ALEXIAN BROTHERS CENTER FOR

MENTAL HEALTH

ADULT

PARTIAL HOSPITALIZATION AND INTENSIVE

OUTPATIENT PROGRAM

(PHP/IOP)

Participant Handbook

3436 N. Kennicott Avenue

Arlington Heights, IL 60004

(847) 952-7460

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PROGRAM STAFF PHP/IOP Program Liaison Maxine Goldstein, MA

(847) 952-7464

Medical Director of

Alexian Brothers Center for Mental Health: Maxim Chasanov, MD

(847)952-7460

Medical Director of PHP/IOP: Deepak Kapoor, MD

(847) 952-7460

Staff Psychiatrist: Dr. Thomas Lee, MD

(847) 952-7460

PHP/IOP Team Leader: Katie Connolly, MA, LCPC

(847) 952-7474

Program Therapists:

Kathy Kirk, LCPC (847) 952-7460 x5742

Amanda Brullo, LPC (847) 952-7460 x7011

Katie Blum, LPC (847) 952-7460 x5301

Chelsie Scoggin-Chang, Mark Silveira, Melanie Del Mundo

Billing Assistant: Nancy Eichaker

(847) 952-7460 X5943

Top row (from left to right): Nancy Eichaker, Dr. Paul Skiba, Dr. Thomas Lee, Dr. Max Chasanov, Kathy Kirk

Bottom row (left to right): Maxine Goldstein, Katie Connolly, Chelsie Scoggin-Change, Anna Dziekonski

Not pictured: Dr. Deepak Kapoor, Amanda Brullo, Mark Silveira, Melanie Del Mundo, Randy Markland

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Program Information

Daily Program Hours

Monday – Friday 9:00 am – 3:00 pm

Program Descriptions

The Alexian Brothers Center for Mental Health in Arlington Heights offers a Partial

Hospitalization Program (PHP) and an Intensive Outpatient Program (IOP) to meet

an individual’s needs in a community-based setting. These comprehensive, short

term programs provide support for adults and older adults who may be

experiencing an increase in psychological/emotional distress. We offer medical

evaluation, intensive therapeutic groups, and individual and family meetings. The

goal of our programs is to assist individuals who need more treatment than

traditional outpatient services, but do not need an overnight stay at the hospital.

More specifically:

PHP is a short-term (1-4 week) program that operates Monday – Friday from 9:00am – 3:00pm. Individuals are required to attend the full week of services.

IOP is a short-term (1-5 week) program that serves as a step-down from the Partial Hospitalization Program or as an adjunct to individual outpatient therapy. The program runs concurrently with the PHP program and also is in operation Monday – Friday from 9:00am – 3:00pm. Because this program is designed to be less intensive than the PHP program, participants attend on a part-time basis. Participants typically attend either shorter days (9:00am-1:45pm) or fewer days per week. IOP schedules can be subject to insurance company requirements.

Insurance Coverage

The Partial Hospitalization Program (PHP) is covered by most private insurance

plans and Medicare. The Intensive Outpatient Program (IOP) is covered by most

private insurance plans. Self-payment options are also available based on a

sliding fee scale.

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Transportation

Assistance with transportation may be provided with some geographical

limitations.

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Program Policies

As a community mental health agency, we take great pride in providing PHP/IOP

services, and it is here in the community that we feel these services are best

provided. These are service lines that are remarkably different, yet clinically

beneficial to our population. We believe in the power and reality of recovery and

are honored to offer these stabilization services to you. In order to receive the

maximum benefit of the programs, as well as meet the criteria for your insurance

carrier, it is important to understand the structure of the programs and to comply

with the following requirements:

PHP/IOP services are provided with the oversight of on-staff psychiatrists. If you are currently receiving services from another doctor, please allow us to contact that individual to coordinate care. You are able to continue receiving your medications from your current doctor, but insurance guidelines require a visit with a doctor at PHP/IOP at least once a week, including an initial visit within 24 hours of starting the program.

Although emergency situations may require an adjustment in your schedule, we anticipate that these occurrences will be rare and that you will be able to attend the program daily. Please make every attempt to schedule other appointments, such as other medical visits, outside of the PHP hours of operation.

PHP/IOP programming is built upon respect and confidentiality. The staff members of the program will do all that we can to protect confidentiality and insure a safe, comfortable environment for care. We ask that clients of the program share the same values and maintain a safe, confidential program. Please inform your primary therapist of any concerns that you have while participating in the program.

Dress code for the program is casual. Please be advised that the temperature in the group room can fluctuate so dressing in layers is suggested. We ask that program participants refrain from wearing clothing that may be considered distracting or offensive. If clothing is determined

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to be distracting or offensive, program staff may ask that an individual change clothing before continuing to participate in program.

When you arrive for your first appointment, an associate in our Billing Department will meet with you prior to starting the program to discuss any financial responsibility. They will inform you of an estimate of your out of pocket cost of the program and how it will be collected.

Insurance companies have a minimum requirement of the number of

services individuals must receive in order for a PHP/IOP day to be

covered. If an individual does not participate in the number of services

required by the insurance company, ABCMH reserves the right to hold

individuals accountable for payment on services provided.

Upon admission to the program, each program participant is assigned to a

Clinician/Case Manager. The Clinician/Case Manager’s responsibility is to

assist program participants in getting acclimated to the program, provide

support in crises as needed, monitor participant progress in the program,

consult with other providers as needed, collaborate with family members

or other significant supports as needed, and assist participants with

developing a structured discharge plan. Please be advised that due to the

short-term nature of the program and the desire for effective continuity of

care, it is expected that program participants will continue with the same

Clinician/Case Manager throughout their time in the program.

In regards to continuing with outpatient treatment while attending

PHP/IOP, please be advised that insurance providers often will not cover

both services concurrently. Therefore, it is our recommendation that

program participants postpone outpatient individual or group therapy

sessions until they have discharged from PHP/IOP. However, each

participant is welcome to contact his or her insurance provider and/or

discuss this issue with individual providers if the program participant would

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prefer to continue to engage in individual and/or group therapy while

attending the program.

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What Former Clients are Saying About PHP/IOP…….

“I have never been one who supports therapy and counseling. I have looked at it as a sign of weakness. But when my level of anxiety reached unmanageable proportions, I went into the hospital and participated in the PHP program later. I’m glad I did it. It provided me with ways to manage my stress without which I would have been left to my own devices.” “The staff is kind and good and really want to help. In the future, I will not reject therapy as I’ve done in the past because what I’ve learned has taught me not to ignore help, and try to do something myself.” “My diagnosis is Bipolar I and I started PHP feeling awful and am leaving feeling much healthier. The therapists are great and the doctors are excellent. I was very passive at first, but became more participative as time went on. Be patient and trust what everyone here tells you. You can get there.” “I am so thankful for having the opportunity to be involved in such an incredible program. Not only was it extremely educational, but I also obtained a lot of tools for my tool box of knowledge. The doctors and the therapists here gave me the ability to save me from myself. Try to stay positive no matter how tough it may be. Remaining engaged and involved in group is also very important, and by doing so, you will be that much closer to your own recovery.” “I participated in the PHP/IOP program in September through December of 2014. This program saved my life. I had a diagnosis of Bipolar Disorder since I was 18 with several hospitalizations. My symptoms were scary and distressing. I was having intense suicidal thoughts. Most days at the program were a struggle. My therapist got me through the distress. She was always willing to support me and encouraged me to draw strength from her when I had none. Each day, though a constant struggle, made me stronger. I took me awhile to get my symptoms stabilized but it was worth it. Use your time in PHP to heal-to develop skills-to begin to recover. Recovery is a life long journey and sitting in the seats in the Dignity Room every day is a start. Eventually, the fear subsides, our strength becomes your own, and your inner self shows your beauty.” “PHP changes lives! Just by being here, you are taking a very important step. PHP can’t prevent bad things from happening in your life, but does give you the ability to handle whatever life throws at you. Come to PHP with an open mind. By participating in sessions, you will gain a variety of tools to make your life better. Keep coming back and you will notice a positive difference. Thank you, PHP, for changing my life.”

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PHP/IOP GROUP THERAPY GUIDELINES

ARRIVE ON TIME AND STAY IN GROUP Do not keep others waiting Avoid leaving group unless it is an emergency

BE SUPPORTIVE TO EACH OTHER

Turn off all cell phones and electronic devices so that members know everyone is focused on what is going on in the group

Demonstrate respect, even if you don’t agree with another person’s position or behavior

Avoid eating in groups unless necessary for dietary reasons. If eating is necessary, please do so quietly

Stay awake Actively participate and be as honest and open as you are able

BE SAFE

Take medications as prescribed and discuss concerns with your doctor before making any changes

Do not possess items that present risks to your safety or the safety of others such as sharps, weapons, or potentially dangerous substances

You must be clean and sober DEMONSTRATE HEALTHY BOUNDARIES

You are strongly discouraged from exchanging phone numbers with fellow group members – this can interfere with treatment

You are strongly discouraged from forming intimate or exclusive relationships with other group members; these relationships can interfere with treatment

Asking for or offering rides, money, or other favors is strongly discouraged.

Please do not offer gifts to individual staff members, interns, or volunteers. You are welcome to make a donation to the Center via the Alexian Brothers Foundation to celebrate your recovery process. If you wish to show gratitude to a staff member, we encourage you to complete a “You Made a Difference” card

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BE CONSTRUCTIVE Avoid criticism, give constructive feedback. Refrain from advice giving (making “you” statements). Offer suggestions

from your own experiences by using “I” statements. Refrain from trying to solve other members’ problems for them

GIVE EQUAL TIME TO ALL

Give everyone a chance to talk. One person at a time talks, no side conversations.

KEEP IT PRACTICAL

Focus on solutions, not on how bad things are – refrain from telling “war stories”

RESPECT CONFIDENTIALITY

Do not discuss other people’s personal issues with people outside of the group.

Please do discuss what you are learning about coping with your symptoms and stressors with others.

Do not talk about other people who are in group with you. Do not talk about other members when they are not present. If family members or friends are bringing you to the program, please

inform them that they cannot sit in the lobby or the client lounge for extended periods of time due to privacy concerns.

If you see any program staff outside of ABCMH, we’d be happy to chat

but will wait for you to approach us.

LET PEOPLE KNOW IF YOU ARE UNHAPPY!!

Bring concerns about the program or the groups up in the group. Do not stay mad at the group without letting us know.

If you have an issue with anyone in group, please take it up with them

directly outside of group.

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PHP/IOP Group Descriptions

Process/Goals Group This is the first group of each day. Participants complete a “Daily Status Report” form prior to the group. The form requests that participants set a daily goal and identify specific ways that they will go about making progress on that goal. Participants are then asked to rate their moods at 3p, 9p, and 9a. They then rate sleep, appetite, and energy. Lastly, participants indicate whether or not they have taken medications as prescribed. The form is reported aloud during the group. Additionally, this group also addresses “process issues” – participants verbalize areas of concern in regards to personal issues and/or treatment related problems and seek feedback from other group members and group facilitator. Psychoeducational Groups Most of the groups offered in the program center around developing healthy coping skills. The groups are primarily lecture/activity based and cross several categories. Those categories include:

Mental Health Basics – A general understanding of mental health issues is essential to any recovery process. Topics in this category include:

o What is Mental Illness? o Understanding Medications o Diagnosis o Stages of Change

Coping with symptoms – Many mental health issues have multiple symptoms in common and learning to manage these symptoms effectively is an important step in the recovery process. Topics in this category include:

o What is stress/anxiety? o Stress/Anxiety Management o Sleep Management o Nutrition o Self-Care o Cognitive Distortions I and II o Problem-Solving o Spirituality o Self-Esteem I and II

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o Emotion Regulation o Resilience o Breaking Bad Habits o Relaxation o Brain Health o Music

Coping skills drawn from CBT and DBT approaches – CBT and DBT are specific therapeutic modalities that have been shown through research to be effective in managing symptoms of several mental health issues. Topics in this category include:

o Cognitive Distortions I and II o Positive Thinking with CBT o Emotion Regulation o Mindfulness o Breaking Bad Habits

Managing Relationships – Many individuals struggle with developing and maintaining healthy social supports. This can be especially true for those experiencing mental health issues. Topics in this category include:

o Conflict Resolution o Building a Support System o Safe vs Unsafe Relationships o Boundaries o Assertiveness o Communication Skills o Anger Management

Recovery Approach – These groups address the concept of staying in control of one’s life while also experiencing mental health issues. Topics in this category include:

o Post-Crisis Planning o Stages of Wellness o Recovery

Positive Psychology – These groups approach treatment from the idea that it is just as important to pay attention to areas of strength as it is to identify areas of deficiency. Topics in this category include:

o Gratitude o Resilience o Empowerment o Self-care

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Week 1 Week 2 Week 3Group Time Monday Monday Monday

9:15-10:45amGoals/Process

Review Group Rules

Goals/Process

Review Group Rules

Goals/Process

Review Group Rules11:00 am-

12:00pmWhat is Mental Illness? Problem-Solving Guilt and Forgiveness of

Self and Others12:00-12:45pm Lunch/Doctor Lunch/Doctor Lunch/Doctor

12:45-1:45pm Diagnosis Value Resilience

2:00-3:00pm Understanding Medications Goal-setting Positive Thinking with CBT

Group Time Tuesday Tuesday Tuesday9:15-10:45am Goals/Process Goals/Process Goals/Process

11:00 am-

12:00pmGrief and Loss Building a Support System Breaking Bad Habits

12:00-12:45pm Lunch Lunch Lunch

12:45-1:45pm

What is Stress/Anxiety Safe Vs. Unsafe

Relationships

Victim/Survivor

2:00-3:00pm Stress/Anxiety Management Boundaries Relaxation

Group Time Wednesday Wednesday Wendesday9:15-10:45am Goals/Process Goals/Process Goals/Process

11:00 am-

12:00pmWRAP: Post-Crisis Planning WRAP: Stages of Wellness WRAP: Recovery

12:00-12:45pm Lunch/Doctor Lunch/Doctor Lunch/Doctor

2:00-3:00pm Self-Care Nutrition Brain Health

Group Time Thursday Thursday Thursday9:15-10:45am Goals/Process Goals/Process Goals/Process

11:00 am-

12:00pmGratitude Spirituality Assertiveness

12:00-12:45pm Lunch/Doctor Lunch/Doctor Lunch/Doctor

12:45-1:45pm Conflict Resolution Self-Esteem I Communication Skills

2:00-3:00pm Empowerment Self-Esteem II Communication Activity

Group Time Friday Friday Friday9:15-10:45am Goals/Process Goals/Process Goals/Process

11:00 am-

12:00pmCognitive Distortions I Crisis Planning Anger Management

12:00-12:45pm Lunch/Doctor Lunch/Doctor Lunch/Doctor

12:45-1:45pm Cognitive Distortions II Emotion Regulation Music

2:00-3:00pm Community Reintegration Community Reintegration Community Reintegration

PHP/IOP Group Schedule