< BACK TO ALL BLOG

PHP vs. IOP vs. Outpatient vs. Maintenance: Levels of Mental Health Care in Colorado, Explained

Short answer

Mental health care comes in levels, from the most intensive to the least. PHP (partial hospitalization) and IOP (intensive outpatient) are structured programs with many hours a week. Standard outpatient therapy is usually about one session a week. Maintenance is ongoing, lighter care that keeps you steady. Most people move down the levels as they feel better. Whole Connection provides outpatient therapy and maintenance, and we can work alongside a higher level of care.

What are the levels of mental health care?

Think of mental health care as a set of steps. Each step gives you a different amount of support, and you can move between them as your needs change.

From the most support to the least, the common levels are:

  • Inpatient or residential: you stay overnight in a hospital or treatment center. This is for safety and stabilization.
  • Partial hospitalization (PHP): a full day of treatment, most days of the week, but you go home at night.
  • Intensive outpatient (IOP): a few hours of treatment, several days a week, around your normal life.
  • Standard outpatient therapy: usually one session a week with a therapist.
  • Maintenance: ongoing check-ins, often every few weeks, to hold onto your progress.

There is no shame in any level. The goal is to be in the one that matches what you need right now, and to step down as you get stronger.

What is PHP (partial hospitalization)?

PHP is the most intensive care you can get without staying overnight.

In a partial hospitalization program you attend treatment for most of the day, often five or six hours, several days a week. You take part in group therapy, individual therapy, and skill-building, then you go home each evening. PHP is a good fit when someone needs a lot of structure and support but is safe to be at home at night.

Whole Connection does not run a PHP. If you or a loved one needs that level of care, a hospital or a dedicated program provides it, and we can support you afterward.

What is IOP (intensive outpatient)?

IOP is a step down from PHP. It gives you real structure while you keep living your normal life.

An intensive outpatient program usually meets for about three hours a day, three to five days a week. Most of the work happens in groups, with some individual sessions. People often use IOP to keep working or caring for family while getting steady support. IOPs are common for mood struggles, anxiety, trauma, and substance use.

Whole Connection provides outpatient therapy, and we often work with people who are in an IOP or have just finished one.

What is standard outpatient therapy?

Standard outpatient therapy is what most people picture when they think of therapy: meeting with a therapist, usually once a week.

Sessions are typically 53 to 60 minutes. You and your therapist work on what matters to you, at a pace that fits your life. You might come weekly for a while, then move to every other week as things improve. This is the level of care Whole Connection provides, in person in Boulder and Denver and by telehealth across Colorado.

What is maintenance therapy?

Maintenance therapy is lighter, ongoing care that helps you keep the progress you have made.

Once you are feeling steadier, you may not need weekly sessions anymore. Maintenance might mean meeting every two, three, or four weeks for a check-in. It is a bit like a tune-up: a regular time to notice early warning signs, practice your skills, and stay on track. Many people find that ongoing maintenance is what keeps a hard season from coming back.

How do I know which level is right for me?

A good rule of thumb: the more your symptoms get in the way of daily life, and the less safe you feel, the more support you need.

Signs you may need a higher level of care (PHP or IOP) include thoughts of harming yourself, not being able to function at work or home, or symptoms that keep getting worse even with weekly therapy. Standard outpatient therapy fits when you are safe and functioning but want support and change. Maintenance fits when you are doing well and want to stay that way.

You do not have to figure this out alone. If you call us, we can talk it through and help point you to the right level, even if that turns out to be somewhere other than Whole Connection.

Does Medicaid cover these levels in Colorado?

Yes. Health First Colorado (Colorado Medicaid) covers mental health care across the levels, including outpatient therapy, IOP, and higher levels of care when they are medically needed.

Your behavioral health benefits are managed by a regional organization called a RAE. For higher levels of care like PHP or IOP, a program usually checks your coverage and gets any approval needed. For outpatient therapy with us, covered sessions typically cost $0. We verify your exact benefits before your first visit. You can learn more on our costs and insurance page.

Where does Whole Connection fit?

We are your outpatient and maintenance team.

Whole Connection provides standard outpatient therapy and ongoing maintenance care. We are a great fit if weekly or every-other-week therapy matches your needs, or if you are stepping down from a PHP or IOP and want to keep your momentum. If you need a higher level of care, we will help you find it, and we will be here for the next step when you are ready.

Not sure which level of care you need?

We can help you figure it out, with no pressure. Request an appointment online, or call and a real person answers, Monday to Friday.

Call (720) 442-0946or request an appointment online