Partial Hospitalization Program

The partial hospitalization program (PHP) at The Ranch Tennessee provides a high level of daily clinical care for people who need more structure than outpatient services can offer, without overnight residential supervision. PHP offers consistency, accountability, and clinical depth while allowing individuals to return home or to approved housing in the evenings.

This level of care often serves as a transition from residential programming, though some people begin PHP based on their clinical needs and circumstances.

Who PHP is designed for

PHP may be a good fit if you:

  • Are stepping down from residential care and need continued daily support
  • Require structured programming to stabilize substance use or mental health symptoms
  • Benefit from close clinical oversight while rebuilding independence
  • Are preparing for a transition into intensive outpatient or outpatient care

Care plans are individualized and reviewed regularly to ensure the level of support remains appropriate.

What to expect in PHP

Clients in PHP attend programming most days of the week and engage in structured clinical work throughout the day. This includes group therapy, individual sessions, and regular check-ins with the care team.

PHP at The Ranch includes:

  • Daily clinical programming
  • Ongoing psychiatric and medical oversight
  • Trauma-informed care delivered by experienced clinicians
  • Family involvement when appropriate

Measured-based practices are used to monitor progress and guide treatment decisions, supporting consistency across levels of care.

Equine therapy and adventure-based programming

Equine therapy is a core component of care at The Ranch Tennessee and is woven into programming at the PHP level when clinically appropriate. Working with horses supports emotional regulation, accountability, and nonverbal communication. As clients progress, opportunities may expand to include riding as a milestone, reflecting increased trust and responsibility.

Adventure therapy is also incorporated through structured activities such as ropes courses and zip lining. These experiences are facilitated by trained staff and designed to help clients practice managing fear, building confidence, and working through challenges in real time. Group bonfires and outdoor meditative spaces further support connection, reflection, and community.

Trauma-informed care and EMDR availability

Care in PHP is grounded in trauma-informed principles, recognizing how past experiences shape emotional and behavioral responses. The clinical team works collaboratively with clients to build safety, awareness, and regulation.

EMDR is available when appropriate and is used thoughtfully as part of a broader treatment plan. This approach is not required for all clients but offers an additional option for those who may benefit.

Therapeutic approaches used in PHP

PHP integrates evidence-based practices such as:

  • Dialectical behavior therapy (DBT)
  • Acceptance and commitment therapy (ACT)
  • Skills-based group work
  • Individual therapy focused on stabilization and insight

Care addresses both substance use and primary mental health conditions, supporting clients as they build routines and coping strategies that extend beyond structured programming.

Planning for the next level of care

PHP is designed with transition in mind. As clients make progress, the focus shifts toward stepping into intensive outpatient care, outpatient services, or other appropriate supports. Aftercare planning and alumni connection help maintain continuity as formal programming concludes.

Beginning PHP at The Ranch Tennessee

If you’re exploring partial hospitalization programs in Tennessee, the admissions team at The Ranch Tennessee is available to answer questions, review options, and help determine whether PHP is the right fit. Call 888.483.7718 to get started.

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© 2026

Brian Fuller, MD

Medical Director

Dr. Fuller is board certified by the American Board of Psychiatry and Neurology. He completed medical school at the University of Tennessee Health Science Center and residency at Vanderbilt University. Additionally, he has completed the Nashville Advance Psychodynamic Psychotherapy Program, a two-year intensive program to better integrate traditional psychotherapy into his psychiatric practice. Dr. Fuller began his post-residency career in psychiatry running a psychotherapy-oriented private practice. Looking to help more people than he could working alone yet still provide treatment that emphasizes the importance and value of talk therapy, he joined The Ranch in 2017.

Dr. Fuller is passionate about helping people who have survived trauma and/or are struggling with addiction and strongly believes that the life we all deserve is within reach, no matter the adversity that one must overcome. He views medications as tools rather than solutions and his prescribing philosophy is to use the lowest dose necessary of non-addictive medications to help aid the process of recovery.