care; medication evaluation and stabilization; recreation opportunities and social services.
Recovering from addiction means lightening your load. A good PHP will allow you separate from the stressors that lead you to substance abuse.
How long does PHP last?
Like residential treatment, PHP usually lasts for 30 days and can extend into less intensive long term care options.
In order to be discharged from PHP, at least one of the following three criteria need to be met:
1- Appropriate treatment plan goals according to the current level of care have been met.
2- The patient’s condition has approved enough that safe and effective care can be provided at a lower level. In the case of PHP, that would mean entering Intensive Outpatient or Outpatient.
3-The patient is not meeting treatment goals, or their condition is not improving based on the current level of care.
IOP programs will treat a patient a minimum of three hours per week. Routine OP can include recurring individual behavioral therapy sessions, group therapies, and family engagement.