This question is best answered by another question: How is the person doing?
After answering that we proceed to several more specific questions, which guide us in finding a good fit for treatment:
• What is the individual’s goal(s) for treatment? Are things on track?
• If she was manic and psychotic, have those symptoms resolved, or mostly resolved?
• If she was having thoughts of suicide, have these thoughts gone away?
• How stable does she feel with her current medication(s)?
• Is she actively abusing substances?
• If there were high-risk behaviors while in a manic or mixed state, have those stopped?
• Are there major stressors that need to be resolved (housing, job, finance, relationship issues, looming legal problems) ?
While it’s unlikely that all of the above will be fully resolved over the course of PHP admission, most major issues and symptoms will be improved so that the person can progress to a less intrusive level of care.
In general, you want to provide the help someone needs, but not do for them what they can do for themselves.