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so there are a variety of ways to come into the PHP program some individuals come in directly that means they come to the Access Center at Ridgeview they may have been referred by someone by let's say a doctor or psychiatrist or a therapist or they're just seeking help they come into the Access Center and they go through an evaluation process to see what level of care the person needs what kind of support they need so people can come straight into the PHP program and not ever have been in the inpatient program I think the biggest criteria for coming directly into the program is a person's ability to actually engage in group therapy and to be able to sit in and get something from lectures if someone has a lot of symptoms that are getting in the way of doing that let's say you have an individual who's had a psychotic break and they still are having a lot of hallucinations they're having a lot of interruption in their thought process then they would not be appropriate to start that progra

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