Day Treatment & Partial Hospitalization

Once admitted into the program, a patient (child/adolescent) is assigned to a treatment group based upon their age/developmental level and individual needs.
Each group has 6-9 children/adolescents (the younger groups less than older groups).
Each group is led by a Lead Instructor and Instructor who provide the treatment interventions.
In addition to direct care staff members, the program also has Licensed Professionals, Program Director, Program Manager, and a Crisis Responder.
Patients are with their treatment group, supervised, and engaged in structured treatment activities during all parts of the treatment day.
Throughout the treatment day, patients follow a structured schedule and curriculum which includes socially–based and/or skill-based objectives and therapeutic group activities.
- Sample Day Treatment Program Schedule:

Partial Hospitalization Program

In addition to the details above, Partial Hospitalization patients also receive interventions through Daily Rounds by a Physician, Physician Assistant, Nurse Practitioner, or Psychiatrist.
All patients enrolled in the Partial Hospitalization program will have ongoing oversight of medications by the doctor throughout their enrollment in this service.
Typical length of stay for Partial Hospitalization is 7-14 days with the intention to serve as a step down from a higher level of care or for patients in crisis in order to prevent hospitalization.
During a Partial Hospitalization stay, licensed clinicians will make treatment recommendations after compiling a thorough comprehensive clinical assessment.
Sample Partial Hospitalization Schedule:

When enrolled, patients in both Day Treatment and Partial Hospitalization will have an individualized behavior plan outlining behavioral expectations within the program and as related to their individual needs.
Behavioral progress is tracked on a daily behavior assessment which identifies when an expected behavior is met or not met.
The behavior assessment serves as a record of the patient’s behaviors throughout the day.
Each patient’s behavior assessment will be sent home daily to provide parents with communication from the program regarding the patient’s day, which parents can then review with their child.
- Example:

Targeted Behavior	# of cues/ prompts	Deposit (accomplished)	Debit (not accomplished)
Follow Directions (written/verbal)	2	+	–
Uses Respectful language	1	+	–
Respectful of Property	2	+	–
Participations and complete assigned tasks	2	+	–
Remains in assigned area	1	+	–

Cognitive Behavioral Therapy (CBT) – Each patient participates in CBT group daily.
- Adolescents may also be assigned to participate in one of the groups below on a weekly bases.
  - Group assignment is based on a child individual needs.
- Group Sessions focus on healthy decision making.
  - Children learn to make connections between their thoughts, feelings and how these effect their behavior.
- SPARCS (Structured Psychotherapy for Adolescents Responding to Chronic Stress) – Group Sessions focus on enhancing coping strategies and teaching adolescents how to make choices mindfully even in the face of potential danger.
  - Adolescents learn concrete steps to help them better manage the moment and make it more likely that they can get what they want and need when under stress and struggling with conflict in their relationships.
- Dialectical Behavioral Therapy (DBT) – Group Sessions are designed for adolescents experiencing difficulty managing their emotions.
  - From depression, anxiety, low self-esteem or self-injurious behaviors, adolescents learn positive strategies to help them learn to build a life that is worth living.

A patient’s belongings, assigned area, and person can be searched when it is deemed necessary by staff to find contraband, illegal drugs, dangerous substances, weapons and/or stolen articles.
Electronic devises are not permitted within the facility.
- Any contraband discovered or devises in violation of the electronics policy will be seized.
- Any seized electronic devices will be stored in a secured/locked cabinet and will be returned to the patient at the end of the treatment day.
If patients refuse to participate in a search or seizure, they will be unable to go to their assigned treatment groups and will be moved to a location where their behavior can be processed.
Patients will be informed that they have 5 minutes to comply with staff’s request before guardians/caregivers will be contacted.
Parents will be asked to support the program either via phone or if necessary, come to the program to further process the behavior.

In the event of inclement weather, facility based program staff will notify families of any changes to program schedules.
If you have any questions regarding scheduling do not hesitate to contact us.

The Day Treatment program maintains regular contact with patients’ teachers and schools to ensure communication and consistency across settings.
It is our goal for each of our patients to be able to transition back to a full day of school and experience both behavioral and academic success.
While Day Treatment’s primary focus is mental health, Day Treatment offers an academic component through Wake County Public School System (WCPSS) for patients with an IEP who are unable to attend school.
- The academic program consists of one hour per day with a certified teacher in a small group setting.
- When a patient participates in Day Treatment’s academic program, they continue to be enrolled in their base school through WCPSS.
- The base school is responsible for sending course work, grading, and end of grade testing.
Facility staff will communicate with schools, guardians, and outside agencies and is able to attend IEP and/or any other school meetings.
- This coordination with the school system is an integral part of our treatment programming.

As part of Ray of Hope services, there will be times in which patients will be working with student interns.
- This may occur in group and/or individual settings.
These services do not constitute formal Outpatient Therapy services.
Interns receive ongoing clinical supervision with a Licensed Clinical Social Worker as part of their internship.
During clinical supervision, matters of a clinical nature will be discussed with their Clinical Supervisor.
Interns are held to the same Patient Rights and Confidentiality as well as reporting requirements (in regards to allegations of abuse/neglect or exploitation) as all other Hope Services staff.