Each child is in this program because he or she has serious medical issues. For that reason, the Hasbro Children's Partial Hospital Program (HCPHP) day begins with a medical evaluation of each child by an experienced pediatric nurse, who is alert for any changes in the child's physical condition. Should any new symptoms arise, or a change in treatment be indicated, a pediatricianis always nearby. The nursing staff is present throughout the day to observe the children and make appropriate medical interventions as needed. More about our pediatric staff and nurses.
During each child's stay, he or she will eat breakfast, lunch and two healthy snacks with his peer group every day. For many of our children, like those with eating disorders or diabetes, choosing to eat healthy foods has been a problem. The HCPHP team will help the children make good choices during the day. As a part of the program, nutritionists will meet with parents and children to provide help in developing healthy eating habits at home and as a way of life. More about our nutritionists.
The milieu is the supportive environment that surrounds the child throughout his entire day here. The milieu therapists are trained professionals who spend the day with the group, promoting positive peer communications; sensing if a child is withdrawing from the group and gently bringing that child back into connection; seeing that the youngsters are involved, having a good time and making good choices. Milieu therapy will maintain coherence in the child's day, and ensure that events flow smoothly and comfortably from one into another. More about our milieu therapists.
In addition to informal meetings at check-in and check-out time, twice a week the child's primary clinician will meet with the parents and your child to talk about how he or she is doing, including what treatment is recommended and what progress is being made. Naturally, all families want to do everything they can to return their child to health. Everyone at the HCPHP knows that the family is essential in achieveing that healthy status. One of the primary purposes of the family meetings is to identify strategies to help the family work together to reach that goal. More about family involvement.
Mostdays, an expert clinician-either a child psychiatrist, a child pyschologist, a licensed clinical social worker or a psychiatric nurse-will meet privately with your child. These one-on-one meetings are held to encourage the child to discuss his or her feelings away from the group. This is a good time to talk about problems, wishes and fears and to set goals for getting better. More about our clinical staff.
One of the greatest assets of the program is peer support therapy, held four times a week. Children, who can be expected to automatically reject advice and counsel from adults, many times will listen to their peers. Often, children who have difficulty facing their own problems may offer clear-headed evaluations and solutions to others. In doing so, they may gain insight into their own issues. The meetings are facilitated by the clinical staff, who have a further opportunity to appreciate the children's strengths and challenges in a group setting.
Once each week, families are invited to get together to share their experiences with each other. "Families" include the children in the program, their parents, siblings and any other close family members who would like to attend. This is an opportunity for families to compare strategies that worked and ones that didn't. Parents are strong supports for one another, as they exchange thoughts on coping with children with chronic illnesses.
The community meeting is held right after breakfast each day. The schedule for the day is reviewed. This is also the time to discuss any ongoing community issues. At the community meeting, each child will set two goals: one for the day, and one for the evening at home. The goals are attainable, but depending on the child's condition, not necessarily easy. For instance, a child with asthma might set the goal of taking his inhaled medication without being reminded. A child who doesn't like school might set himself the task of finishing a single assignment.
A popular station at the HCPHP is the Point Store, stocked with trinkets and treasures like books, puzzles and a variety of toys. Cash has no value at the Point Store, but points are like gold. Each morning, your child will be given a point sheet, and during the day, the staff will award points as treatment goals are achieved. At day's end, the points earned are traded for prizes. At checkout, a new point sheet will be passed along to the patient. He or she, in turn, will continue to provide feedback, awarding points for any goal attained, until the next morning when the accumulated points may once again be traded for prizes.
Each child attends school, with his peers, from 10:30 a.m. until noon, every day, Monday through Friday, on a year-round schedule. A state-certified teacher staffs each of the age groups in a special classroom area. The child's teacher in the HCPHP is in communication with your child's school, guidance counselor or home-based teacher, and will know what assignments must be covered to maintain academic progress. More about our teachers.