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Overview
The Partial Hospitalization
Program (PHP) at River Centre
Clinic is a 35-hour per week
program that provides a high
level of intensity, structure,
and monitoring to meet the
needs of most female and male
adults who suffer from serious
eating disorders. PHP provides
many therapeutic services
of inpatient treatment at
a fraction of the cost, which
encourages treatment to have
a sufficient duration and
increase its likelihood of
success. Treatment includes
individual, group, and family
therapy, with emphasis on
meal planning, symptom reduction
skills, and relapse prevention.
It also offers training on
emotional skills, social skills,
assertiveness, and stress
management techniques. River
Centre Clinic offers independent
living arrangements for PHP
participants during non-program
hours. PHP is certified by
the Ohio Department of Mental
Health as a partial hospitalization
program.
River Centre Clinic is certified
as a mental health agency
by the Ohio Department of
Mental Heath. Staff members
include board-certified/eligible
physicians, licensed psychologists,
psychology fellows, psychology
aides, licensed independent
social workers, licensed professional
counselors, registered dietetic
technicians, and other staff
members who have been trained
to perform specific duties
under appropriate supervision.
Licensed clinicians are available
on-site or on-call 24 hours
per day. Staff physicians
are on-site at regular times
each week and on-call at other
times. River Centre Clinic’s
staff-to-patient ratio far
exceeds requirements at all
times.
Program Hours
5 days per week — Monday
through Friday
7 hours per day — 11:30
a.m. to 6:30 p.m.
Typical Daily Schedule
11:30 a.m.: Weigh-in and lunch
preparation
12:00 p.m.: Supervised meal
1:00 p.m.: Group (either psycho-educational
or psychotherapy)
2:30 p.m.: Break
2:45 p.m.: Supervised snack
3:15 p.m.: Group (either psycho-educational
or psychotherapy)
5:00 p.m.: Dinner preparation
and supervised meal
6:00 p.m.: Post-dinner wrap-up
group and activities
6:30 p.m.: Program ends (Participants
move to independent living
areas)
Summary
of Program Components
• Psychological assessment
and medical evaluation.
• Education about biological
and metabolic changes that
occur with eating disorders.
• Individual counseling
to identify the emotional,
psychological, and interpersonal
factors that led to the development
and maintenance of the eating
disorder.
• Individualized treatment
planning designed to identify
treatment goals.
• Group counseling by
specially trained staff members
who understand eating disorders.
• Nutritional counseling
to provide education about
healthy eating and nutritional
myths.
• Structured eating
(two meals and one snack daily)
to facilitate the development
of healthy, nutritious, and
appropriate eating patterns.
• Monitoring of diet,
weight, and medical status.
• Support from other
program participants who also
have eating disorders.
• Support and information
for relatives of program participants.
For information about PHP
treatment costs, please click
on the link below:
RCC
Treatment Costs
For information about River
Centre Clinic’s guiding
principles of treatment, please
click on the link below:
RCC
Treatment Philosophy
Treatment Plan
Participation in PHP begins
with an initial assessment
and a medical evaluation.
After admission, each patient
receives an individualized
treatment plan tailored to
their unique psychological
and medical service needs
and includes nutritional rehabilitation.
Patients begin planning for
discharge and aftercare as
soon as they are admitted
into the program.
Initial Assessment. Before admission to PHP, River
Centre Clinic conducts a comprehensive
clinical assessment to gather
information regarding the
patient’s current symptom
picture, history of eating
problems, health history,
family history, current and
prior medications, and various
questions about overall emotional
and physical health. The clinic
also obtains information forms
and questionnaires completed
by each patient. Patient information
from both interviews and questionnaires
is essential to ensure that
we do not overlook important
details of each patient’s
current situation or history.
Medical Evaluation. Before admission
to PHP, patients must receive
a medical evaluation to determine
their general health status.
In most cases, patients receive
the medical evaluation from
their personal physician.
Individualized Treatment
Plan. In the first
week after admission to PHP,
patients receive an individualized
treatment plan tailored to
meet their unique needs, based
on our ongoing assessment
of problems and progress.
This plan is developed based
on the initial assessment,
then applied within the framework
of evidence-based treatment
principles and protocols,
and continually revised as
changes occur during treatment.
The treatment team works closely
with each patient to set realistic
treatment goals, and staff
members are available to patients
to explain the rationale behind
various aspects of treatment.
While in the program, patients
learn how to address the main
symptoms of their eating disorder.
They also learn how to identify
and start resolving the emotional
issues that have contributed
to the development and maintenance
of symptoms. Patients and
their families are encouraged
to participate in the treatment
plan’s development and
evolution as changes occur
throughout the treatment process.
Nutritional Rehabilitation. PHP treatment includes complete
nutritional rehabilitation
to help patients achieve and
maintain a healthy body weight,
and develop appropriate eating
patterns that will lead to
true control of the eating
process. Since food and meal
planning are key elements
of nutritional rehabilitation,
each patient has a food plan
tailored to meet individual
needs under a dietitian’s
or physician’s supervision,
and specially trained staff
members supervise meal planning
and meals. PHP provides two
meals and a snack daily, Monday
through Friday. Staff members
assist each patient in developing
a food plan for weekends and
other times outside of program
hours.
Medical and Medication
Services. One aspect
of the PHP treatment plan
is evaluating and addressing
each patient’s ongoing
medical needs, and is provided
by our staff psychiatrist
and consulting physicians.
River Centre Clinic’s
medication/somatic service
provides medical interventions
including physical assessment,
prescription, or supervision
of medication(s). This service
is aimed at educating patients
who require medication so
they may develop an understanding
of their medication regimen
and other health issues.
Discharge Planning
and Aftercare. Discharge
planning is an ongoing process
that begins upon admission
to PHP. The PHP treatment
team works closely with each
patient to set realistic treatment
goals and develop an aftercare
(continuing care) plan for
applying the behavioral management,
communication, and problem
solving skills that have been
effective in treatment. Aftercare
involves a range of options,
including weekly aftercare
groups, relapse prevention
therapy, or phone follow-up
to provide safeguards against
relapse. River Centre Clinic
also assists patients and
their families who need referrals
for additional treatment or
support in their home communities.
Therapy
The PHP treatment plan involves
a mix of individual, group,
and family therapy. The plan
also encourages family visitation
that is prearranged with clinical
staff members.
Individual Therapy. Each PHP participant is assigned
to one or two staff members
for individual therapy meetings.
One of the aims of individual
therapy is to help these patients
overcome some of the fears
and inhibitions they might
experience in a group setting.
Group Therapy. The PHP treatment plan places
strong emphasis on group therapy
because it provides an opportunity
for patients to learn by interacting
with other people who suffer
from eating disorders. The
group therapy format also
plays a valuable role in recovery
by providing hope, reassurance,
and understanding. Nevertheless,
our approach is very flexible.
We recognize that some people
take longer than others to
feel comfortable in groups.
We encourage patients to express
any concerns that they have
about our treatment format
so that our staff members
can explain the rationale
behind various aspects of
treatment.
Family Therapy. River Centre Clinic encourages
each PHP participant’s
family to be involved as part
of treatment. We can schedule
family meetings or therapy
sessions regularly or periodically,
according to the patient’s
individual treatment plan.
Each patient’s individual
treatment plan may change
over the course of treatment.
Visitation. River Centre Clinic encourages
family and friends to visit
PHP participants, but it is
best if these visits are prearranged
with clinical staff members.
The aim is to provide maximum
benefit for patients by considering
all factors pertaining to
their treatment goals and
progress. Hotel accommodations
for family and visitors are
available nearby at:
Wingate by Wyndham - Sylvania/Toledo
5480 South Main Street
Sylvania, OH 43560
Local Phone: (419) 517-2000
Toll-Free Phone: (800) 228-1000
Please ask for the River Centre
Clinic corporate discount
rate for rooms.
Independent
Living Arrangements
River Centre Clinic offers
adult PHP participants safe
and comfortable independent
living arrangements in a dormitory-style
residence. Independent living
has a high level of patient
acceptance when combined with
PHP treatment because it provides
sufficient structure and the
opportunity for peer support
without the disadvantages
of a highly restrictive hospital
environment. It also allows
PHP participants to practice
“real world” activities
such as shopping, meal planning,
eating on weekends, and socializing
with others. Independent living
also enables eating disorder
patients to:
• Practice self-responsibility.
• Test the internalization
of treatment principles.
• Practice learned behaviors
outside the treatment setting.
• Practice new communication
patterns with family and friends.
The Independent Living Area
is conveniently located on
the south end of River Centre
Clinic's second floor and
provides shared rooms and
a common living area. The
shared rooms are brightly
colored and have their own
bathroom. The common living
area has an entertainment
center, high-speed Internet
access, a kitchen, laundry
facilities and phone availability
during non-program hours,
except in emergencies. Patients
can pick up mail daily (Monday
through Friday) at the reception
window next to the lobby.
A licensed professional staff
member is always on call and
adolescent residential care
workers are always available
in the main treatment building.
Independent living quarters
are also located in a historic
three-bedroom home on the
River Centre Clinic campus.
The house is typically available
for PHP participants who are
further along in treatment
and transitioning to more
permanent living arrangements.
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