Description of Behavioral Health Services

Inpatient Care (Hospital-Based)

This is the highest level of mental health care. It happens in a hospital setting and is for people in serious crisis, such as:

• At risk of harming themselves or others.
• Unable to care for basic needs (eating, hygiene).
• No safe support system at home.

What to expect:

• 24/7 care from psychiatrists, nurses, and mental health professionals.
• Daily therapy sessions (individual, group, or family).
• Full medical check-up within 24 hours.
• Medication review and adjustments.
• A discharge plan starts within the first day.
• Continuous monitoring for safety.

Residential Care (Crisis Stabilization)

This is a step down from hospital care but still provides 24-hour support in a community-based setting. It’s for people who need help but don’t need full hospitalization.

What to expect:

• Staff available 24/7.
• Daily clinical check-ins.
• Therapy sessions at least twice a week.
• Medication management every day.
• Structured activities and support.
• Short-term stay (usually days to weeks).

Partial Hospital Program (PHP)

Think of this as “day hospital.” Patients come for treatment during the day and go home at night. It’s for people who need intensive care but can safely live at home.

What to expect:

• 3–6 hours per day, 5 days a week.
• Individual, group, and family therapy.
• Medication checks weekly.
• Education about mental health and coping skills.
• Helps prevent hospitalization or supports recovery after one.

Intensive Outpatient Program (IOP)

This is less intense than PHP but more than regular outpatient care. It’s for people who need structured support but not daily treatment.

What to expect:

• About 9 hours per week (spread over several days).
• Group and individual therapy.
• Medication checks as needed.
• Focus on relapse prevention and coping skills.

Outpatient Care

This is the least intensive level. It’s for ongoing support and maintenance.

What to expect:

• Therapy sessions 1–2 times per week.
• Medication management as needed.
• Focus on maintaining progress and preventing relapse.

This summary is for informational purposes only and should not be considered professional medical advice or guidance. You may also review AultCare’s UM Internal Coverage Criteria at https://identity.onehealthcareid.com/oneapp/index.html. Please discuss any concerns or questions about your health with your provider. Please remember that health benefits and health insurance plans contain exclusions and limitations. If you have any questions about coverage, contact customer service Monday through Friday, from 7:30 a.m. - 5 p.m. EST by calling 330-363-6360.

If you are experiencing a medical emergency or crisis, please call 911 for a medical emergency or 988 for a mental health emergency.