Levels of Care: Explained | Bradley Hospital

Source: http://www.bradleyhospital.org/programs-and-levels-care

Archived: 2026-04-23 17:08

Levels of Care: Explained | Bradley Hospital
Skip to main content
Search for Resources & Information
Levels of Care: Explained
URL COPIED!
Levels of Care: Explained
Bradley Hospital Levels of Care
When a Child Needs the Right Care, Right Away
When a child is struggling with their mental health, it can be overwhelming for everyone to know where to turn or what type of help they need. For families and loved ones, balancing the search for the right care while also protecting the well-being and safety of their child is a challenge.
Our team is here to guide you, connect you with the right resources, and provide the support your family needs every step of the way.
At Bradley Hospital, we offer a full range of services to support children, teens, and their families — from outpatient therapy to crisis care.
If your child is in crisis, seek help immediately.
What to do in a crisis situation
Which Level of Care Is the Right Care?
Everyone, especially young children and adolescents, need different kinds of support at different times. That’s why Bradley Hospital offers a full spectrum of services — known as levels of care — ranging from outpatient therapy to inpatient therapy.
Different Conditions Require Different Approaches
A professional evaluation will determine the appropriate level of care a child needs. In behavioral health, different levels of care are designed to provide the most effective treatment for an individual while maintaining the least interruption to daily living.
Choosing the right care includes allowing a child to maintain their place in their world as much as possible, while balancing their current mental health treatment needs. Bradley Hospital’s team of professionals believes that the most important part of choosing the right care is to keep this in mind and to determine the “least restrictive” setting to support the child and family. We seek to balance a child’s treatment with what matters most to them.
Each level of care permits a different balance of healthcare and everyday living.
Outpatient services
, the least intensive type of care, requires a few hours a week of meeting with a healthcare provider compared to an
inpatient hospitalization
, the most intensive, which requires 24-hours of attention. Some of our programs, like
Bradley REACH
, are available to patients virtually, dependent on the type of care required.
A Primer in Behavioral Health Levels of Care
To guide you through the levels of care at Bradley Hospital, we’ve listed the most common ones, each with a brief explanation to help you differentiate between them. They are listed by least intensive care to most intensive care.
Outpatient Treatment
Outpatient treatment programs are like any visit to a doctor’s offer. Patients in these programs go about their daily lives while attending school regularly and living at home.
They typically attend one to two appointments per week with a combination of psychotherapy (individual, family, group), psychiatric evaluations and treatment, and sometimes occupational therapy and/or speech and language treatment.
They may also require evaluations such as neuropsychological, psychological, autism, or forensic evaluations.
Outpatient treatment is considered the least intensive level of care. It typically involves meeting with a therapist and psychiatrist for individual therapy and/or medication management weekly for 45 to 50 minutes in an office, clinic, or hospital. It is essential to understand that while traditional outpatient therapy is the level of care most people are familiar with, a higher level of care is sometimes needed based on the individual's needs and level of functionality.
What It Is
Outpatient treatment offers weekly or biweekly therapy sessions to support children and teens with mild to moderate symptoms. Sessions may be held individually, with family members, and/or in groups. Individualized medication management may be included in a patient’s treatment plan. Outpatient treatment at Bradley Hospital is offered in-person or virtually.
Who It’s For
Outpatient treatment is for youth who are struggling with symptoms that impact their ability to function at home, school, and/or socially but who, at the same time, are mostly able to maintain important aspects of their life.
Outpatient services are also important for families seeking follow-up care after more intensive services (such as inpatient or partial care) or those seeking to prevent further decline in their child’s functioning.
What’s Offered
Services offered at outpatient treatment include:
Individual therapy
Family therapy
Group therapy
Medication evaluations and follow-ups
Evaluations
Occupational/speech and language therapy
How to Access
A doctor’s referral is not required for outpatient services. To schedule an intake session, call us directly at 401-432-1119.
Learn more about outpatient services
Intensive Outpatient Therapy (IOP)
An intensive outpatient program allows a child to continue living at home and typically attend school.
Intensive outpatient care is more intensive than outpatient services, with a minimum of nine hours a week of care.
Intensive outpatient care is usually a combination of individual, family, and group therapy along with possible medication evaluation and treatment, as needed.
An Intensive Outpatient Program (IOP) is a structured, partial-day program that provides more support than traditional outpatient therapy. It is designed for children and adolescents who are struggling with mental health conditions, including anxiety, depression, trauma, substance use disorders, and other emotional or behavioral challenges.
What It Is
Our Intensive Outpatient Program provides several hours of therapeutic support each week, while children and teens continue living at home, attending school and participating in other daily activities. The IOP is offered in-person or virtually.
Who It’s For
The Bradley Hospital Intensive Outpatient Program is for:
Children who need more than outpatient treatment to improve their functioning
Youth stepping down from partial hospitalization program or inpatient level of care
Children who need more than weekly therapy to develop skills to manage their symptoms
What to Expect
The following can be expected during the intensive outpatient program:
At least nine hours per week of treatment per week
A mix of individual, group, and family therapy
Typically after school
Medication support as needed
Programs Offered
Bradley’s team of experts work with patients and their families to find the intensive outpatient program that best meets their individual needs.
SafeQuest
Pediatric Anxiety Research Center (PARC)
Intensive Program for obsessive-compulsive disorders
Vista
Center for Autism and Developmental Disabilities (CADD)
How to Access
Call the free, confidential Kids’ Link phone line at
1-855-543-5465
.
An intake evaluation and insurance review are required.
Partial Hospitalization Program (PHP)
A partial hospital health program is a structured outpatient behavioral health option that:
Offers intensive psychiatric services during the weekdays and allows patients to return to their homes at night.
Provides s a safe environment for children and adolescents where they focus on their well-being and have a comprehensive and personalized care plan.
Are most beneficial for those requiring more support than outpatient therapy but are not in need of inpatient hospitalization.
The Partial Hospital Program offerings at Bradley Hospital, are less intensive than an inpatient or residential program and do not require an overnight stay in the hospital.
What It Is
Our
Partial Hospital Programs
offer structured therapeutic care during the day and allow children to return home at night. This type of program is more intensive than outpatient therapy with up to six hours of care daily that include individual, family, and group therapy and activities that support skills development. The Partial Hospital Program at Bradley hospital is offered in-person and virtually.
Who It’s For
The partial programs are designed for:
Children and teens struggling with emotional, behavioral, or psychiatric issues
Those who need more support than outpatient therapy can offer
Families who are struggling to support their child’s functioning and mental health
Children who are unable to function at school
Partial hospital programs can prevent children from needing an inpatient hospitalization and can support transition after an inpatient hospitalization back to the community.
What to Expect
At the partial hospital program, expect:
Full-day programming, five days a week
Individual, group, and family therapy
Medication management
Educational coordination with schools
Family-centered treatment and care planning
Programs Offered
Bradley’s team of experts work with patients and their families to find the partial program that best meets their individual needs:
Adolescent Partial Hospital Program
Bradley REACH Virtual Partial Program
Center for Autism and Developmental Disabilities (CADD) Partial Program
Children’s Partial Program
Hasbro Children’s Partial Program
Intensive Program for OCD
Pediatric Partial Hospital Program
How to Access
Families should
contact Kids’ Link
. Intake and evaluation are required amd insurance authorization is often needed.
Inpatient Psychiatric Hospitalization
Inpatient care is for patients experiencing severe psychiatric symptoms that pose a safety risk to themselves or others and/or an inability to function at home, school, and in their social lives.
Patients are monitored 24 hours per day in a secure environment
A typical inpatient stay is one week, although some stays can be extended for significantly longer based on psychiatric and safety needs.
Inpatient care at Bradley Hospital provides around-the-clock psychiatric care, in-person, for children and teens experiencing a mental health crisis.
What Is Inpatient Care?
It’s the most intensive level of care, designed to ensure safety, stabilize symptoms, and begin treatment.
Who Needs Inpatient Care?
Children and adolescents in immediate danger to themselves or others
Children and adolescents unable to care for themselves or unable to function in their lives
Youth experiencing severe psychiatric symptoms (e.g., suicidality, aggression, psychosis)
What to Expect
During inpatient psychiatric hospitalization, expect:
Constant (24 hours a day, seven days a week) supervision by clinical and mental health staff
Individual, family and group therapy
Medication evaluation and management as indicated
Safe, structured environment with daily therapeutic and educational programming intended to build skills to manage their psychiatric symptoms
Family treatment and engagement with discharge planning
One week stay on average, though some stays may be extended based on psychiatric and safety needs
How to Access
Admission to inpatient psychiatric hospitalization is through a psychiatric evaluation, preferably through
Kids’ Link
or alternatively an emergency department. Insurance authorization is typically required.
Residential Programs
A residential program provides patients with long-term, intensive, 24-hour support in a structured, home-like environment:
The program aims to help individuals, and their families, develop and sustain emotional, social and cognitive abilities, and confidence to lead productive lives before returning home.
This level of care offers individuals who are not currently in crisis more support than outpatient services.
This level of care is typically accessed through state support and at times through insurance.
Our expert clinicians and staff help youth build emotion regulation and coping skills through therapy, family therapy and support, education and engaging community activities.
Residential programs offer a structured and supportive treatment setting in the community. They’re usually longer-term (often six months or more) and focus on helping individuals build skills and confidence before returning home. Patients take part in individual, family, and group therapy, may receive psychiatric care, and live in a home-like environment where they work on personal goals and learn how to relate to others in healthy ways. The children each have an educational plan that includes attending school in a setting appropriate for their educational needs.
What Residential Programs Are Available?
Bradley Hospital provides a range of in-person, residential treatment services for children and adolescents across Rhode Island, offering intensive, family-centered care tailored to unique developmental and emotional needs with a goal of improved personal skillfulness and family functioning.
Some of our Residential Programs include:
The CRAFT Program, which supports children ages 5 to 12 with serious emotional and behavioral challenges with a focus on family reunification
The
Center for Autism and Developmental Disabilities (CADD) Program
, serving youth ages 8 to 21 with both developmental disabilities, psychiatric diagnoses and challenging behaviors.
The
Compass Program
, a short-term, community-based program for girls ages 13 to 18 experiencing severe mood and/or behavioral dysregulation. The program integrates the dialectical behavior therapy approach to promote emotional regulation, safety, and long-term stability.
The Bradley Center
, a 16-bed residence providing short-term intensive treatment and stabilization for adolescents ages 12–17 with serious emotional, behavioral, or co-occurring disorders.
What to Expect?
Bradley Hospital offers a range of programs tailored to meet each child’s unique needs. Our team works closely with the patient and family to ensure placement in the program that’s the best fit.
How to Access?
Placement into a residential program involves collaboration with the treatment team, the family and local state agencies such as the Department of Children, Youth and Families (aside from The Bradley Center).
Bradley’s team of clinicians and staff strives to help patients build a sense of purpose and meaning so they can be equipped to lead productive and quality lives.
Determining a level of care is personalized to the particular needs of the child and family at a particular moment in time, to support your child and family’s health.
We’ll assess, with children and family members, which program would be most effective, and provide individualized treatment to support their mental health.
Bradley Hospital
About Bradley Hospital
Our History
Bradley Hospital Executive Leadership
Nursing at Bradley Hospital
Educational Partnerships
Nurse Residency Programs
Nursing Leadership
Psychiatric Nursing
The DAISY Award
Commitment to the Community
Bradley Hospital Facts and Statistics
Map, Directions, Parking and Volunteer Information
Bradley Hospital in the News
For Parents and Caregivers
Planning Your Visit
Your Child's Stay
Support Services
MyChart Patient Portal
Rights and Responsibilities
Rhode Island Mental Health Law: Patient Rights
Confidentiality Policy
For Families and Friends
While You're Here
Family Advisory Council
Support and Therapy Groups
Family Liaison Program
Nutrition: What We Offer
Making Connections
Animal Therapy at Bradley Hospital
Parenting Resources
Online Parent Support Groups
Resources for Parents
Resources for Veteran and Military Families
Children's Behavioral Health Resources
Insurance and Billing
Cost of Care
Programs and Levels of Care
Mindcast: Healthy Mind, Healthy Child Podcast
Parents Guide to Children's Mental Health
Defining Mental Health
Getting Help for Your Child
How to Find Help for Your Child
Crisis Situations with Children and Teens
Signs and Symptoms of Mental Health Issues
Early Child Development Issues
Overactivity and Inattentiveness
Extreme Anger or Irritability
Extreme Defiance
Learning Problems
Speech and Language Problems
Drug or Alchohol Use
Extreme Anxiety or Fear
Extreme Sadness and Despair
Eating and Body Image Concerns
Self-Injurious Behaviors
Child Abuse
Psychosis
Early Child Development
Talking to Your Child's Pediatrician
Mental Health Evaluations
ADHD Evaluation
Comprehensive Psychiatric Evaluation
Developmental Evaluation
Educational Evaluation
Feeding Evaluation
Neuro-Psychological Evaluation
Psychological Evaluation
Psychotherapy Evaluation
Speech-Language Evaluation
Common Mental Health Diagnoses
Paying for Mental Healthcare
Mental Health Support
You and Your Support Team
Advocacy Organizations
Health Insurance Care Managers
Mental Health Specialists
Mental Health Hospitals and Community Mental Health Centers
Medical Hospitals and Health Centers
Early Childhood Services
The School System
Accessing Special Education
Preparing for an Individualized Education Plan (IEP) Meeting
State Agencies
Community and Non-Profit Organizations
Coordinating Your Child's Care
Transitioning to Adulthood
Talking to Your Employer
Maternal Depression
Mental Health Treatment
Levels of Care: Explained
Psychotherapy
Trainings
Medications
Parenting Articles and Tips
Knowing When to Seek Help for Your Child
Understanding Your Child's Temperament
Building Your Child's Self-Esteem
Peer Relations
Getting Your Child to Sleep
Problems After a Traumatic Event
Talking With Your Child After a Traumatic Event
Bradley Hospital Social Work and Counseling
Patient Stories
Meet Alex
Meet Jordan
Patient Story: Meet Jack
Resources for Families
Giving to Bradley Hospital
Ways to Give
Trustees & Governors
Development Team
Philanthropy & Grant News
Bravo Bradley
Planned Giving
2025 Honor Roll of Supporters
Christopher Benedick Adopt a Family Program
With Gratitude: Patient Stories
AJ's Story
Lucas's story
Izzy's Story
Nathan's story
Profiles in Giving
Publications & Videos
reCAPTCHA