FRAMEWORK FOR IMPLEMENTING A

PARTIAL HOSPITALIZATION PROGRAM

- PROPOSAL OVERVIEW -

Erin Bachler, Katelynn Krause, & Stephanie Moon

 • An alternative to 24-hour
inpatient care in the form of a day
program
• A transitional care setting to
facilitate previously hospitalized
PARTIAL patients’ reentry into the
HOSPITALIZATION community
• A treatment and rehab facility for
PROGRAM (PHP) those with severe and chronic
mental illness
• A structure delivering services
that a specific community defines
as an overriding public need
(Scott, 1995)
 COMMUNITY PARTNER

Holland Hospital
• Adding a PHP to their continuum of care

• This research will hopefully provide a framework for creation of

this program
 PHP BACKGROUND
• Prevalence rate of SMI within the United States (US) in 2014 was 4.2% (9.8
million US adults) (NIMH, 2016)

• PHP enrollment is correlated with a decrease in symptoms, and an increase in

functioning
(Waddell & Demi, 1993; Schene et al., 1993; Granello, Granello, & Lee, 1999; Drymalski & Washburn, 2011)

• Preference for day treatment over full inpatient hospitalization (Schene et al., 1993)
• Provides an important “gatekeeper” function
(McGonigle, Krouk, Hindmarsh, et al., 1992)
 Driving Theory: PEOP
Main Focus: Individual, Population, and Institutional Needs
● Person Factors (intrinsic): psychological, physiological,
cognitive, motor, sensory, and spiritual
● Environmental Factors (extrinsic): physical, natural, cultural,
societal, social, and economic components.
● Occupations: roles, tasks, activities
● Performance: interaction of person, environmental, and
occupation factors
 PEOP and PHP Integration
● Identifying Person Factors...
○ Prior knowledge and societal needs of population
○ Investigate therapy models which promote occupational
performance
● Identifying Environmental Factors...
○ Combine prior knowledge of Holland Hospital’s needs with
investigation of disciplines, daily structure, therapy models,
and outcome measures of current PHPs
 PEOP and PHP Integration
● Identifying Occupations...
○ Past, existing, and future occupations form life roles
○ Coping skills to adapt to changing person/environmental
factors
● Identifying Performance...
○ Performance leads to role involvement
○ Participation in home and community life
METHODOLOGY
 RESEARCH DESIGN
● Descriptive, Quantitative Study
○ Aim is to collect non-subjective information about currently
operating PHPs

○ Provides objectivity and statistical output

○ Survey is an efficient, timely way to obtain information

 POPULATION
● 150 PHPs within the United States

○ Members of the Association for Ambulatory Behavioral

Healthcare (AABH)

○ Distributed by Mickey Wright, Executive Director

 PROCEDURE

● Survey will be created and administered through Qualtrics, a

comprehensive survey program

● Participants will be given 1 month to complete the survey, with

a reminder after two weeks

● Respondents will get a copy of the results and a chance to enter

to win a $50 gift card
 VALIDITY & RELIABILITY
● Content Validity: PHP staff from two different programs will
review the survey
○ Written feedback will be provided through short answer
prompts

● An interdisciplinary team from Holland Hospital already has

reviewed the survey for clarity and content
 VALIDITY & RELIABILITY
● Qualtrics will estimate the time it takes to complete
the survey
● A survey containing less than 30 questions increases
the likelihood of responders providing accurate
information (Survey Monkey, 2011)
 STRENGTHS
• Using Qualtrics, we were able to make our survey very
comprehensive and require answers to every question
• Will be able to send the surveys out to 150 PHPs that are
members through AABH, which gives us a large sample size
• National distribution to control for regional differences
• This study is one of the first conducted on optimal PHP structure
in regards to many program areas
 DISSEMINATION
• Executive summary provided to Holland Hospital
• Summary of results sent to survey participants
• Michigan Occupational Therapy Association conference
• American Occupational Therapy Association conference
• Publication in OT literature
THANK YOU!
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