Partial Hospitalization Program

Nulton Diagnostic and Treatment Center’s Non-Acute Partial Hospitalization Program (PHP) is an intensive treatment program designed to be diagnostic, therapeutic, and recovery focused. The main purpose is to evaluate, diagnose, and treat the person in a less restrictive setting than inpatient hospitalization or residential programming. The Partial serves an integral function in mental health treatment by striving to reduce inpatient stays or other out of home placements. The PHP can offer more structured support for acute or higher risk individuals over traditional outpatient treatment options. The program is designed to treat individuals with chronic or acute behavioral health disorders who require active treatment. Patients are encouraged to be active with family, friends, and other community supports, while also maintaining many of their daily responsibilities.

Who Can Benefit?

PHP may be a good choice for the individual who:

  • Has acute symptoms of a psychiatric disorder severe enough to impair social, vocational, or educational functioning on a daily basis.
  • Is motivated to see improvement.
  • Has the capacity to engage in all aspects of treatment.
  • Is 18 years of age or older.
  • Is able to maintain adequate control of personal behavior.
  • Is not an immediate danger to himself, herself, or to others.
  • Nulton Diagnostic & Treatment Center does reach out to patients who struggle with self-harm. However, PHP is not appropriate for those who are an immediate threat to themselves or others and require 24 hour monitoring to ensure safety.
  • Has transportation to and from the Program each day.
  • Our staff will help to determine if transportation is covered by the patient’s insurance plan, and will assist in arranging transportation when able.

How is the Program Structured?

Group sessions run throughout the week, Monday through Friday, with AM and PM options to better enable regular attendance and consistency in treatment and recovery.

  • AM Session: 9am to noon
  • PM Session:   1pm to 4pm

Although the typical recommendation is for 3 hours per day, certain circumstances may warrant attendance in both sessions, allowing for up to 6 hours of structured treatment each day. A client of the PHP can anticipate an average length of stay of 6 months in the program. However, the duration and frequency of treatment depends on the needs of each individual.

What to Expect?

The decision to participate in PHP is an important step in the direction of recovery, but it can also cause some anxiety for those unfamiliar with group therapy. Before entering any group, each person will be registered with the administrative assistant, oriented to the program, and assessed by a trained clinician, who guides each person through an intake evaluation. Each person will be actively involved in developing a customized, strength-based, and comprehensive treatment plan. The person will work collaboratively with the primary clinician to set individualized treatment goals while being encouraged to take small steps each day to achieve objectives. Group participation will begin once the individual assessment and paperwork is completed and a start date and time is determined. The person can expect to meet with the psychiatrist by the second week in the program with routine follow up twice a month. Throughout an individual’s PHP treatment, services are coordinated by their primary clinician who works collaboratively with community healthcare providers, hospitals, and social service agencies to promote recovery, use of supports, and continuity of care.

What is there to Gain?

  • Medical assessment and supervision by a trained psychiatrist who evaluates progress and assesses the need for prescribed medications a minimum of once a month.
  • Social interaction as a benefit from participation in group psychotherapy.
  • Psychoeducational groups – training in goal setting, healthy coping, stress management, anger management, assertiveness, DBT skills, co-occurring disorders, wellness and recovery, and relapse prevention.
  • Weekly monitoring with the PHP nurse.
  • An individualized, action-oriented treatment plan designed to establish attainable goals and stimulate change.
  • Trained mental health workers that meet with each group member to assess progress, provide counseling, and assess preparedness for discharge.
  • Family involvement – when clinically indicated, to potentially improve outcomes.
  • Continuity of care – assistance in coordinating treatment with outside providers during and following PHP.

Who can refer?

Partial Hospitalization is an authorized level of care that requires a doctor’s assessment of medical necessity to proceed with a referral. Those levels of care that can successfully refer directly include:

  • Inpatient Hospitals
  • Outpatient Psychiatrists
  • LTSR
  • State Hospitals

Referrals can also be accepted from other levels of care such as BCM, Peer Support, Outpatient therapy, evaluators, social workers, supports coordinators, etc.; however, an assessment by a medical doctor must be obtained prior to a client qualifying for PHP.

Every effort will be made to help those individuals who self-refer comply with needed steps to qualify for programming.

(Medicare and some private insurances won’t cover PHP)

A Team Approach

Our PHP team consists of qualified, caring professionals in the areas of psychiatry, psychology, mental health treatment, education, and social service.

NDTC PHP team:

  • Psychiatrist: Niru Nahar, MD
  • Clinical Supervisor: Charles Kennedy, PhD
  • Director: Susan Custer, MA
  • Assistant Director: Shawn McMahon, BS
  • Mental Health Worker: Steven Bower, BS
  • Mental Health Worker: Samantha Inzana, BS
  • Nurse: Kathleen Karageanes-Nanni, RN
  • Administrative Assistant: Jorden Bodenschatz, BA