Frequently Asked Questions about Our Emotional Wellness Center

Emotional Wellness Center frequently asked questions

Here’s a guide to help answer some of the most common questions about Adventist Health Portland’s mental health services.

Q: What is PHP and IOP?

A: PHP is our partial hospitalization program, while IOP refers to our intensive outpatient program.

Q: What is the difference between PHP and IOP?

A: PHP patients attend five days of group therapy each week for at least four hours each day. IOP patients typically attend three days of group therapy a week for at least three hours each day. Psychotherapy and psychoeducation groups are designed to help patients learn more about their illnesses, cope with symptoms, enhance communication skills, improve anger management and more.

Q: How long do patients typically stay enrolled in a PHP or IOP program?

A: Typically PHP patients stay seven to 10 days, followed by at least 18 days in our IOP. Length of stay will, of course, vary based on each patient’s needs.

Q: Where does partial hospitalization (PHP) and intensive outpatient (IOP) treatment fall on the spectrum of care?

A: Highest level of care: Inpatient hospitalization or residential treatment

Middle level of care: PHP, then IOP followed by individual therapy

Lowest level of care: 12-step groups or support groups of another nature

Q: Who can refer to PHP/IOP?

A: Both Adventist Health providers and outside providers can refer patients for PHP or IOP. Individuals can also refer themselves or be referred by family.

Q: What kinds of patients are appropriate for PHP/IOP treatment?

A: Individuals suffering from severe anxiety, major depression, bipolar disorder and even some minor psychoses are patients who could be referred to our center.

PHP-level patients experience significant interference in multiple areas of functioning. While they are not an imminent danger to themselves or others and do not require 24-hour monitoring, they are incapable of managing symptoms without the intensive, daily support of multimodal clinical intervention.

Failure to treatment them at this intensive level would result in the need for inpatient hospitalization. Medical conditions do not distract from treatment and are manageable on an outpatient basis.

IOP-level patients are also not an imminent danger to themselves or others, and their symptoms also require multimodal therapeutic intervention. They experience mild to moderate emotional/behavioral disturbances that have the potential to disrupt their recovery at a less intensive level of treatment. Medical conditions do not distract from treatment and are manageable on an outpatient basis.

Q: What insurance do you accept?

A: We accept most major insurances including Medicare. We also accept self-pay and can also accept some Medicaid upon county approval.

Q: What are the hours of operation?

A: Our office hours are 8:30 a.m. to 5 p.m. Monday through Thursday and 8:30 a.m. to 4 p.m. on Friday. PHP/IOP services are available from 9 a.m. to 2 p.m.

Q: How do I refer a patient?

A: Call our office at 503-261-5953 ext. 4 or use the referral option on EPIC to refer patients to the Emotional Wellness Center.