A Higher Level of Care (HLOC) recommendation may be appropriate when a client's clinical needs exceed what can be safely or effectively managed within their current treatment setting.
Higher levels of care can vary in intensity and may include:
- Intensive Outpatient Programs (IOP)
- Partial Hospitalization Programs (PHP)
- Residential treatment
- Inpatient psychiatric care
- Detox or substance-use treatment
- Other specialized services
The recommended level of care should be based on the client's clinical presentation, safety needs, functioning, treatment needs, available supports, and ability to participate in and access care.
The goal of an HLOC recommendation is to identify the level of treatment that can most appropriately meet the client's current needs.
What is the provider's role?
Providers are responsible for using their clinical judgment throughout the course of treatment. This includes:
- Conducting initial and ongoing clinical assessments.
- Determining the client's treatment needs.
- Communicating clinical recommendations clearly and directly with the client.
- Completing timely and appropriate documentation.
- Supporting the client in accessing recommended care and facilitating continuity when appropriate.
- Completing the Higher Level of Care Recommendation Form when, based on their assessment, they determine that a client may benefit from HLOC.
Talkspace does not make the clinical decision about whether a client requires HLOC. Providers remain responsible for assessing the client's needs and determining whether HLOC is clinically indicated.
What is Talkspace's role?
Talkspace supports providers through resources, consultation, and organizational processes related to HLOC recommendations and transitions of care.
The Clinical Risk Management team tracks and monitors HLOC recommendations to support:
- Awareness of client care needs across the platform
- Appropriate follow-up, when indicated
- Alignment with documentation and professional standards
Important: An HLOC recommendation is not an emergency intervention. If a client is experiencing an immediate safety concern or emergency, providers should initiate the appropriate clinical crisis or emergency response without delay. |