Partial Hospitalization for Youth With Psychiatric Disorders

Abstract

A partial hospitalization program was developed for youth with moderate to severe psychiatric disorders. The objectives of this study were to prospectively assess changes from admission to discharge in the participants' clinical symptoms and psychosocial functioning, as well as the maintenance of any treatment gains at 3-month follow-up. In this naturalistic treatment study, 55 youth completed both the youth partial hospitalization program and the study. Diagnosis at admission was established by a psychiatrist based on a clinical assessment and a structured diagnostic interview. Clinician-rated and self-report measures of symptoms and psychosocial functioning were administered at admission, discharge, and follow-up to track changes over time. Clinically and statistically significant improvements were found in both symptoms and psychosocial functioning from admission to discharge on all study measures. Furthermore, these gains were maintained at 3-month follow-up. The results suggest that partial hospitalization programs can be an effective modality in treating youth with moderate to severe psychiatric disorders.

Factors that Affect Choice of Mental Health Provider and Receipt of Outpatient Mental Health Treatment

“…Choice of provider for a follow-up outpatient visit in the 3-month period after the initial 2013 diagnosis was measured. 14 Providers were characterized as a psychiatrist (including psychiatric nurses who are predicted to play a critical role in mental health service delivery in the future), 15 other mental health professional (e.g., psychologist, psychotherapist, social worker, care provided in an outpatient mental health facility), or general practitioner (e.g., family practice, internal medicine, obstetrics, and gynecology). Internal MarketScan taxonomy was used to assign provider group definitions, which are based on consolidation of internal specialty codes used by insurance companies.…”

Understanding predictors of change in a day treatment setting for non‐suicidal self‐injury

“…These limited data suggest that at least a portion of individuals engaging in NSSI are likely to require higher levels of care. Partial hospitalization and intensive outpatient programmes (PHP/IOP) are day treatments that provide higher levels of care for urgent mental health problems and have been shown to be effective, necessary levels of care for a variety of disorders (Frensch & Cameron, 2002;Granello, Granello, & Lee, 1999;Lenz, Conte, Lancaster, Bailey, & Vanderpool, 2014;Prochaska et al, 2014;Thatte, Makinen, Nguyen, Hill, & Flament, 2013). PHP/IOP provide an important treatment for patients requiring greater intervention than is available with outpatient therapy without the cost and time away from support networks that is associated with inpatient treatment.…”

Applying a Bauhaus design approach to conceptualize an integrated system of mental health care: Lessons from a large urban hospital

“…Tier 2 models include acute ambulatory programs as well as partial hospitalization programs (Granello et al 1999;Yanos et al 2009;Thatte et al 2013; Association for Ambulatory Behavioral Healthcare 2014; Lenz et al 2014). Partial hospitalization programs were created in the 1930s and, since that time, have conventionally been viewed as an alternative to inpatient hospitalization for individuals presenting with acute psychiatric symptoms not requiring overnight stay or 24-hour safety monitoring (Marshall 2003).…”