multi-color-round

What Is a Partial Hospitalization Program (PHP) and When Is It Needed?

When someone is struggling with their mental health, deciding on the right level of care can feel overwhelming. Weekly therapy

When someone is struggling with their mental health, deciding on the right level of care can feel overwhelming. Weekly therapy may no longer be enough, but inpatient treatment can feel like too big of a step. This is where a Partial Hospitalization Program (PHP) can be the right middle ground.

At Vitalize Behavioral Health, our PHP program provides intensive mental health treatment during the day while allowing individuals to return home in the evenings. It offers the structure, consistency, and clinical support many people need to stabilize symptoms and begin moving forward—without full hospitalization.

If outpatient therapy isn’t enough, connect with us to explore our PHP programs for teens and adults in Fresno.

What Is a Partial Hospitalization Program?

A partial hospitalization program (PHP) is a structured form of outpatient mental health treatment that provides a higher level of care than an Intensive Outpatient Program (IOP) but does not require overnight stays like inpatient or residential treatment.

PHP typically involves daily therapy sessions for several hours each day, usually five days a week. Clients participate in a full day of therapeutic programming and clinical support, then return home in the evening. This allows individuals to receive intensive care while still maintaining some connection to home, family, and daily life.

You can think of PHP as a day mental health program in Fresno that blends medical oversight, therapy, and skills-based treatment in a structured environment designed to support stabilization and healing.

How PHP Differs From IOP and Inpatient Care

Understanding how PHP compares to other levels of care can help clarify whether it’s the right fit.

Intensive Outpatient Program (IOP)

An intensive outpatient program typically meets several times a week for a few hours per day. IOP is often appropriate for individuals who are making progress but still need structured support beyond traditional outpatient therapy.

Partial Hospitalization Program (PHP)

Partial hospitalization offers daily programming for several hours each day, with closer clinical monitoring and more consistent therapeutic contact. PHP is ideal for individuals who need more support than IOP, but who do not require 24/7 supervision.

Inpatient or Residential Treatment

Inpatient treatment or residential treatment involves overnight stays and round-the-clock care, usually reserved for acute safety concerns.

Because of this, PHP often serves as a middle ground between inpatient care and lower levels of outpatient treatment, offering intensive support while allowing individuals to return home each evening.

Who Is PHP For?

A partial hospitalization program may be appropriate for teens or adults who are experiencing:

  • Moderate to severe mental health symptoms
  • Worsening anxiety or depression
  • Bipolar disorder or mood instability
  • Trauma-related symptoms
  • Difficulty functioning at school, work, or home
  • Limited progress in traditional outpatient therapy
  • A recent hospitalization or need for step-down care
  • Substance use disorders or dual diagnosis concerns

PHP is especially effective for individuals who need closer monitoring and structured support, but who can safely remain at home overnight.

What a Day in PHP Looks Like

PHP follows a consistent, full-day schedule designed to promote stability and progress. While each treatment plan is individualized, most PHP days include:

  • Group therapy and group sessions focused on emotional regulation and connection
  • Individual therapy with a licensed therapist
  • Psychiatric care and medication management with an integrated psychiatric team
  • Skills groups using evidence-based therapies such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT)
  • Experiential therapies that support emotional processing and engagement
  • Family sessions that encourage family involvement and help improve communication

This daily structure helps clients manage stress, develop practical coping strategies, and build consistency during recovery.

Why PHP Can Be So Effective

PHP works because it combines intensity with structure. Clients receive immediate and ongoing access to experienced clinicians, allowing for faster response to changes in symptoms and needs.

Benefits of PHP often include:

  • Reduced psychiatric symptoms
  • Improved emotional regulation
  • Increased ability to function in daily life
  • Stronger engagement in treatment
  • A clear, individualized treatment plan
  • Ongoing support from a multidisciplinary clinical team

Research and clinical outcomes show that PHP can significantly reduce symptoms and improve functioning, especially for individuals who need more than outpatient care but not full hospitalization.

PHP at Vitalize Behavioral Health

At Vitalize Behavioral Health in Fresno, CA, our PHP is built around compassionate, personalized care. Each client begins with an initial assessment and medication evaluation, allowing us to design a treatment plan tailored to their specific needs and goals.

Our PHP programs emphasize a holistic approach, integrating therapy, psychiatry, skill-building, and family support to create a sustainable path forward. We also assist with insurance verification, as many insurance plans cover partial hospitalization treatment.

After completing PHP, clients receive comprehensive aftercare planning, which may include stepping down to IOP, outpatient therapy, or continued psychiatric care—ensuring continuity and long-term support.

Knowing When It’s Time for PHP

Needing a higher level of care doesn’t mean you’ve failed—it means you’re choosing the best path for healing. If symptoms are interfering with daily routines, relationships, or overall well-being, PHP can provide the structure and support needed to regain stability.

Choosing PHP is often a proactive step toward recovery, not a last resort.

Take the Next Step

If you or your teen need more support than outpatient therapy can provide, our team is here to help you explore whether PHP is the right fit.

Contact Vitalize Behavioral Health today to schedule an initial assessment and learn more about our partial hospitalization Fresno programs for teens and adults.

Keep Reading

When your mental health keeps getting worse, it can feel scary, confusing, and exhausting. You may wonder if you should

Leaving inpatient mental health treatment can feel like a major step forward, and it is. Inpatient care provides 24/7 supervision

Andy Brimmer, MBA

Andy Brimmer, MBA

DIRECTOR OF BUSINESS DEVELOPMENT

Andy Brimmer is a dynamic Director of Business Development with extensive experience in sales strategy, talent sourcing, and client relationship management across the healthcare sector. Based in Fresno, California, Andy holds an MBA from Purdue Global and a BS in Business Administration from California State University, Fresno. He has a proven ability to drive revenue growth, negotiate contracts, and build strong pipelines using tools like ZoomInfo, LinkedIn Recruiter, and various CRMs. With a background that spans staffing solutions, medical recruitment, dental sales, and career development, Andy brings a well-rounded and strategic approach to business growth and team leadership.

Angel Dean, MS

Angel Dean, MS

Director of Operations

Angel Dean is an accomplished healthcare executive with over 15 years of leadership experience in medical administration, provider services, and surgical specialty management. She holds a Master of Science in Healthcare Administration and a Bachelor of Science in Business Administration from Cal State East Bay. Angel has held senior roles including Executive Director, where she spearheaded operational strategy, team development, and revenue growth. Fluent in Urdu and Punjabi, Angel excels in strategic planning, employee development, and healthcare compliance.

Simi Bhaurla, LPCC

Simi Bhaurla, LPCC

ADULT IOP CLINICAL DIRECTOR

As Adult IOP Clinical Director, I oversee our adult intensive outpatient program, guiding both the clinical work and the overall experience so the care you receive is grounded, coordinated, and truly built around you.

MacKena Dean, M.A., APCC

MacKena Dean, M.A., APCC

LEAD ADULT IOP/PHP CLINICIAN

As Lead Adult IOP/PHP Clinician, I provide direct clinical care while helping ensure the delivery of high-quality, evidence-based treatment across our adult program, creating a therapeutic environment where clients feel supported, empowered, and equipped for lasting recovery.

Background and Experience

Prior to joining Vitalize Behavioral Health, I gained valuable experience working with individuals experiencing a wide range of mental health concerns across diverse clinical settings. That background strengthened my ability to work with complex clinical presentations, facilitate meaningful group therapy, and collaborate with multidisciplinary teams to provide comprehensive, client-centered care, closely aligning with Vitalize’s mission of delivering personalized, evidence-based behavioral health services.

Areas of Specialization

I have a passion for working with adults navigating anxiety, depression, trauma, mood disorders, life transitions, and interpersonal challenges.

Therapeutic Approach

I believe that healing occurs through authentic connection, collaboration, and helping clients recognize their own strengths. My therapeutic approach integrates evidence-based interventions while honoring each client’s values, culture, and lived experiences.

Leadership and Philosophy

As the Lead Adult IOP/PHP Clinician, I am committed to fostering a culture of clinical excellence, teamwork, and compassionate care. I am passionate about helping clients build resilience, develop practical coping strategies, and achieve meaningful progress toward their personal goals, embodying Vitalize’s commitment to individualized care that empowers every client to thrive.

Dana Charles, LMFT

Dana Charles, LMFT

CLINICAL DIRECTOR OF VIRTUAL IOP SERVICES

As Clinical Director of Virtual IOP Services, I lead our telehealth intensive outpatient programming, making sure the care you get through a screen feels every bit as personal, structured, and supportive as care in the room.

Corion Duran, LMFT

Corion Duran, LMFT

Clinical Director

I am a client-centered and ACT-focused clinician with a significant history working with children and adolescents. I deeply believe that therapy needs to be driven by the people we are working with, in order to achieve their own unique goals and personal ideals in regards to what they want their lives to be.

Areas of Specialization

  • Trauma
  • Depression
  • Anxiety
  • LGBTQ+
  • Children and Adolescents

Therapeutic Approach

I was trained as a person centered therapist through my graduate program and quickly gravitated towards acceptance and commitment therapy, which is a third wave behavioral therapy that focuses on acceptance of emotions and thoughts, coping effectively and committing to living our lives by our own values and ideals. I also utilize play therapy with younger clients that allows them to explore and process their emotions and struggles through a developmentally appropriate process. What clients can expect more than anything else is receiving therapy that is tailored to their needs. This would include exploring what gets in the way of them living how they want in a deep, meaningful way, developing skills and strategies that are tailored to their experience, and moving in a significant way towards the behaviors and goals they desire for themselves.

Education and Credentials

  • B.A. Psychology
  • M.S. Counseling
  • Marriage Family and Child Counseling, LMFT
  • Trained in Affirmative Therapy, Trauma-Informed Care, Acceptance and Commitment Therapy

About Me

Primarily I gravitated towards becoming a therapist as I grew up with family members who needed mental health care in significant ways and I saw first hand how good, quality care benefitted them. I also attended therapy as a child and teenager and will be forever grateful that I saw competent, ethical therapists. Beyond that I am also a lifelong athlete who has seen the benefits of sports and meaningful experiences on people’s lives. I have been a whitewater river raft guide for the past 15 years and have worked on the Kings River and the American River.

Nadiyah Parks, LPCC

Nadiyah Parks, LPCC

REGIONAL CLINICAL DIRECTOR

As the Regional Clinical Director of the Adult IOP/PHP program, I bring over three years of experience in intensive outpatient care and six years in crisis intervention and emergency response alongside law enforcement. My clinical work is grounded in a psychodynamic approach through a trauma-informed lens, with a focus on helping clients understand how their past informs their present functioning. I became a therapist after starting my work as an emergency response advocate, where I supported individuals and families during some of their most difficult moments. Over time, I realized my true calling was in helping people not just survive those experiences, but heal from them, and that’s what led me to the deeper, ongoing work of therapy.

Areas of Specialization

  • Dialectical Behavioral Therapy
  • EMDR
  • Cognitive Behavioral Therapy
  • Internal Family Systems (IFS)

Education and Credentials

  • Bachelor of Science, Criminology, Victimology Emphasis
  • Master of Arts, Clinical Counseling
  • Certified Sexual Assault Crisis Counselor
  • EMDR Trained Therapist

Therapeutic Approach

Working with me, you can expect a warm, judgment-free space where empathy, curiosity, and understanding guide our work together. I believe in meeting you where you are, moving at your pace, and allowing you to take the lead in your healing process. My goal is to create a space where you feel safe, seen, and supported as we explore what matters most to you.

Dr. Jonathon Baird, Psy.D

Dr. Jonathon Baird, Psy.D

CHIEF EXECUTIVE OFFICER

I specialize in a neurological-psychological approach, integrating comprehensive neuropsychological assessments with empirically based, trauma-informed treatment. My work emphasizes brain-behavior relationships to inform personalized interventions across clinical and forensic settings.

Areas of Specialization

Specializes in neuropsychological and psychological assessment, with extensive experience conducting comprehensive evaluations across the lifespan, including intellectual, achievement, adaptive functioning, and forensic assessments. My clinical expertise spans trauma-informed care, forensic psychology, and behavioral and cognitive-behavioral therapy. I have provided psychological services in diverse settings, including correctional institutions, developmental centers, and outpatient clinics, addressing a broad spectrum of mental health concerns such as anxiety, depression, psychosis, impulse control disorders, and relational dysfunction. Particularly skilled in forensic evaluations, including fitness to stand trial, conservatorship, and risk assessments, frequently serving as an expert witness.

Therapeutic Approach

My approach combines neurological and psychological principles to provide individualized, brain-based care. I focus on how cognitive functioning and emotional health intersect, using comprehensive assessments and evidence-based therapies like CBT. Clients can expect a supportive, structured environment aimed at promoting insight, resilience, and lasting change.

Education and Credentials

  • Doctorate of Psychology (PsyD) in Clinical Psychology
  • Master of Arts (MA) in Clinical Psychology
  • Bachelor of Arts (BA) in Psychology