A patient with severe mental illness was admitted to an inpatient psychiatric unit for treatment for major depressive disorder and a co-occurring substance use disorder. The patient is progressing well on the unit but will require intensive,
daily support on discharge. Which treatment option will the interprofessional team discuss with the patient as the best option after discharge?
1. Supported employment
2. Assertive community treatment
3. Peer support
4. Partial hospitalization program
Answer: 4
Explanation: Partial hospitalization programs offer intensive daily support and are often an appropriate "step down" in treatment following inpatient care. This level of care is most appropriate for the patient who continues to need daily treatment following discharge. The patient can continue to receive nurse case management services throughout recovery and in conjunction with the partial hospitalization program. Assertive community treatment will be more helpful once the patient no longer needs daily support. Peer support alone would be insufficient for this patient at this time.
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