Partial Hospitalization is a treatment approach developed as an alternative to inpatient treatment. It includes the major psychiatric evaluation and treatment modalities (both psychosocial and biological) that are usually found in a comprehensive inpatient program. It is designed for voluntary patients with serious psychiatric and/or substance abuse problems who require intensive and multidisciplinary treatment that is a flexible, less costly and less restrictive form of treatment. SCOPE OF TREATMENT Partial Hospitalization can be utilized by individuals who are mentally or emotionally impaired, but who can be maintained in the community at least part of each day, and present little risk of imminent danger to themselves or others. The patient no longer requires 24-hour care, but is not capable assuming full responsibility for his/her life, and without Partial Hospitalization, there would be an exacerbation of symptom. The patient has a home or alternative living situation, which provides adequate support to maintain the patient when not actively engaged in the Partial Hospitalization; and the patient, when possible has a person living in the community who will support the patient's participation and assist the patient as necessary, especially during a Program crisis. This may be provided by residential facilities. SERVICES Group sessions are held daily except on holidays. No services are provided on those days. The daytime program consists of an educational group followed by group therapy, lunch, another group therapy session, and a closing group which focuses on discharge planning, Mondays, Treatment Planning, Tuesdays, Relapse Prevention, Wednesdays, Stress Management, Thursdays, and a Wrap Up group on Fridays. Individual Therapy is done as needed (based on the individual's assessed needs), performed by or under the supervision of a Licensed Clinical Social Worker, Licensed Mental Health Counselor, Licensed Marriage & Family Therapist. Group Psychotherapy - performed Monday through Friday content to be determined by designated clinician and/or psychiatrist based on each individual's assessed needs. Performed or supervised by a Licensed Clinical Social Worker, Licensed Mental Health Counselor, Licensed Marriage & Family Therapist. Family Therapy is done as needed (based on the individual's assessed needs), performed or supervised by a Licensed Clinical Social Worker, Licensed Mental Health Counselor, Licensed Marriage & Family Therapist. Psycho-educational Groups are performed by Nurses and/or licensed clinicians or under the supervision of licensed clinicians only - group content is educational and/or training based (i.e. Medication Education; Coping Skills; Stress Management; Discharge Planning; Depression Group). Exclusionary Criteria One or more of the following factors indicate that a patient requires inpatient hospitalization, and the patient would be unmanageable in the Partial Hospitalization Program. 1. Patient is actively and severely suicidal, requiring physical restraint and very close, intense staff supervision. 2. Patient is actively and severely assaultive, requiring a locked unit on a 24-hour basis. 3. Patient is actively and severely disorganized, so as to cause them to be a potential danger to themselves, or to be a danger to themselves, or to be a severe behavioral management problem. 4. Patient is actively and severely impulsive in self-destructive, but no life-threatening way, e.g., self-mutilating. 5. Patient is actively and severely impulsive in other destructive ways, e.g., destroys property. 6. Patient is in a hyperactive psychotic state, which requires behavioral management, as it is only available in the hospital, as well as intensive pharmacotherapy. 7. Patient is in need of inpatient detoxification from alcohol and/or other drugs. 8. Extremely frail condition, or patient who has a known infectious disease. 9. Under the age of 18. 10. Not willing or able to agree to Partial Hospitalization treatment. 11. Severe organic brain syndrome

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