Premier Partial Hospitalization Program
What is a PHP Outpatient Program?
A Partial Hospitalization Program (PHP) is an intensive, structured day program for people who need more support than weekly outpatient therapy, but don’t require 24/7 inpatient hospitalization. PHP provides multiple hours of programming on scheduled days each week, combining clinical therapy, skills practice, and coordinated care.
Clients attend treatment during the day in a safe, structured environment, then return home in the evening. That balance helps people stabilize symptoms and build real-life coping strategies while staying connected to family, responsibilities, and their home routine. Many people come to PHP feeling overwhelmed not just by symptoms, but by shame, self-doubt, and the sense that they “should be able to handle it.” Trauma-informed support helps rebuild safety, confidence, and self-trust, not just symptom control.
Is PHP the Right Level of Care?
PHP may be a good fit if you need consistent support to stabilize symptoms, prevent relapse, or step down safely from a higher level of care.
PHP can help if you’re:
Detox note (important): If you’re experiencing withdrawal symptoms, or you’re unsure whether stopping alcohol or drugs is medically safe, you may need detox before PHP. Mosaic can help you determine the safest next step and connect you to the appropriate level of care.
Partial Hospitalization Program Goals
PHP typically begins with a structured intake/admission process to guide individualized planning. Length of stay varies based on clinical needs and insurance coverage.
PHPs are designed to deliver intensive support without overnight hospitalization, with goals such as:
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Stabilization and Symptom Reduction
Reduce the intensity/frequency of symptoms (mood, anxiety, trauma responses, cravings) and improve day-to-day functioning. -
Bridging Levels of Care
Provide a step-down from inpatient/residential treatment or a step-up from outpatient when weekly therapy isn’t enough. -
Restore Stability and Self-Trust
Reduce shame and self-criticism, strengthen confidence, and rebuild a sense of safety in your body and daily life, especially when trauma or chronic stress has shaped coping patterns. -
Skills for Long-Term Recovery
Build practical coping tools for emotions, relationships, triggers, cravings, and stress, then practice applying them outside program hours. -
Relapse and Crisis Prevention
Strengthen routines, accountability, and support systems to reduce risk of relapse, hospitalization, or escalation of symptoms.
Services in Our PHP Program
Mosaic’s PHP offers coordinated, multi-modal care that may include:
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Comprehensive Assessment and Treatment Planning
To clarify needs, risks, and goals -
Individual Therapy
For personalized goal-setting, coping strategies, trauma work, and relapse prevention planning -
Group Therapy
For skills development, peer support, communication practice, and shared accountability -
Family Involvement
To strengthen support, communication, and boundaries (when appropriate) -
Medication Management and Psychiatric Oversight
To support stabilization and continuity of care (when clinically indicated) -
Case Management and Discharge Planning
To connect clients to step-down care, community resources, and ongoing support -
Safety-Focused Care
Including risk screening and safety planning as needed
Our Evidence-Based Approaches
A strong PHP relies on proven therapies matched to individual needs. Mosaic blends evidence-based care with whole-person support.
CBT
Cognitive Behavioral Therapy targets the connection between thoughts, feelings, and behaviors to build practical tools for anxiety, depression, and stress.
DBT
Dialectical Behavioral Therapy builds core skills, mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, especially helpful when emotions feel overwhelming.
ACT
Acceptance and Commitment Therapy builds psychological flexibility so you can respond to distress, intrusive thoughts, and cravings with values-based action instead of avoidance or control.
MI
Motivational Interviewing strengthens motivation and follow-through, especially when fear, ambivalence, shame, or low self-esteem makes change feel hard.
IFS
Internal Family Systems is trauma-informed “parts work” that reduces shame/self-criticism and supports emotional regulation by understanding protective patterns.
MAT
Medication Assisted Treatment may be included when substance use disorders are present (where appropriate), to support stabilization and reduce cravings/relapse risk alongside therapy.
TIF
Trauma Informed Therapy may include approaches such as EMDR, ART, RRT, and Relational Trauma Therapy, depending on clinical fit and readiness.
RP
Relapse Prevention and Behavior Change Work includes identifying triggers, strengthening coping plans, and building routines that support recovery.
HES
Holistic/Experiential Support options like psychodrama may be integrated to support insight, confidence, and whole-person healing.
Conditions We Treat
At Mosaic, PHP supports a wide range of mental health and substance use concerns. Because many clients experience overlapping symptoms, our team builds personalized plans, and for dual diagnosis, we treat both conditions together rather than in separate tracks.
Mood Disorders
Common goals in PHP include improving daily functioning, stabilizing mood symptoms, building coping tools, and coordinating medication support when appropriate.
We support concerns such as:
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Major Depressive Disorder, including persistent or recurrent depression
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Bipolar Disorder and mood instability
Anxiety Disorders
Treatment often focuses on identifying triggers, reducing avoidance, building distress tolerance, and strengthening practical skills to manage anxiety in real-world settings.
We treat the spectrum of anxiety-related conditions, including:
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Generalized Anxiety Disorder (GAD)
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Panic Disorder
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Social Anxiety
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Specific Phobias
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Obsessive-Compulsive Disorder (OCD)
Trauma and PTSD
Depending on clinical appropriateness, care may include trauma-focused modalities such as EMDR and trauma-focused CBT, alongside stabilization and coping skills.
For clients impacted by trauma, we provide trauma-informed care that may address:
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PTSD symptoms such as hypervigilance, nightmares, flashbacks, or emotional numbness
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Complex Trauma and ongoing stress responses
Substance Use Disorders
PHP for substance use includes therapy, relapse prevention planning, trigger/craving management, and support for building recovery routines, often alongside treatment for underlying mental health drivers.
We treat substance use concerns involving:
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Alcohol
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Prescription medication misuse
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Illicit drugs
Detox clarification: If withdrawal risk is present, detox may be required before PHP. We help coordinate the correct level of care first.
Dual Diagnosis
Dual diagnosis means mental health and substance use are occurring together, often influencing each other. Our integrated model coordinates therapy approaches, medication considerations (when appropriate), relapse prevention, and ongoing monitoring, so both conditions improve together.
We frequently support combinations such as:
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Depression and alcohol use disorder
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Anxiety and prescription drug misuse
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Bipolar Disorder and stimulant use disorder
Personality Disorders and Relational Challenges
DBT and other structured modalities are often central here.
For concerns such as borderline, avoidant, or narcissistic personality disorder traits, PHP may focus on:
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Emotion regulation and impulsivity
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Relationship patterns, boundaries, and communication
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Reducing self-defeating behaviors and building stable routines
Attention and Impulse Disorders
For dual diagnosis, we coordinate treatment so mental health and substance use are addressed together, recognizing how deeply they interact.
For ADHD and related challenges, PHP can support:
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Organization, follow-through, and routine-building
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Reducing impulsive reactions and improving self-management
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Coordinating therapeutic strategies and medication support when appropriate
Why Mosaic Wellness and Recovery?
Mosaic centers care around the individual. Each treatment plan matches the person’s needs and can change as those needs shift.
Our team works hard to create a safe space, making it easier for people to open up and take steps forward. We also work with insurance providers to help clients understand and use their benefits.
Frequently Asked Questions
A Partial Hospitalization Program (PHP) is a structured, intensive day treatment program for people who need more support than weekly outpatient therapy but don’t require 24/7 inpatient hospitalization. Clients attend programming during the day, typically several hours per day, multiple days per week, and return home in the evening. PHP combines individual therapy, group sessions, skills practice, and clinical monitoring to help stabilize symptoms, build coping tools, and support recovery.
Inpatient and residential programs provide round-the-clock care in a facility where clients stay overnight. PHP offers intensive treatment during the day but allows you to return home each evening. This structure can help you practice new skills in real-life settings while still receiving strong clinical support and accountability.
PHP is more intensive than Intensive Outpatient Programs (IOP) or standard outpatient therapy. PHP typically involves more hours per week, more frequent clinical contact, and closer monitoring. IOP is a step down from PHP and offers flexibility for people balancing work, school, or family. Outpatient therapy is the least intensive option, often involving one or two sessions per week.
PHP may be a good fit if you’re experiencing symptoms that disrupt daily life, need structured support to prevent relapse or hospitalization, or are stepping down from inpatient or residential care. It’s commonly used for mental health concerns (such as depression, anxiety, trauma, or bipolar disorder), substance use disorders, or dual diagnosis (when both are present). If you’re unsure whether PHP is right for you, our admissions team can help assess your needs.
If you’re currently using alcohol or drugs and may experience withdrawal symptoms, you may need medically supervised detox before PHP. Detox provides 24/7 medical support to manage withdrawal safely. Mosaic can help you determine whether detox is needed and coordinate the safest next step.
The length of PHP varies based on individual needs, progress, and insurance coverage. Some clients attend for a few weeks, while others may participate for several weeks or longer. Your treatment team will work with you to monitor progress and adjust the plan as needed.
A typical PHP day includes a combination of individual therapy, group therapy, skills practice, psychoeducation, and clinical check-ins. Programming may also include family sessions (when appropriate), medication management, case management, and discharge planning. The schedule is structured but personalized to your treatment goals.
Yes. Mosaic’s PHP is designed to support mental health concerns, substance use disorders, and dual diagnosis (when both are present). We use an integrated approach, meaning we treat both conditions together rather than separately. This helps address how mental health and substance use often influence each other.
Mosaic’s PHP incorporates evidence-based therapies such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), trauma-informed approaches (including EMDR and ART), relapse prevention, and motivational interviewing. Treatment is personalized based on your needs, history, and goals.
Many insurance plans, including UnitedHealthcare, cover PHP when it’s medically necessary. Coverage depends on your specific plan, network status, and authorization requirements. Mosaic’s admissions team can verify your benefits and help you understand what your plan may cover.
After PHP, most clients step down to a lower level of care, such as IOP or outpatient therapy, to continue building on progress. Your treatment team will work with you on discharge planning, aftercare coordination, and connecting you to community resources or ongoing support.
Call Mosaic Wellness and Recovery at (404) 383-1129 to speak with our admissions team. We’ll answer your questions, help determine the right level of care (including whether detox is needed first), verify insurance, and guide you through the next steps.
Take the Next Step
Reaching out for help isn’t easy, but it can be the most important step toward recovery.
A quick phone call connects you to supportive professionals who can answer questions, talk through options (including detox if needed), and explain what to expect.