Partial Hospitalization Program in New Jersey

Partial Hospitalization Program in NJ for Stabilization and Recovery

A partial hospitalization program (PHP) is a structured level of care for people needing intense addiction treatment, but who are stable enough to not require 24-hour care.

PHP is typically used as a “step down” from detoxification or residential treatment, though some people may start treatment in PHP if they have been stabilized medically and do not require 24-hour supervision.

At SOBA New Jersey, our PHP supports clients with continued progress in their recovery through a structured day-treatment program where we provide clinical support, evidence-based therapy, and individualized treatment planning. Our PHP can benefit people struggling with substance use disorders and co-occurring mental health disorders that impact their functioning, coping skills, and relapse risk.

If you are looking for a PHP in New Jersey, SOBA New Jersey offers a great way to achieve a good balance of structure and flexibility. During the daytime hours, clients participate in intensive treatment and begin developing recovery skills outside of the treatment program.

What Is a Partial Hospitalization Program?

A partial hospitalization program (PHP) is an outpatient level of care providing structured treatment services during the daytime hours without requiring the client to stay overnight.[1] Often referred to as a partial care program (PCP), PHP is considered to be a more clinically supported service than standard outpatient treatment. This service still allows the client to maintain their current living arrangements, whether that’s their own home or a sober living arrangement, and supports them in learning recovery-related skills.

PHP is different from inpatient treatment. While inpatient treatment is provided in a 24-hour monitored residential or hospital-based setting, PHP provides significant behavioral health treatment during designated programming hours, yet does not require the client to spend the night at the treatment center.

The American Society of Addiction Medicine (ASAM) has developed criteria to help in matching people with substance use disorder to the appropriate level of care, considering multiple factors when determining which type of treatment is best suited for each person’s unique needs, risks, strengths, available resources, and support systems.[2] This is important since what type of treatment is best suited for a person is dependent on more than just the substance use diagnosis. Other contributing factors include withdrawal risk, mental health symptoms, relapse risk, environmental living situation, motivation, and the person’s ability to function safely outside of programming hours.

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Who Is PHP Best For?

PHP may be helpful for people requiring more structure than that provided by traditional outpatient programs but who do not require the continuous, around-the-clock oversight provided in inpatient settings.

Examples of potential candidates for PHP include those who:

Have just completed detoxification or residential treatment
Need a step-down level of care before intensive outpatient programs (IOP) or outpatient services
Have co-occurring disorders including anxiety, depression, trauma, or mood disorders
Require access to multiple forms of therapy, medication management, and clinical support
Are managing high levels of craving or relapse risk
Have a supportive living environment to return to between treatment

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What to Expect in Partial Hospitalization

A typical partial hospital program schedule is more intense than an intensive outpatient program (IOP) and standard outpatient treatment. A client will likely spend several hours a day attending sessions, multiple times per week. The specific schedule will depend on your treatment plan and what your clinician recommends.

A PHP might include:

Personalized one-on-one therapy sessions addressing personal triggers, mental health issues, and recovery goals.
Multiple group therapy sessions throughout the week providing support systems, accountability, and developing communication skills.
Family therapy if necessary to establish healthy boundaries and rebuild trust.
Medication management to treat mental health issues or substance use issues when needed.
Cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), or other modalities, to help you understand how to better cope with your thoughts, feelings, cravings, and behaviors.
Relapse prevention to identify high-risk situations and strengthen coping skills.
Case management services to provide you with resources to connect with other service providers, support a smooth discharge, and help with “step down” care when needed.

PHP as a Step-Down From Detox or Residential Treatment

Many clients have entered PHP after finishing detox or a residential treatment program. This step down into PHP allows clients to continue receiving the intensive care they need while slowly rebuilding their independence.

As opposed to going straight from inpatient treatment to outpatient therapy, PHP provides structure during a very vulnerable period.

For many people, early recovery may be overwhelming due to strong cravings, significant fluctuations in sleeping patterns, emotional sensitivity or anxiety, relationship stressors, and uncertainty about managing their own triggers. For those experiencing severe withdrawal symptoms or feeling unwell physically or emotionally, PHP offers the opportunity to consistently practice various coping mechanisms while also having access to clinicians and providers frequently.

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PHP for Substance Use and Mental Health

Substance use often presents with co-occurring mental health conditions like depression, anxiety, bipolar disorder, and others.[3] In these cases, treatment plans focus on both problems simultaneously, as this method is linked with more positive outcomes.

In a PHP setting, integrated care may include dual diagnosis support, psychiatric care, medication management, individual counseling, group counseling and care groups, and developing healthy ways of coping with stressful emotions and triggers.

PHP at SOBA New Jersey enables our clients to recognize the connections between substance use, mental health symptoms and emergencies, emotional regulation, and relapse potential. Treatment may include evidence-based practices like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). Both therapies can empower our clients to respond to stressful emotions, cravings, and difficulty in healthier ways.

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PHP, IOP, and Outpatient Treatment: What Is the Difference?

PHP, IOP, and outpatient treatment are all non-residential levels of care that differ in the intensity of their programming.

PHP is the most structured of the three options. Most PHPs offer a full day of programming along with regular clinical visits, with clients returning home in the evening.

IOP is generally less structured than PHP and involves less programming hours and more flexible scheduling.[4] The client still receives structured therapy and support, and can structure sessions around their other responsibilities, work, or school.

Standard outpatient treatment is the least structured of the three, with less programming hours per week than IOP. This option allows clients to maintain connection to treatment while living their normal life.

Ultimately, the correct level of care is determined by each person’s clinical need. A client may start in a PHP, step down to an IOP, and continue with outpatient services and aftercare. Another client may start in an IOP or outpatient treatment if their symptoms and support system make this appropriate.

If you are looking for PHP or partial care programs in New Jersey, the most important questions to ask aren’t necessarily “which program is offered?” but rather “does this program meet my current level of need?” and “is there a well-thought-out plan for continued care?”

What Happens After PHP?

Most clients transition from a partial hospitalization program to an IOP, outpatient treatment, sober living, alumni programming, or some other form of aftercare. This process allows clients to sustain their progress while learning to manage more responsibility in their daily lives.

A solid aftercare plan would ideally include continuing therapy, relapse prevention, medication management, support groups, family involvement, case management, and follow-up appointments. NIDA points out that staying in treatment for a sufficient amount of time is essential and that recovery often requires ongoing support.[5]

For most people, PHP is not the final stage of treatment. Rather, it is one phase of a continuum of care designed to help clients move from stabilization into independent recovery with the right amount of support.

After partial hospitalization, many clients step down into an intensive outpatient program, outpatient treatment, sober living, alumni support, or another aftercare plan. This transition helps clients maintain progress while taking on more responsibilities in daily life.

Keep Building Recovery With PHP Support

Contact SOBA New Jersey Today

A partial hospitalization program can help you or your loved one continue recovery with structure, therapy, and daily clinical support.

If this is where you feel you are in your recovery journey, SOBA New Jersey offers PHP as part of a full continuum of addiction treatment and mental health services. Reach out to our team today to see what treatment could look like for you.

Frequently Asked Questions About Partial Hospitalization in New Jersey

Is PHP the same as inpatient treatment?

No. Clients participating in a partial hospitalization program take part in an intense daily treatment schedule; however, they do not reside overnight at the treatment center. Clients participating in inpatient treatment remain under 24-hour supervision while they live at the facility during treatment.

Who is a partial hospitalization program best for?

A partial hospitalization program may be beneficial for those requiring more structure than an IOP or outpatient treatment but who do not require 24-hour-a-day inpatient care. A partial hospitalization program may also provide support for clients stepping down from detoxification or residential treatment.

How long does PHP last?

The length of time spent in a partial hospitalization program will vary depending on the client’s needs, progress, and symptoms. Some clients will spend little time in a partial hospitalization program before reducing their level of care to an IOP, while other clients may benefit from spending more time in structured care.

What services are included in PHP?

Services offered through a partial hospitalization program may include individual therapy, group therapy, family therapy, medication management, relapse prevention, case management, cognitive behavioral therapy, dialectical behavior therapy, and support for co-occurring disorders.

Can PHP help with mental health and substance use?

Yes. A partial hospitalization program can serve people experiencing substance use disorder (SUD) and co-occurring mental health concerns. An integrated care model addresses both SUD and mental health issues simultaneously as part of the client’s treatment plan.

What happens after PHP?

Following completion of a PHP, clients may choose to reduce their level of care by transitioning to an IOP, outpatient treatment, sober living, alumni programming, or some other type of aftercare program. The primary focus remains to provide continuing support while rebuilding independence.

Sources

[1] Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment? A booklet for families. https://library.samhsa.gov/sites/default/files/sma14-4126.pdf

[2] American Society of Addiction Medicine. (n.d.). The ASAM Criteria. https://www.asam.org/asam-criteria/

[3] Substance Abuse and Mental Health Services Administration. (2020). Substance use disorder treatment for people with co-occurring disorders. https://library.samhsa.gov/sites/default/files/pep20-06-04-006.pdf

[4] Substance Abuse and Mental Health Services Administration. (2013). TIP 47: Substance abuse: Clinical issues in intensive outpatient treatment. https://library.samhsa.gov/product/tip-47-substance-abuse-clinical-issues-intensive-outpatient-treatment/sma13-4182

[5] National Institute on Drug Abuse. (2014). Principles of drug addiction treatment: A research-based guide (3rd ed.). National Institutes of Health. https://nida.nih.gov/sites/default/files/podat-3rdEd-508.pdf