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Restoring Health
Renewing Hope

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Restoring Health
Renewing Hope

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Restoring Health
Renewing Hope

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Restoring Health
Renewing Hope

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Restoring Health
Renewing Hope

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Restoring Health
Renewing Hope

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Restoring Health
Renewing Hope

Services

Partial Hospital Program (PHP) is a mental health solution defined as “a time-limited, ambulatory, active treatment program that offers therapeutic all intensive, coordinated, and structured clinical services within a stable therapeutic milieu.”

It is an alternative to hospitalization and combines the best facets of impatient care (structure and intense care) with the best of outpatient care (scheduling flexibility and lower costs). It requires services to be provided at a minimum 20 hours per week while Intensive Outpatient Program (IOP) requires a minimum of 12 per week.

Treatments may be arranged for day or evening within the framework of the recommended minimum of hours per week. This schedule allows patients the mobility and freedom to maintain home and social life and daily routines, while also maintaining work or school responsibilities. Best and longer lasting results are achieved with treatment duration of at least six to eight weeks.

Psycamore’s comprehensive services begin the moment a person enters our doors. Beginning with a free mental health screening, followed by the medication monitoring by psychiatrists and therapy provided by experienced clinicians, and finishing with a plan for continued care at the completion of your time at Psycamore. We are with you for every step of the journey to restored health and renewed hope.

Mental Health Screening
A potential patient is first seen in a screening interview by a master’s-level counselor to determine what type of therapy the patient needs and in what type of setting, and determine if partial hospital program is appropriate for that individual.

Some individuals may be referred to an inpatient hospital or to appropriate outpatient settings. Those individuals who are considered appropriate for Psycamore will be admitted to the program and seen by a psychiatrist in a diagnostic evaluation within 72 hours of their admission.

The purpose of the diagnostic evaluation is to determine the nature and diagnosis of the emotional problem and to develop a treatment plan that may include further tests or assessments, medications, and psychotherapies. The evaluation will also help determine the types and frequency of group, individual and family therapy at Psycamore, as well as how long this level of treatment will be needed.

Medical Monitoring
The patient’s mental and emotional states are evaluated and monitored by a psychiatric physician at the time of admission and on a regular weekly basis. This monitoring helps not only in providing a good understanding of the origins of the patient’s illness but also with arriving at a more definitive diagnosis. The main goal of the monitoring is to assess response of the symptoms to the therapies, particularly medication therapy, and to aid in adjusting and fine tuning the therapies. A key component of the monitoring is the assessment of a patient’s safety in terms of dangerous thoughts to self or others, and in terms of side effects or adverse response to medications. The monitoring may involve laboratory tests to assess medication levels in blood and the effect of medications on body systems. It may also involve screening for abusable substances in urine or blood. The overall goal of psychiatric medical monitoring is to provide relief to disturbing symptoms, assure safety, bring about stability, and assist with return to work or school.
Individual Therapy
The patient meets with a therapist individually for about an hour each week to address various psychological issues and coping styles. The goal is to become insightful about ones’ own behaviors and coping styles and adopt healthier behaviors and styles. This is a required therapy for anyone admitted to Psycamore and is provided in addition to group therapies. If a patient is already seeing a therapist prior to admission to Psycamore, the patient is encouraged to continue with that therapist. The clinical staff at Psycamore will communicate with that therapist regarding treatment issues and progress. The therapist is also invited to attend treatment team meetings as necessary. Patients may also decide to put their work with their outpatient therapist on hold and meet with a Psycamore therapist individually, during the program. Patients not having a therapist will be assigned to a therapist at Psycamore. Once the patient graduates from Psycamore, they are encouraged to continue outpatient individual and/or family therapy to continue their momentum and progress.
Group Therapy
Group therapy involves group meetings of patients with a therapist who acts as a discussion leader. Groups cover a wide range of topics, and are led by a number of different therapists to expose the patient to many different approaches. By using a variety of techniques and theoretical concepts, the leader directs group members’ interactions to bring about changes. Compared with individual therapies, the main strengths of group therapy are the opportunity to learn from other group members, to feel less isolated in their emotional pain, to get immediate feedback from the patient’s peers and to observe a their own responses to a variety of people in the group. Group therapy has many therapeutic approaches. The following therapeutic topics are utilized at Psycamore partial hospitalization and intensive outpatient program.

Goal Setting
This group encourages individuals to identify goals for the week, to focus them on treatment and what they want to accomplish. This also gives them practice in setting manageable, obtainable, healthy goals – something they will need for continued health in the future.

Cognitive Behavioral Therapy
Cognitive therapy, according to its originator Aaron Beck, MD is “based on an underlying theoretical rational that an individual’s affect and behavior are largely determined by the way in which he structures the world.” A person structures the world on the basis of thoughts that are based on assumptions which are generally developed from previous experiences. Consequently, the person reacts to situations based on assumptions even though they may be unrealistic. The cognitive therapy involves examination of thoughts, to develop alternative and flexible assumptions and to rehearse new thoughts and behavioral reactions. Cognitive behavioral therapy has been proven effective in the treatment of depression, panic disorder, and a variety of anxiety disorders.

Grief/Loss Recovery
This group involves examination of the losses an individual has suffered and his or her reactions. Some losses are tangible, like the loss of a loved one or a job. Other losses may not have been recognized or honored previously, like the loss of safety, innocence, or self-esteem. The goal of the therapy is to help the individual accept and adjust to the losses, then facilitate their growth through the loss.

Relationship Conflict & Resolution
This group involves the examination of a patient’s relationship difficulties. Group can be a very effective way to spot patterns the patient may not have recognized, and begin to identify healthy changes to improve those relationships.

Family Issues
This group helps to explore and reveal an individual’s reactions and communication patterns from his or her family background. In better understanding these patterns, the individual can find ways to modify the interactions that cause stress within or between individuals.

Coping Skills
This group focuses on identifying different stresses and the causes for stress in an individual’s life. Group members learn to apply various stress management techniques such as relaxation, exercise, healthy behaviors, coping skills, and behavior modification to improve their mental health.

Therapeutic Yoga/Relaxation
This group explores the mind/body connection that is so important in mental health. These gentle, thoughtful movements are chosen to help individuals feel their bodies in a healthy way and is followed by relaxation to teach techniques that can be used to self-soothe.

Anger Management
This group examines anger responses and causes of anger in order to help the individual to deal with anger and express emotions in emotionally healthy ways.

Self-Esteem
This group helps individuals to become aware of their own identity, image, talents and capacities. By learning about their own value, individuals can begin to accept themselves and fulfill their potential.

Spirituality
This group involves helping individuals to explore their spiritual, philosophical, or religious beliefs. Group members work to understand their personal beliefs and look for blocks that have distanced them from the comfort of those beliefs. The group works together to resolve these conflicts within the individual’s belief system.

Wellness/Life Skills
This group focuses on identifying elements of being well such as nutrition and exercise. This therapy helps an individual to achieve a state of low tension with an absence of strong emotions with the help of relaxation techniques.

Illness & Medication Management
This group focuses on education about mental illnesses and the role of healthy behaviors, including taking appropriate medications as prescribed. The individual learns about the causes of mental illness such as biological and psychosocial factors and also the course of an illness and various treatments.

Expressive Therapy
Individuals often suppress their own voices, so they have little experience expressing their thoughts, feelings, and needs. Expressive therapy uses drawing, painting, and other artistic techniques to move past language, and allow deeper communication.

Goal Review
This group involves a review of the activities and therapies an individual has participated in during the week. The purpose of the therapy is to evaluate the goals that an individual has set to accomplish for the week and to address any unresolved issues during the week and also to help an individual emotionally prepare for the weekends and holidays.

Relapse Prevention
Once individuals graduate from Psycamore, they face the same life stressors but with new skills and a better understanding. This group evaluates risk factors that may result in relapse of an individual’s illness or addiction. The individual is helped to examine and modify risk factors such as stress, environmental influences, and behavioral patterns.

Addictions Therapy
This therapy first involves identifying substances (alcohol, prescription medications, street drugs, food, shopping) and thrill seeking behaviors (gambling, sex) that an individual becomes dependent upon. The psychological causes of addiction are examined and the individual is helped to modify emotions and behaviors that led to addiction.

Life Skills
This therapy is designed to help adults and adolescents focus and learn skills that are needed in day to day life. Career planning, financial and money management, and time management are some of the skills that will be emphasized.

Social Skills
This therapy involves education and therapeutic discussion regarding socialization skills, particularly, communication skills, maladaptive social behaviors, and self-esteem/ assertiveness in social settings.

Assertiveness Training
This teaches the person how to respond appropriately in social situations to express his or her opinions in acceptable ways and to achieve his or her goals. A variety of techniques are used to increase assertiveness such as role modeling, desensitization, and positive reinforcement. Group members to decrease aggressive or passive behaviors in favor of assertiveness.

Family/Couples
In the adult program, this therapy is designed to modify the interaction of husband and wife or two persons in a serious relationship who are in conflict with each other over issues such as social, emotional, sexual, and financial. The therapist establishes a therapeutic contract with a patient-couple and through changes in communication patterns attempts to alter maladaptive patterns of behavior and encourage personality growth and development. At Psycamore this therapy is provided as needed by the same therapist who provides individual therapy and if this is not agreeable to the couple a different therapist may be assigned.
In the adolescent and child programs, family therapy may consist of appointments with parents alone, parents and the patient, or with other children or significant adults in the family system. The goal is to improve interactions and to strengthen the relationships.
Family Support
When a person develops emotional or mental illness the family members are usually at a loss as to what is going on with the individual and how to react or help with the individual. When a patient is admitted to Psycamore, the family members also may not understand what Psycamore therapy programs are about and what the family members need to do to help with the treatment issues and goals. Psycamore has designed a family support group to address concerns that the family members have about the patient, her or his illness, medications, and therapies. Also addressed are concerns regarding emergencies or crises, return to work or school, or normal function. The family support group meets from 5:30pm to 6:20pm on the first and third Tuesday of each month and is led by a therapist. Group attendance is strongly encouraged at least two times for family members.
Parenting Group
When a person develops emotional or mental illness the family members are usually at a loss as to what is going on with the individual and how to react or help with the individual. When a child is admitted to Psycamore, that child benefits from the entire family working together to identify positive changes and implement them in the home. Psycamore uses the 1-2-3 Magic Effective Discipline Program by Dr. Thomas W. Phelan in our Child Program as well as during Parenting Group to offer simple, proven strategies to improve behavior and strengthen the relationship. Parents also offer support to one another and get feedback from the therapist specifically related to their child. The group works together to build a behavioral plan for success. Group attendance is stongly encouraged by any adults who are often in the role of parenting the child, be they parents, grandparents or others.

Sample Schedules

Adult
Day Program
Group therapies start at 10:00am and finish at 3:00pm on Monday, Tuesday, and Friday. On Wednesday and Thursday the group therapies start at 10:00am and finish at 4:00pm. Patients eat lunch on their own between 12:00pm and 1:00pm. Diagnostic assessments and medication monitoring are done Monday through Friday at the convenience of both parties. Individual, marital/couples, and family therapies are provided at the mutual convenience of the patient and the therapist. The addiction group therapies occur on Tuesday from 3pm until 5pm.

Evening Program
Group therapies start at 5:45pm and finish at 8:45pm on Monday through Thursday evenings. Diagnostic assessments are done Monday through Friday. Medication monitoring will occur in the evenings during group sessions. Individual, marital/couples, and family therapies are provided at the mutual convenience of the patient and the therapist.
adult schedule

Adolescent
Group therapies in the adolescent program are provided 4pm until 7:30pm Monday through Friday. Diagnostic assessments and medication monitoring are typically done during program Monday and Wednesday. Individual and family therapies are scheduled, generally during program, at the convenience of patient, family and therapist.
adolescent calendar
Child
Group therapies for the child program are provided from 4:00 pm until 6:30 pm Monday and Tuesday then 4:00 pm until 6:00 pm Wednesday through Friday. Diagnostic assessments and medication monitoring are typically done during program Monday and Wednesday. Individual and family therapies are scheduled, generally during program, at the convenience of patient, family and therapist.
child schedule
Restoring Health
Renewing Hope