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Addiction Counseling 2.5 Partial Hospitalization Program (PHP)

Program Description

The Partial Hospitalization Program (PHP) is a structured, intensive outpatient behavioral health service that provides comprehensive, short-term treatment for individuals experiencing acute psychiatric or substance use symptoms that significantly impair functioning but do not require 24-hour inpatient care. The program is designed to stabilize psychiatric symptoms, reduce substance use behaviors, and prevent hospitalization or re-hospitalization.

PHP is classified under the 2.5 level of care by the American Society of Addiction Medicine (ASAM) and is recognized by DMAS and DBHDS as a medically necessary service for individuals with serious mental illness (SMI), serious emotional disturbance (SED), and/or co-occurring disorders. Services are delivered by an interdisciplinary team of licensed and credentialed professionals and are available up to 20 hours per week, Monday through Thursday typically between 9:30 AM to 3:00 PM.

Admission Criteria (DMAS/DBHDS/ASAM Aligned)

An individual must meet ALL of the following to qualify for PHP services:

1. Clinical Necessity:

  • The individual is experiencing acute psychiatric symptoms, substance use-related impairments, or a combination that substantially interfere with daily functioning and require active treatment.

  • Symptoms or behaviors may include:

    • Frequent or intense mood swings, psychosis, hallucinations, or delusional thinking.

    • Suicidal ideation without an imminent plan requiring hospitalization.

    • Significant functional impairments in school, work, or interpersonal relationships.

    • Continued substance use despite negative consequences or a recent relapse.

2. Level of Care Determination:

  • Based on the ASAM Criteria, the individual requires services that meet 2.5 PHP level, including:

    • High severity in Dimension 1 (Acute Intoxication and/or Withdrawal) and/or Dimension 2 (Biomedical Conditions).

    • Moderate to severe problems in Dimension 3 (Emotional, Behavioral or Cognitive Conditions).

    • Continued risk of deterioration without structured daily programming.

3. Ability to Participate:

  • The individual can safely and meaningfully engage in PHP treatment and does not require 24-hour supervision.

  • The person has adequate support systems or can be safely maintained in the community during non-treatment hours.