Patients are generally referred to PHP when they are experiencing acute psychiatric symptoms that are difficult to manage, but that do not require 24 hour care. These children are typically having difficulty at home and at school and may be having trouble with peers, as well treat children and teens with depression, anxiety, those struggling with grades, behavioral issues, grief, coping with medical illness and medical noncompliance. Children and teens in PHP complete a full day of therapeutic treatment and academics, and return home to be with families each evening. This allows them to continue working on treatment goals at home and return the next day to reassess progress. Children can enter the program in several different ways. Sometimes we treat children on the inpatient unit and then move them down to PHP when they are not imminently at risk of hurting themselves or someone else, but still need ongoing intensive care. Other children are referred directly to PHP after a telephone intake evaluation and psychiatrist review. Finally, a child/adolescent may be seen in our emergency department for an intake assessment and receive psychiatrist recommendation of PHP rather than either inpatient or outpatient treatment.