Stabilizing After Setbacks: Intensive Care Options That Help

Sometimes people reach a moment in their mental health journey where what they have in place for their care stops being enough. Something has shifted, and their current level of support isn’t meeting their needs. 

While this can be frustrating, the mental health care system offers many step-up options for quality care to help you recover, especially after a setback. There is a range of structured programs designed specifically to engage you more often, such as intensive mental health treatment programs. These can stabilize any potential crises to meet you where you are in your recovery. 

To help you better understand your options, this article will explore: 

  • How mental health treatment levels of care are structured and how they differ.
  • What partial hospitalization and intensive outpatient programs offer.
  • When residential mental health treatment is the next best step to take.
  • How crisis stabilization programs work for more acute needs.
  • What to look for when considering a higher level of psychiatric care.
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How Levels of Care Work

Mental health treatment exists on a continuum.[1] Structured psychiatric care programs exist across a range of intensities and attendance, each designed to match the level of support to your level of need. 

Sometimes people enter the care system at the lower end of the spectrum and move up when things aren’t working. However, others might enter at a higher level of care and step down as they stabilize and make progress. 

Below, we highlight the treatment options available to you, from lower levels of care to more structured, intensive mental health treatment programs.

Outpatient Therapy

Accessing care on an outpatient basis is what most people imagine when they think of getting mental health support. Weekly or bi-weekly sessions with a therapist, along with potentially seeing a separate prescriber for psychiatric medications, can work well for adults whose symptoms are manageable between appointments. Outpatient programs are also suitable for those who have a good level of support at home and aren’t in major distress or a crisis. 

Intensive Outpatient Programs (IOP)

Intensive outpatient mental health treatment bumps things up from standard outpatient care. It usually involves meeting your provider between three and five days per week, and sessions typically last between three and four hours. 

You’ll still live at home during treatment, but receive much more clinical contact than outpatient-based treatment, likely meeting with providers and attending group sessions as well. 

IOPs were designed for adults who need more structure and support than a weekly therapy session but are still stable enough to manage the hours outside the program without additional supervision and oversight. 

Partial Hospitalization Programs (PHP)

Partial hospitalization programs for adults usually take place five days per week, for around six hours a day. The clinical programming you’ll participate in includes everything from individual and group sessions to prescriber appointments, psychiatric evaluation, and skills-based work. 

However, you can still return home in the evenings. This makes PHPs a middle ground for adults who are in distress but don’t require 24-hour care. 

Residential or Inpatient Treatment

At the residential level, you’ll live at the treatment facility for the duration of your stay, which depends on your needs and circumstances. Residential mental health treatment for adults is a place where you are removed from your home environment so you can focus entirely on healing. There is around-the-clock support and a variety of holistic programming.

Benefits of a Higher Level of Care

Stepping up mental health treatment intensity can be the decision that finally gets things moving in the right direction. It’s nothing to be ashamed of or embarrassed about – and it can offer several things that outpatient-based care can’t match, including: 

  • More clinical contact and faster feedback based on your needs and what’s working.
  • Having the environment become part of your treatment, especially when daily life outside of your appointments is a contributing factor to your overall mental health and current symptoms.
  • Having access to a full clinical team of case managers, therapists, specialists, and psychiatrists who all coordinate your care and communicate around co-creating your treatment plan.
  • Spending time in a space that’s dedicated to your recovery process and focusing on getting better.
  • Having the appropriate space and supports to stabilize any severe symptoms, such as those involving trauma, crises, mood episodes, or suicidal ideation.
  • A personalized, thoughtful plan that allows you to step down your treatment after completing the current level for ongoing continuity of care. 

While these benefits are pretty clear, you may still not be certain that such acute mental health care is the right fit for your needs. 

When Residential Mental Health Treatment Is the Best Step

At a certain point, continuing to adjust an outpatient-based plan stops being the most productive choice you can make for your needs. Experiencing a crisis or a setback can be a natural part of the recovery process. However, it’s important to make sure you have the appropriate care that suits your clinical needs so you can move forward in treatment. 

If your symptoms have remained disruptive despite engaging in outpatient care for an extended period of time, this could be a major sign that inpatient care is worth exploring. 

Daily functioning deteriorating to the point that maintaining your work, family life, relationships, and basic self-care no longer feels possible can also indicate a need for bumping up your level of care. 

Additionally, safety is always critical to consider. Therefore, persistent suicidal ideation, self-harming behaviors, or severe self-neglect likely require a level of support that outpatient settings (and even PHP and IOP) can struggle to provide. 

Residential care offers 24-hour clinical support and a fresh start. It can provide a reset of your: 

  • Environment.
  • Routines.
  • Therapeutic relationships. 

It can also allow people to engage with their recovery process in a way that likely hasn’t been possible before, with an intensity and a focus that’s needed to make true progress for their mental health. 

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What to Look for in a Higher Level of Care

Not all intensive treatment programs are built the same. The decision to step up your treatment is a big one, so the quality and the fit of your chosen program matter every bit as much as the level of care itself. The following are some considerations to keep in mind when choosing a program:

  • Individual treatment planning: No two people need the same things, so look for evidence that the treatment plans are built around the person in question and not served up from a template.
  • A full clinical team: Psychiatrists, therapists, and case managers should all be working in coordination. The value of higher levels of care comes in part from multiple clinical perspectives working together to help you start the recovery process and keep it going long-term.
  • The use of evidence-based treatment modalities: Ask specifically which approaches are offered, because a program that can’t answer that question isn’t the one to trust with your ongoing care.
  • Transition planning: A good program begins building your step-down and aftercare plan right from the start, coordinating outpatient providers, ongoing medication management, and community support long before discharge.
  • Transparency and communication: Pay attention to your comfort level when corresponding with providers. Do they make you feel safe and understood? Does it seem like they’re invested in you and helping to make things better?
  • Family involvement opportunities: The people closest to you are often part of the problem and the solution. Programs that engage family members and loved ones can be much more meaningful and can produce better outcomes than treating someone in isolation.[2]

Crisis Stabilization for Acute Needs

Crisis intervention treatment is a unique position in the levels of care continuum. It’s designed for adults whose symptoms have escalated beyond what outpatient or intensive outpatient options can safely provide, but who don’t need a hospital setting.

Ultimately, the goal of attending this level of care is to stabilize and reduce immediate risks, along with creating enough safety and clarity to determine what the next steps should be.

Acute mental health care at this level looks different from regular treatment; the clinical intensity is high from the moment of entry. You’ll likely see a psychiatrist and make any necessary medication adjustments immediately, monitored in real time. Additionally, the environment itself is designed to reduce stimulation and keep you safe while the crisis is allowed to pass.

Get Intensive Care With AMFM Mental Health Treatment

AMFM (A Mission For Michael) Mental Health Treatment offers the full continuum of care for adults whose mental health needs go beyond what an outpatient-based setup can deliver. Our programs include: 

Across every level, the clinical approach is always coordinated and individualized, built around your history, diagnoses, what hasn’t worked before, and your goals for going forward. Our team of expert clinicians believes in treatment persistence and will personalize your treatment plan so you can achieve lasting, life-changing outcomes. 

Our locations in California, Minnesota, and Virginia accept insurance and are in-network with most major providers. To check your insurance coverage for mental health care, simply complete our confidential online verification form or call us at 866-478-4383.  

If you’re trying to figure out where you or a loved one lands on the continuum of care, call us today at 866-478-4383 and let us help you. For those needing immediate support, our admissions team works quickly to coordinate your arrival, even on the same day.

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Stabilizing After Setbacks FAQ

If you suspect that your current level of care isn’t enough for your needs, you might understandably have some questions about what could work best for you. While the following answers to FAQs could help, the best approach would be to reach out to a member of our team for more clarity. 

How do I know if residential, PHP, or IOP would be enough?

Figuring out what level of care works for you is a decision that’s always made best in collaboration with a professional. AMFM Mental Health Treatment’s admissions team works to conduct a clinical assessment that’s designed to help make this decision as a part of the intake process. Plus, levels of care can always be changed, up or down, depending on how you’re doing on the whole.

Most insurance plans do cover IOP, PHP, and residential treatment, although coverage varies by provider. AMFM’s admissions team can verify your insurance benefits as part of the intake process to clarify what your plan covers before any decisions are made. 

Discharge planning is an important part of the treatment process, and responsible programs coordinate stepping down well in advance. They connect you with your next steps, providers, and levels of care to ensure everything goes smoothly after graduating from inpatient or crisis stabilization.[3]

At AMFM, we strive to provide the most up-to-date and accurate medical information based on current best practices, evolving information, and our team’s approach to care. Our aim is that our readers can make informed decisions about their healthcare.

Our reviewers are credentialed medical providers specializing and practicing behavioral healthcare. We follow strict guidelines when fact-checking information and only use credible sources when citing statistics and medical information. Look for the medically reviewed badge on our articles for the most up-to-date and accurate information.

If you feel that any of our content is inaccurate or out of date, please let us know at info@amfmhealthcare.com