FACE to FACE Partial Hospital Program (PHP)

NewF2F-logo-REVISED2-largeLike hospital-based treatment, FACE to FACE provides intensive therapy and treatment with medical oversight and supervision. Unlike many hospitals, care takes place in a warmer, more nurturing office-based environment for six hours per day.The FACE to FACE day program is the core service that separates New Oakland from treatment models used by traditional mental health providers.

Children, adolescents and adult patients participate in age specific groups during the day, and depending on the severity of their circumstances, will attend sessions either three or five days a week. The average length of stay is 7-10 days. FACE to FACE utilizes a multi-disciplinary approach to assess, intervene and empower both the individual and the family to work towards resolution of the presenting problem.

New Oakland’s proprietary FACE to FACE program assesses each unique challenge and then takes the necessary steps to empower children, adolescents, adults and families along the path towards resolution.

Program description

The FACE to FACE Program at New Oakland Family Centers is a freestanding Partial-Hospital Program that provides structured, face to face therapeutic services in a warm milieu type setting. The program is designed for persons who are experiencing acute symptoms. However, do not pose an immediate risk to themselves or others. This can include, but is not limited to, increased symptomatology, disturbances in behavior, or other conditions that are negatively impacting the mental or behavioral health of the individual. The FACE to FACE PHP serves as an alternative to inpatient treatment, as a step-down from inpatient treatment, and/or when a consumer is requiring more intense services than an outpatient program can provide. Treatment is provided by a multi-disciplinary team, which has medical oversight and supervision. The main treatment modality is group therapy. Other services provided in the program are Individual therapy, family therapy, Psychiatric evaluation, and medication reviews, laboratory tests, psychological testing, education, and transportation. Treatment is person-centered and individualized to each unique situation and set of challenges in order to ensure the highest level of care. As such, the program is voluntary and requires the consumers input and participation. A person-centered plan is completed, which guides treatment. The program runs Monday thru Friday from 9am-3pm with an average length of stay between 7-10 days. Family involvement is required of all school-age children and encouraged for all adults. Each day, lunch and a snack are provided at no additional cost. Transportation services are available to and from the program, as well.

Program philosophy

The FACE to FACE Program was designed to provide an array of services in the least restrictive environment to individuals and their families in a short period of time in order to resolve a crisis, and/or stabilize the individual with the least amount of disruption to the consumers and families lives while maintaining community involvement.

Program goal

The Partial-Hospital program goal is to provide the necessary services to assist the individual in their recovery, learn the necessary skills to improve daily functioning and/or to stabilize the consumer in order for community integration to occur and services to be provided at the least restrictive environment.

Populations and any special populations

The Partial-Hospital Program is for individuals age 3 and up. Children, adolescents, and adults are separated into age-appropriate groups.

Settings

The Partial-Hospital Program is provided at 11 New Oakland locations. Services are provided in age specific milieus. Tele-Health services are used, if necessary.

Hours/Days of service

The Partial Hospitalization Program is offered Monday through Friday from 9:00am to 3:00pm. Saturday 9:00am to 3:00pm. (Livonia location ONLY)

Frequency of services

The Partial-Hospital program runs 6hr/day and requires daily attendance. The average length of stay is 7-10 days based on need and severity of each individual’s symptoms.

Payers/funding sources

New Oakland accepts MOST major commercial insurances for the partial-hospital program. Most Medicaid consumers require County screening. Authorization is typically required for services and is based on symptoms and level of care need.

Fees

Fees for the Partial-Hospital Program are based on the consumer’s individual benefit plan. There are no fees for Medicaid/County Mental Health consumers. All fees are due at time of service, unless payment arrangements have been made. A financial agreement must be completed, which is discussed with the consumer prior to admission.

Referral Sources

Referrals are received from Hospitals, Community Mental Health agencies, area school districts, community providers and the individuals themselves. A referral from a provider is not required for admission.

Services offered/ treatment modalities

Facilitated discussion is the main treatment modality for the Partial Hospital Program. Other treatment modalities include individual therapy and family counseling. Other services provided are psychiatric evaluations, medication reviews, medical assessments, and psychological testing.

Evidenced-based practices used, any assessment tools

Evidenced-Based practices used are, but not limited to, Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavior Therapy skills, Psychoeducation and Mindfulness. Clinicians use various assessment tools, including but not limited to, the PHQ-9, Columbia Suicide Scale, UNCOPE/CRAFFT, and WISC for school aged children.

Scope of medication

Psychiatric services are an integral part of the FACE to FACE partial-hospital program and stabilization process. These services are provided by Psychiatrists and Psychiatric Mental Health Nurse Practitioners. Medication is prescribed and administered (if necessary) during program hours.

Credential of the staff qualified to provide services/treatments

The program is provided by a multi-disciplinary team, which includes Licensed and Limited Licensed Master’s level clinicians, social workers and psychologists (LMSW, LLMSW, LPC, LLPC, TLLP), Board certified Psychiatrists, Psychiatric Mental Health Nurse Practitioners, medical staff, including registered nurses, dieticians, behavioral technicians, and dedicated support staff.

Entry criteria

Admission into the program is based on meeting medical necessity for the program. This can include, but is not limited to, an individual suffering from long standing depression, significant impairments to self-care/education/occupational areas, reactions to a traumatic event, suicidal or homicidal thoughts/behaviors, psychosis, or are referred by an inpatient facility for step down. Individuals must be able to contract for safety and who’s symptoms and impairments would NOT require inpatient level of care. If symptoms exceed the FACE to FACE scope of services the individual will be referred to a higher level of care.

Transition/discharge criteria

The partial-hospital program team meets daily to assess the consumer’s readiness for discharge. Consumers are discharged when they have either achieved their goals established in the person-centered plan, have demonstrated improved daily functioning/stabilization, and/or eliminated symptoms warranting the partial-hospital level of care. Consumers who miss three consecutive days of PHP are at risk of discharge.