Why would my provider recommend I try a higher level of care? What’s the difference?
In once-a-week therapy, you meet with your therapist one time every week, usually for about an hour. That can be really helpful! But sometimes, people need more support than that—especially if they’re feeling really sad, worried, or having a hard time staying safe.
That’s when your therapist might talk to you about further levels of care.
Getting this kind of help doesn’t mean you’ve done anything wrong. It just means you’re being really strong by asking for support when you need it.
FAQs
Will my insurance cover this level of care?
Insurance often covers higher levels of behavioral health care, like intensive outpatient or inpatient treatment—but coverage can vary by plan. An insurance representative or admissions person at the program can help you understand your specific benefits and any costs you might have.
Is this a permanent level of care?
Not at all. Higher levels of care are usually temporary and are designed to give you the support you need right now. As things stabilize, you can often step back down to routine care—sometimes with the same provider you’ve already been seeing.
Do I have to follow through with the referral?
No—it’s your choice. We’ll offer referrals based on what seems like the best fit for your current needs, but you’re always in control of your care decisions. We’re here to support you either way.
Am I able to go back to my provider?
Yes, absolutely. Many people return to their original therapist or prescriber after completing a higher level of care. Your provider can be part of your support team as you transition in and out of different types of care. Check out this help center article, which walks you through the steps to resume care with your previous provider.
Can I go to part of the program?
Most programs are structured to be attended in full so you get the most benefit—but it’s okay to ask about flexible options. Some programs offer evening or part-time tracks. Care Coordination can help you explore what might work best for your schedule.
Do I have to take time off of work or school?
Sometimes, yes—depending on the level of care. But many programs offer flexible schedules, and some are in the evenings or weekends. We can help you find options that minimize disruption while still getting you the support you need. If attending the program conflicts with your work or school schedule and you need assistance with taking time off, the program administrators can usually provide documentation to help support your request.
Are all programs in-person?
Not anymore! Many programs now offer virtual or hybrid options—especially intensive outpatient programs (IOPs). This can make it easier to get care without having to travel or take time away from home.
What if I cannot afford this level of care?
Cost is a real concern, and you’re not alone. Some programs offer sliding scale fees, payment plans, or financial assistance. Care Coordination can help you identify treatment options that accept your insurance or offer a sliding scale. Your actual cost share estimate will be provided by the program where you choose to seek treatment.
What if I’m in a crisis situation right now?
Rula has a dedicated crisis hotline staffed 24/7 by professional crisis support counselors. If you are experiencing a crisis, you can call (877) 371-5488 to receive immediate assistance.
Anyone who is experiencing a suicidal crisis, is in emotional distress, or is concerned about a loved one’s mental health can call or text 9-8-8 to be connected with a trained crisis counselor who is there to listen and offer support. The 988 Suicide and Crisis Lifeline provides completely free and confidential support 24 hours a day, 7 days a week. As an alternative to a phone call or text, you can also chat via your computer or phone with a counselor at https://988lifeline.org/chat/.
Patients who are covered by Kaiser Permanente and experiencing a behavioral health emergency or having a mental health crisis (possible inpatient care) should contact the Kaiser Permanente Behavioral Health Care Helpline (BHCL) at 800-900-3277 or contact the National Crisis & Suicide Hotline at 988. Both are available 24/7 at no charge 24/7.
Do I have to stop seeing my current therapist or psychiatrist?
Most of the time, no. Your provider might pause sessions while you’re in the program, but you can often return to them afterward. Many providers stay in touch with the program to help with a smooth transition.
How long will I be in the program?
It depends on your needs. Some people attend for a few weeks, while others stay longer. The treatment team will check in with you regularly to see how you’re doing and help decide when you’re ready to “step down.”
Will I be in a group with other people?
Yes—IOP and PHP programs usually include group therapy. You’re not alone, and many people find it comforting to connect with others who are going through similar things.
What kind of therapy will I get?
You’ll likely get a mix of group therapy, skills-based classes (like CBT, DBT, or coping skills), and possibly individual sessions or medication support, depending on the program.
What if I start and decide it’s not for me?
That’s okay. You always have a voice in your care. If something doesn’t feel like a good fit, your provider or care coordinator can help explore other options.
Is this the same as being hospitalized?
No. IOP and PHP are outpatient programs. You don’t stay overnight, and you continue living at home. But you get more support than in regular therapy.
What if I’m not sure I need a higher level of care?
That’s totally normal. Your provider is recommending it because they think it could help, but you’re encouraged to ask questions, learn more, and be part of the decision. Your therapist may consider alternative options such as:
- Connecting you to a more specialized provider who best fits your needs.
- Increasing the frequency of your sessions to twice weekly, and incorporating additional services such as group therapy or medication support.
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