DRAFT 5/4/05

Intermediate Levels of Care - Partial Hospital, Intensive Outpatient, Extended Day Treatment

Aspects of Care

Partial Hospitalization

Intensive Outpatient

Extended Day Treatment

Hours Per Day

4 -6 Hours Per Day

2-4 Hours Per Day

3-5 Hours Per Day

Days Per Week

5 Days per week

3-5 Days per week

2-5 Days per week

GAF

<50

<55

<55

Medical Oversight

Participants are under the care of a physician who directs treatment. Client requires frequent medical monitoring, adjustments and observation of side effects on daily basis by medically trained staff. Typically involves daily rounds.

Participants are under the care of a physician who directs treatment. Client may require medical monitoring, adjustments and observation of side effects by medically trained staff.

Participants are under the care of a physician who directs treatment. Client may require medical monitoring, adjustment and observations of side effects by medically trained staff.

Community Based Therapeutic Recreation

Rehabilitative therapies (i.e, activities that restore social skills, age-appropriate activities of daily living) may be incorporated into the milieu. Services are provided on-site, the goals are short-term.

Rehabilitative therapies (i.e., activities that restore social skills, age appropriate activities of daily living) may be incorporated into the milieu. Services are provided on-site, the goals are short-term.

Rehabilitative therapies (i.e., activities that restore social skills, age appropriate activities of daily living) are a major focus of the program (typically 2 hours of each 3 hour day) and occur onsite and offsite with the primary goal of reintegration into community based activities.

Aspects of Care

Partial Hospitalization

Intensive Outpatient

Extended Day Treatment

Therapy

Individual, group and/or rehabilitative therapies (i.e., activities that restore social skills, age-appropriate activities of daily living) provided on a daily basis. Family therapy provided at least 1x weekly unless contraindicated

Individual, group and/or rehabilitative therapies (i.e., activities that restore social skills, age- appropriate activities of daily living) provided on a daily basis. Family therapy provided at least 1x weekly unless contraindicated.

Individual, group and/or rehabilitative therapies (i.e., activities that restore social skills, age-appropriate activities of daily living) provided on a daily basis. Family involvement in treatment is expected.

Target Length of Stay

2-4 weeks

2-6 weeks

Up to 6 months

Clinical Intensity

Child/adolescent demonstrates severe level of symptomotology requiring 4-6 hours/day of structured programming five days a week for brief period of time. May need continued diagnostic work and medication evaluation. May have been unsuccessful in IOP or other day program.

Child/adolescent demonstrates moderate level of symptomotology requiring 2-4 hours/day of structured programming for 3-5 days per week for a brief period of time. Requires little or no diagnostic work but may require medication management. Has been unsuccessful in outpatient or other community based programs.

Child/adolescent demonstrates moderate level of symptomotology that appears to be persistent in nature (i.e., greater than six months) and lack of success in shorter term intermediate programs or other community-based programs.

DRAFT 5/4/05