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