The Day Hospital

The Day Hospital

Helping you feel better, faster

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

If so, you are not alone.

The Day Hospital is the nation’s first mother-infant partial hospital program treating pregnant and postpartum birthing people (up to 1 year) experiencing depression, anxiety, or other emotional distress, including post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and bipolar disorder.

The Day Hospital provides short-term mental health care for pregnant and postpartum birthing people in a supportive setting with perinatal mental health specialists. This program offers more support than usual outpatient care, with structured group and individual programming during the day that allows birthing parents and their babies to stay together. Patients attend the program during the day then return home in the afternoon.

We are dedicated to embracing, empowering, and celebrating diverse identities and voices. We recognize that everyone’s experiences with pregnancy, postpartum, and family building is deeply individual. In the Day Hospital, we strive to provide mental health care that is strength-based, person-centered, and affirming.

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“Baby Blues or Postpartum Blues” is a normal, short-lived period of feeling sad, weepy, or otherwise moody that is triggered by hormonal changes after delivery. Your symptoms can last about two weeks after delivery. Symptoms include:

  • Mood swings or feeling sad

  • Crying for no reason

  • Irritability

  • Intense worry 

  • Trouble concentrating

  • Feeling overwhelmed 

  • Not feeling bonded to your baby

Perinatal Mood and Anxiety Disorders (PMADs) are much more intense than the Baby Blues. If you are experiencing a PMAD, your symptoms may last longer than two weeks after delivery and make it difficult to function. Signs of PMADs include:

  • Crying a lot or feeling sad and not always sure why

  • Unable to sleep, even when the baby is sleeping

  • Overwhelmed and having a hard time managing your daily tasks

  • Afraid to be apart from your children

  • Irritable and angry with your family, children, and others

  • Feeling guilty or like a failure

  • Feeling disconnected from your baby or others

  • Changes in appetite – eating too much or not enough

  • Difficulty concentrating or making decisions

  • Feeling on edge, restless, or easily startled

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

  • Having thoughts of death or suicide

1 in 5 mothers and birthing people experience PMADs, making these the most common complications of pregnancy and childbirth. Experiencing these symptoms can make it hard to take care of yourself, your baby, and any other children. They can also make it difficult to function. If left untreated, PMADs can lead to difficulties for birthing people, babies, and families. The good news is that PMADs are highly treatable, and we are here to help.

Our Approach

Our Treatment

In the Day Hospital Program, every patient’s program is individualized to meet their unique needs, including:

  • Group, individual, and family therapy

  • Medication management (optional)

  • Support for bonding and connecting with your pregnancy or baby

  • Education on topics such as transition to parenthood, caring for your baby, managing intense emotions, relaxation, and coping skills for panic and anger

  • Connection to additional community and parenting resources

  • Personalized outpatient care plan following discharge from the program

Program Details

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

  • Program hours are Monday through Friday 9:15 am – 2:15 pm.

  • Most people attend for 2-3 weeks.

  • Treatment includes four group therapy sessions per day and individual therapy.

  • We encourage babies under 1 year old to attend with you.

  • We have a nursery on site and infant care specialists on staff.

  • Medication management is available but not required.

  • Lunch is provided. You may also bring your own food and drink.

  • Interpreters for all languages are available upon request, and we have Spanish-speaking staff in the department.

  • All major insurances are accepted.

  • Parking is validated (free)

  • If you have transportation difficulties or think you live too far away to attend, we may be able to help.

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.”