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PHP; Partial Hospitalization Program

The Partial Hospitalization Program (PHP) at Echoes of Hope LLC offers intensive, structured treatment for individuals with moderate to severe substance use disorders and/or co-occurring mental health conditions. PHP is designed to serve clients who require a high level of clinical support but do not meet inpatient criteria. The program serves as a vital transition point from detox, residential care, incarceration, or unstable housing environments. 
PHP is trauma-informed, recovery-oriented, and emphasizes stabilization, coping skills, housing support, and reintegration into community life. 

PHP Program Overview

Eligibility and Admission Criteria

Policy Statement:

Clients are admitted to PHP based on medical necessity and a clinical assessment using ASAM criteria or equivalent. Admission decisions are made by a licensed clinician. 

Eligibility Includes: 

​ 18 years of age or older 
- Diagnosed with a substance use disorder (with or without co-occurring mental illness) 
- Able to participate in a 5-day-a-week program 
- Stable enough to attend programming without inpatient monitoring 
- Motivated to engage in intensive services and case management 

 

Medical Form

Treatment and Clinical Oversight

Treatment plans are developed and reviewed every 14 days or as clinically indicated. 

Clinical Staff Include: 
- Licensed Therapist(s) 
- Clinical Director 
- MAT Nurse or Prescriber (if applicable) 
- Peer Recovery Coach 
- Case Manager  

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Attendance and Discharge Planning 

Policy Statement: 
Attendance and engagement are essential in PHP. Clients must participate in scheduled programming unless medically excused. 

Procedure: 
- Clients are expected to attend at least 5 days/week. 
- Absences must be reported and documented. 
- Repeated no-shows will trigger a clinical review and discharge planning meeting. 
- Discharge planning begins at admission and includes aftercare coordination with outpatient services or housing supports. 

Program Structure 

Policy Statement: 
PHP services are provided Monday through Friday, minimum of 5 hours per day, totaling 25+ hours per week. 

Daily Services May Include: 
- Group therapy (CBT, DBT, relapse prevention, trauma recovery) 
- Individual therapy 
- Psychiatric evaluation and medication management (if needed) 
- Case management 
- Life skills and recovery education 
- Peer support services 
- Wellness and vocational activities 
- Medication-Assisted Treatment (MAT) coordination 

 

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Program Schedule

Sample Schedule (Monday-Friday): 
- 9:00 AM - Morning Check-In & Goal Setting 
- 9:30 AM - Group Therapy 
- 11:00 AM - Psychoeducation / Life Skills 
- 12:00 PM - Lunch (on-site or provided by client) - 12:30 PM - Peer Support or Individual Counseling - 2:00 PM - Wrap-Up, Journaling, Recovery Planning

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Documents and Compliance

 Daily progress notes completed within 24 hours 
- Weekly team meetings to review client progress 
- Random drug testing (min. 1x/week) 
- Compliance with Medicaid and OFLAC PHP standards 

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