Medically reviewed by Kevin Wandler, MD, Chief Medical Advisor
Finishing residential treatment is a real accomplishment. It can also be the moment recovery feels most exposed. Going straight from round-the-clock support to occasional outpatient appointments is a big jump, and for many adults in Bedford, a partial hospitalization program fills that gap.
Promises Dallas-Fort Worth offers partial hospitalization at its Lewisville campus: structured, full-day treatment in person while you live at home.
A Bridge Between Residential Care and Home
In residential treatment, your environment is built around recovery. At home, it isn’t. PHP lets you practice living at home again while you still have full-day clinical support. You try new coping skills in real situations, then bring what happened back to therapy on your next treatment day.
PHP isn’t only for people leaving residential care. It also serves adults finishing medical detox and those who need more support than outpatient therapy offers, whether the main concern is substance use, a mental health condition, or both.
Why the Drive From Bedford Is Manageable
From Bedford, the campus is about 20 to 25 minutes away, typically north on TX-121 and then north on I-35E. That’s a realistic trip to make on each treatment day, which matters because a day program works when you can get there consistently.
For Tarrant County residents, it also means treatment is close enough to fit around home life, with a short stretch of road that can serve as a buffer between the two.
What You’ll Work On
- Relapse prevention: identifying your personal triggers and building a plan for cravings and high-risk moments
- CBT and DBT skills: practical tools for changing unhelpful thinking and handling intense emotions
- Individual therapy: focused time on your own history and goals
- Group therapy: support and accountability from peers
- Family therapy: rebuilding communication and setting expectations at home
- Psychiatric care: evaluation and medication management when needed
- Aftercare planning: a clear plan for the next stage
The Levels of Care, Step by Step
- Medical detox, when withdrawal needs to be managed safely
- Residential addiction or mental health treatment
- Partial hospitalization at the Lewisville campus
- The virtual intensive outpatient program, online several days a week for adults anywhere in Texas
- Aftercare, with a plan built for every client
Not everyone starts at step one. Your entry point depends on your needs, and an assessment helps determine it. If you are still drinking heavily or using benzodiazepines, don’t stop abruptly on your own. Withdrawal from either can be life-threatening and should happen under medical supervision.
Insurance and Admission
If your residential stay was covered, don’t assume PHP will be handled the same way. A change in level of care can mean a new review, and coverage depends on your individual plan, medical necessity and prior authorization. Blue Cross Blue Shield, Cigna, Aetna and UnitedHealthcare, including Optum plans, are among the insurers in network with Promises DFW. Admissions can check your benefits for free and confidentially, 24/7.
Frequently Asked Questions
Can I move straight from residential treatment into PHP?
Often, yes. Stepping down from residential care is one of the most common reasons people start PHP. Your treatment team will recommend a level of care based on how you’re doing.
How far is the campus from Bedford?
About 20 to 25 minutes, usually via TX-121 north to I-35E north.
What if I struggle once I’m back home?
That’s part of what PHP is for. You bring those challenges into therapy, adjust your relapse prevention plan and keep practicing. If your needs change, your team can talk with you about a different level of care.
Talk to Admissions Today
Call (469) 546-9303 to talk through your options. You can also contact Promises DFW online, look over insurance information, or visit our Bedford page for more on local access to care. In a mental health crisis, call or text 988. In an emergency, call 911.