Day Hospital

Day Hospital

Helping you feel better, faster

Has your pregnancy or postpartum experience felt different than you expected?

You're not alone.

The Day Hospital is the nation’s first mom and baby partial hospital program for pregnant and postpartum birthing people (up to one year after delivery) who are experiencing depression, anxiety, or other emotional challenges like PTSD, OCD, or bipolar disorder.

This short-term program offers more support than typical outpatient care, in a setting designed just for you. You’ll work with perinatal mental health specialists through a mix of group and individual therapy during the day. And because we know how important that connection is, your baby can stay with you throughout the program. At the end of each day, you return home.

We’re here to meet you where you are. Everyone’s experience with pregnancy, postpartum, and building a family is different, and we honor that. Our care is centered on you, your strengths, your story, and your needs, in a space that is inclusive, respectful, and supportive.

Contact Information:

Women & Infants Day Hospital
2 Dudley Street
1st Floor, Ste. 120
Providence, RI 02905
P: (401) 453-7955 Choose Option 1, and then Option 1 again 

Spanish-speaking staff members are available in the department, and the hospital has interpreters in other languages available upon request.

If you or someone you know is in crisis, contact the national 988 Suicide and Crisis Lifeline. Call or text 988 or chat at 988lifeline.org

Safe Zone

 

A Side of Postpartum No One Talks About

To stop and write about my story has taken time, healing, reflection, and strength. My journey to get here was one of pain, darkness, acceptance, and love. I am telling my story so other moms, who may be struggling, don’t feel alone.

On August 20, 2022, at 8:38 a.m. – after an induction, epidural, and exactly two hours of pushing - my husband and I welcomed Calvin William.  

After losing two pregnancies, our rainbow baby was finally here. I experienced one of the best feelings mentally and physically; to have him on me, instead of in me.  

Click here to continue reading Sarah's story.

 

sarah 1

 

It's More Than the Baby Blues

alexis-brown-omeaHbEFlN4-unsplash_11zon

After delivery, many people experience what’s often called the “Baby Blues.” This is a common, short-lived period of feeling sad, weepy, or emotionally up and down, usually caused by hormonal changes. These feelings typically last up to about two weeks.

You might notice things like:

  • Mood swings or feeling sad
  • Crying without a clear reason
  • Irritability
  • Intense worry
  • Trouble concentrating
  • Feeling overwhelmed
  • Not feeling bonded to your baby

For some, these feelings are more intense and last longer. These are called Perinatal Mood and Anxiety Disorders, or PMADs, and they go beyond the Baby Blues.

If you’re experiencing a PMAD, symptoms may last longer than two weeks and can make it hard to get through your day. You might be experiencing:

  • Crying often or feeling sad without knowing why

  • Trouble sleeping, even when your baby is sleeping

  • Feeling overwhelmed and struggling with daily tasks

  • Fear of being apart from your children

  • Irritability or anger toward family, your children, or others

  • Feeling guilty or like you’re failing

  • Feeling disconnected from your baby or the people around you

  • Changes in appetite, either eating too much or not enough

  • Difficulty concentrating or making decisions

  • Feeling constantly on edge, restless, or easily startled

  • Unwanted thoughts or images about something bad happening to you, your baby, or someone else

  • Thoughts of death or suicide 

If any of this sounds familiar, you are not alone. About 1 in 5 birthing people experience PMADs, making them the most common complication of pregnancy and childbirth.

These symptoms can make it harder to care for yourself, your baby, and your family, and can affect daily life. Without support, they can also have lasting impacts. The good news is that PMADs are highly treatable, and support is here when you’re ready.

Our Approach

Our Approach to Care

In the Day Hospital Program, your care is built around you. Every treatment plan is individualized to meet your unique needs and may include:

  • Group therapy, individual therapy, and family therapy

  • Medication management, if you choose it

  • Connection to community resources and parenting support
What to Expect

The Day Hospital is a daily, in-person program for people experiencing depression, anxiety, or other behavioral health concerns during pregnancy and postpartum.

  • Program hours are Monday through Friday, 9:15 a.m. to 2:15 p.m.

  • Most people attend for about 2 to 3 weeks

  • Each day includes four group therapy sessions, along with individual therapy

We recognize the importance of keeping parents and babies together. We encourage babies under 1 year old to attend with you.

  • A nursery is available on site
  • Infant care specialists are part of our team

Medication management is available, but it is always your choice.

We also try to make the day as comfortable and accessible as possible:

  • Lunch is provided, or you are welcome to bring your own food and drinks

  • Interpreters for all languages are available upon request

  • Spanish-speaking staff are available in the department
  • All major insurances are accepted
  • Parking is free and validated

If getting here feels like a barrier, please let us know. If you have transportation challenges or live farther away, we may be able to help.

What We’ll Work on Together

During the program, we focus on helping you feel more supported, more confident, and more connected. This may include:

  • Support for bonding and connecting with your pregnancy or your baby

  • Education on topics like:

    • The transition to parenthood

    • Caring for your baby
    • Managing intense emotions
    • Building coping skills for panic or anger 
  • A personalized outpatient care plan for continued support after you leave the program

You will leave with tools, support, and a plan for what comes next.

National and International Recognition
  • In 2003, Dr. Margaret Howard, director of the Day Hospital, was recognized as one of five national recipients of the annual Eli Lilly Welcome Back Award, which recognizes innovation in the recognition and treatment of depression
  • In 2004, the Day Hospital program was featured at the 2nd Congress for the International Association for Women’s Mental Health
  • In 2005, the Joint Commission recommended that the Day Hospital apply for its nationally competitive Codman Award because of the program’s attention to patient care and seamlessness of care
  • Clinicians have had research and articles published in the following professional publications: American Journal of Obstetrics & Gynecology, American Journal of Psychiatry, Archives of Women’s Mental Health, Journal of Clinical Psychiatry, Journal of Nervous and Mental Disease, Medical Care of the Pregnant Patient, New England Psychologist, and Psychiatric Services
  • Local, regional, national and international consumer media outlets have sought out the Day Hospital staff for their expertise on postpartum depression and other perinatal mood disorder issues

In addition, the Day Hospital is a site for several past and ongoing National Institute of Mental Health (NIMH) funded research projects involving perinatal mood disorders, perinatal loss, and comparative treatment approaches with postpartum women.

Patient Testimonials

"The Day Hospital was my 'saving grace' during this most difficult postpartum time. The group therapy and one-to-one therapy gave me the optimism and hope that things would get better. Every day is still a battle for me, but I use the techniques and skills that I learned at the Day Hospital."

“I don’t know where I would be today had I not found this program. I can’t say enough good things about it! Your staff is wonderful, and I think it works so well because you operate as a team … keep up the good work.”

“I liked knowing that I wasn’t alone with these feelings … the other women had them, too.”

“Coming to this program is the best thing that could have happened to me in that moment of my life when I was feeling so alone, lost and desperate. I profusely thank all the staff, not only for me but especially for my baby, because you gave me strength to take care of him.”

“I don’t know where I’d be without all of you. I’m feeling great and enjoying every day with my family. A few months ago, I thought I’d never feel myself again. The enclosed photo is to show you who you’ve really helped – my kids now have the mother they deserve back. My family owes so much to all of you. We just wanted you all to know how important the work you do is.”

“Overall the program was excellent and has gone a long way toward helping me get back on my feet. Both the concept of the program and the implementation of it are wonderfully innovative and needed and should be used as a model on other hospitals.”

“I’ve never felt lucky to live in RI until I became pregnant and realized I could have my baby at Women & Infants Hospital – the fact that a program like this (and as good as this) exists proves my point.”

“This program is very well thought out and organized. All of the skills I have learned have been very helpful. It is reassuring to know that there is so much support out there for new moms.”

“I just wanted to thank everyone here for the help I’ve received. It was a great experience being able to meet other women in similar situations and having people who actually care and feel my pain. I would do it again if I had to.”

“Gracias por el gran soporte que ustedes ofrecen a las mujeres … gracias, gracias to all.”