
Do I need inpatient or outpatient care? This question can come up during an overwhelming or frightening time. Understanding the difference between inpatient vs. outpatient care and which one fits your situation can help you feel more prepared when exploring your options and speaking to professionals.
The thought of needing inpatient treatment can feel daunting, but the reality is that many people don’t need this level of care. According to the Substance Abuse and Mental Health Services Administration (SAMHSA),
Outpatient care also includes a range of treatment intensities, making it a fit for people with different needs and levels of support. However, some people do benefit from inpatient care when they need a safe, structured environment for symptom stabilization before taking the next step in their care.
This inpatient vs. outpatient care quiz is designed to help you reflect on what you’ve been experiencing and identify topics you may want to discuss with a mental health professional. It is not a diagnosis and cannot determine which level of care you need. A qualified provider can help you make that decision based on your individual circumstances. If at any point you are in immediate danger, call 911 or the Suicide & Crisis Lifeline at 988.
If you answered yes and believe you may be in immediate danger or unable to keep yourself safe, seek emergency help now. Call 911 or the Suicide & Crisis Lifeline at 988.
If you said yes but aren’t in immediate danger, reach out to a mental health professional or crisis service. They can help you discuss your situation and find the right care.
If you answered no, move on to the following questions to assess your functioning, symptom severity, and home support.
Your answers may suggest that it would be helpful to discuss a higher level of support with a clinician. Reach out to a provider today, such as Willow Health.
Outpatient care may be a fit, so confirm with a clinician. Only a professional can determine the right level of care.
Inpatient mental health care provides 24/7 hospital-based care, with continuous monitoring and treatment. It’s highly structured and designed to provide you with a safe, secure place to learn about your condition, stabilize symptoms, receive medical care, begin or adjust psychiatric medications, and learn coping strategies away from stressors in your daily life or at home.
Inpatient mental health care is recommended when symptoms are severe enough that there’s a safety risk to yourself or those around you, or you are unable to care for yourself. It may also be suggested for those who aren’t improving with outpatient care. How long you stay in inpatient care depends on your situation and goals, but it’s usually short-term, with the goal being to stabilize symptoms so you’re able to return home and take the next steps in caring for your mental health and well-being.
Outpatient mental health care is treatment you receive while living at home. Outpatient mental health care can include a range of services, including individual therapy, group therapy, family therapy, and medication management. It also offers a spectrum of intensities, from weekly therapy to more intensive programs, such as intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs).
For this reason, outpatient mental health care is flexible and suits many different mental health situations. Outpatient mental health care is often suggested for those with mild to moderate symptoms. This option works well for individuals who can manage their symptoms while living at home or in a supportive environment.
If there’s an immediate safety concern, 911 or 988 is the best first step. Trained crisis counselors are available 24/7 through the Suicide & Crisis Lifeline at 988.
If you answered often or sometimes to most questions, your symptoms may be impacting your daily life and ability to function. In these situations, traditional outpatient therapy might not be enough. Inpatient treatment or intensive outpatient treatment may be better suited.
If you answered occasionally or not at all to most questions, your symptoms may be more manageable, and your coping strategies are helping most of the time. In this situation, outpatient treatment may be appropriate to help with further skill development and emotional processing.
Keep in mind that this quiz is a conversation starter rather than a direct answer. It’s important to work with a clinician to determine the best level of care for your current situation. They’ll ask you questions to assess:
Remember that needing a higher level of support is not a failure. Rather, it’s a sign that more structure is the best level of care for you at that moment.
If traditional outpatient care isn't enough, there are more intensive options that can bridge the gap between traditional outpatient care and inpatient care. These include IOPs, PHPs, and crisis stabilization programs. Willow Health offers an intensive outpatient program and provides urgent, sustained crisis stabilization for New Yorkers who don’t need the ER but are unable to wait for another option. Willow Health offers an urgent assessment within 48 hours to provide you with a personalized treatment plan.
A clinician can help you decide whether inpatient or outpatient care would be the best fit. Most people benefit from some level of outpatient care. However, inpatient care may be needed when symptoms are severe, there is a safety concern, and there’s a need for a safe, stable environment.
Yes, for many people, outpatient care is effective and supportive. Choosing a level of care is about individual fit rather than overall effectiveness.
Inpatient mental health care is necessary when symptoms have become so severe that it’s challenging to keep yourself safe or care for yourself. It can also be a good choice if you need a stable, secure environment, such as when triggers or risk of harm make staying at home unsafe.
You can usually participate in decisions about your treatment and level of care. However, laws permit involuntary admission when your situation meets specific legal criteria, including certain situations involving a serious risk of harm.
If you’re not sure what you need, a clinician can help you decide. You can get urgent assessments at psychiatric urgent care centers or through virtual crisis stabilization programs like Willow Health. A clinician will complete an assessment to learn more about your current symptoms and situation and what has or hasn’t worked for you in the past. They’ll use this information to suggest a care plan.
National Alliance on Mental Illness. (n.d.). Treatments and approaches. https://www.nami.org/treatments-and-approaches/
Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2014). Results from the 2013 National Survey on Drug Use and Health: Mental health findings. https://www.samhsa.gov/data/sites/default/files/NSDUHmhfr2013/NSDUHmhfr2013.htm
Substance Abuse and Mental Health Services Administration. (n.d.). Types of treatment. U.S. Department of Health and Human Services. https://www.samhsa.gov/find-support/learn-about-treatment/types-of-treatment
This article is provided for educational purposes only and is not to be considered medical advice or mental health treatment. The information contained herein is not a substitute for seeking professional medical advice for health concerns. Use of the techniques and practices outlined in this article is to be done cautiously and at one’s own risk, and the author/publisher is not liable for any outcomes a reader may experience. The author/publisher is not liable for any information contained within linked external websites. If you are experiencing a life-threatening emergency, please call 911 or the Suicide and Crisis Lifeline at 988.