I was in PHP from early May to late June 2025, though they have IOP as well. PHP is 9-3:15 M-F, including most holidays, and IOP is 3 days a week for 3h a day. I’m not sure if it is wheelchair-accessible; there is an elevator in the office suite where PHP is, but no one who was a wheelchair user was there when I was there. The apartment that’s transitional housing is not wheelchair accessible—there are stairs up to the apartment.
They have adolescent PHP and adult PHP, with an average of like 6 adolescents and 10 adults at a time, max adult capacity being 14. They treat all genders, though some misgendering of nonbinary people who used they/them pronouns did occur.
One thing to note is that the PHP has no medical providers on staff, just techs, therapists, and dietitians daily, and the psychiatrists who are consultants for the program come in once a week to do med management sessions. To reiterate, there is no medical doctor or nurse onsite at all—they do have a doctor they refer people to if they need care, or they’ll tell them to go to urgent care or the ER.
When I was there, you saw your therapist twice a week for 45 minutes and your dietitian and psychiatrist once a week for 30 minutes, though now most clients are getting just one therapy session per week due to the therapists having high caseloads. There are currently 3 dietitians, 2 techs, and 3 primary therapists, all of whom work with both adults and adolescents.
I would say that the therapies aren’t well-defined at all, either in groups or individual sessions. The group sessions are vague Monte Nido groups (e.g. “Thoughts and Actions” instead of CBT), often focusing on worksheets with basic mindfulness or CBT info or handouts with, like, random graphics from the internet that have the Monte Nido label at the top. I could usually tell what type of therapy we were doing, having a degree in psychology and having worked in the field, but many clients newer to treatment were totally lost. Most groups and snacks are led by the techs, with most meals led by the dietitians; a therapist leads the check-in/process group in the morning and there’s about one other therapist-led group per day for adults.
Snacks were provided, with a variety of potential snack options (milk, yogurt, juice, applesauce, cookies, chips, crackers, cheese, granola bars, fresh and dried fruit, nuts, nut butters, bread, store-bought baked goods) to choose from, based on one’s meal plan, which could either be specific exchanges (e.g, a protein, fruit, and grain) or total exchanges (e.g. 3 exchanges). Also, before and after every meal and snack at PHP, everyone has to say an affirmation.
Except for the day of the week that involves experiential (Tuesday for adults, Thursday for adolescents) clients are expected to bring their lunch each day, meeting all of their exchanges. If not all exchanges are brought, at least for adults, it’s marked down as restriction. (The one exception is that one can use condiments and beverages from the fridge.) Experiential is often an outing, sometimes cooking or getting delivery. When I was there, the outings we did were Noodles and Company, IKEA, Taco Bell, and a local “health conscious” chain, where for the last one, we couldn’t order from about 75% of the menu due to it being low-calorie salads and smoothies. We also had takeout Greek food once, and for cooking experientials, cooked chili once and had a baked potato bar another time.
In PHP and IOP, at least for adults, they do not supplement at all. There isn’t really much meal coaching or support from staff at meals or snacks, necessarily; mostly, individuals who are struggling to complete are either sent to the Ranch (the inpatient/res program in Wickenburg) or they are discharged. In my experience, most people completed, though there’s definitely a steep learning curve whether stepping down from the Ranch or up from outpatient, and levels of motivation and morale were often low.
I’m not sure how well they treat ARFID; individuals who had fairly limited variety weren’t necessarily challenged on that while picking snacks, which could potentially be helpful for those with particular safe/safer foods, but it didn’t seem like there was any ARFID-specific support.
You can be vegetarian, though I’m not sure about vegan? I didn’t know anyone who was vegan during my time in Rosewood’s PHP.
It does work on a level system, effectively levels 1, 2, and 3. Level 1 is expected to work towards full MP completion and complete consistently, with no activity outside of the weekly yoga group in PHP. Level 2 can do gentle movement, typically like 20 minute walks several times per week outside of programming, can bring a snack from home Monday and Wednesday mornings, and can sit at the level 2 and 3 table, and level 3 can potentially do more intensive movement as well as walks, can bring their own snack items daily, can use their phone on breaks during the day, and can theoretically leave the table once they’re done eating.
The only real privileges are phone use during the day and increased activity, both of which are achieved by completing one’s meal plan with little-to-no compensation.
I think my favorite therapy group was Body and Soul, mostly because I really liked the dietitian who led it—she has a great personality. Also, yoga was great because the instructor is super cool, though doing yoga in the group room isn’t exactly comfortable, both due to the hard surface of the floor and the number of patients we got up to. I also got to keep seeing the diabetes educator who works with diabetic patients at the Ranch, which I found super helpful for continuity and support in that realm. I think she’s awesome and found my work with her more therapeutic than many of my individual therapy sessions in the program.
In terms of being a trauma-informed program, I wouldn’t say this PHP was necessarily. Staff wanted to support clients and were clearly doing the best they could with very little support and training. They did have frozen oranges one could grab, and a therapist was theoretically always available during program hours to check in with if you needed to talk to someone, but that was really about it. There was a lot of “use your skills” talk when clients were struggling, which I think is a bit of a cop out for a program that doesn’t necessarily teach clear skills.
The typical daily adult PHP schedule was as follows:
9-10: check-in/process group
10-10:15: break
10:15-10:45: snack (choosing, plating, consuming, putting away dishes)
10:45-11:30: some sort of group
11:30-12:15: another group
12:15-12:30: break 2
12:30-1:45 pre-meal process, lunch, post-meal process
1:45 group
2:45 clean up group room and snack
3:15 leave!!!
Outside of program, you were on your own in terms of emotional support and transportation. They do have transitional housing in a luxury apartment complex for individuals who aren’t local—it’s typically $50/week or you can get a scholarship so it’s free. There’s no accountability within the transitional housing beyond whatever your peers may provide and the front desk person doing a walkthrough once a week to check for cleanliness and diet products. The TL, short for transitional living, is about a ten-minute walk from the office suite with PHP, and in the other direction, the Walmart is about a ten-minute walk as well. They discouraged clients in the TL from walking to get groceries, but if none of the TL residents had a car, there wasn’t really another option.
The average length of stay for adults was around 2 months, I think, and when I was there, the age range was 18-40, with most people in their early 20s. They do try to set up aftercare somewhat, though usually by referring to a Monte Nido IOP.
I wouldn’t really recommend this program—it functions like an IOP in terms of level of actual support. That said, it’s the only ED PHP for adults at least in the greater Phoenix area. I came in pretty motivated, stepping down from the Ranch and being in a good headspace, and found that it was fine for me personally, but for most people needing intensive ED treatment, it wouldn’t be my first recommendation if there’s a possibility of another option or potentially a SCA. I did appreciate that they … sort of have a HAES approach, and that it gave me time to sort out my next steps and practice independence, but I didn’t feel I gained much from the actual program.
This program based on what you mentioned looks very doable for my situation and I am avoiding any higher level of care. Are the adult and adolecents together. Do they do the same groups and eat together? Do they have a weight cut off or bmi that a patient has to meet before admitting or stepping down.
At Rosewood, at least in both their IP/res at the ranch and in their PHP in Tempe, adults and adolescents do not have any groups or meals together and are very much discouraged from interacting when passing in the halls or in the kitchen.
I don’t know about any sort of minimum BMI, necessarily—my guess is there would be one, and that admissions (through Monte Nido) would know. In my experience, they very much did not let people know their weight while in treatment, and my dietitian was very quiet about even weight trends.
That said, from what I saw, if someone was at a lower weight and not making much progress, they would typically have them do a longer treatment stay than “usual” (so it could be several months or so in total) and/or put them on a behavioral contract, which could involve the team recommending a HLOC and discharge if someone doesn’t agree to stepping up
rosewood IOP was the worst experience I ever had and continue to be the worst and most inexperienced and disorganized company I’ve worked with. They continue to mismanage, lie, and make a mess of treatment plans which have prolonged my treatment and worsened my conditions. I have communicated my needs and they continued to ignore and neglect all of my communications and breadcrumb with my care. I have had it with this company. Would never recommend using this company for anyone’s children. Do not come here or even try to contact them. They will let you sit and wait for hours and still not help. Give you the run around and never actually treat the problem then circle back around and blame the patients.
Fully agree. IP/res/php/iop all are incredibly unstructured and harmful imo. Ive known 3 people from rosewood to pass away since our time there. Absolutely awful.
Anonymous
3 years ago
Looking for a recent review of the adult PHP program! Some specific questions I have:
How effective/helpful would you say the program was overall for you?
How accepting were the staff in terms of gender and sexual identity? Did group / therapy explore queer identity / LGBTQ+ topics much?
What were groups like/what types of activities do you do? I’m looking for a varied approach, not just CBT and DBT.
Do you ever have to cook your own food?
What was your experience with the medical team?
What are current COVID restrictions? Are there outings/visitors allowed?
Any other things you think someone going to this facility should be aware of?
They do not comply with Covid regulations, they don’t wash their dishes and utilize a dishwasher but don’t wear gloves. The patients don’t even work with a certified therapist. Groups are run by a receptionist most of the time and they typically read off of print offs. Don’t waste your time and money.
Ls
4 years ago
I am also looking for reviews on this program. Thank you!
My friends died from going there. No one circled back to help them after they left. They are there for a paycheck and don’t care for their patients. Don’t bother.
Anonymous
5 years ago
Does anyone have any recent reviews? Do they have in-person programming right now? Are there apartments available for those who are out of state?
They only help people who are younger and willing to pay out of pocket or have really expensive insurance. Don’t bother if you are a struggling individual. They won’t help you unless you are really on them as well. I have gone there multiple times and sought help for years but they continued to ask me what my issue is, but I have cultural differences which they never got specialized care for. They did not even try.
I was in PHP from early May to late June 2025, though they have IOP as well. PHP is 9-3:15 M-F, including most holidays, and IOP is 3 days a week for 3h a day. I’m not sure if it is wheelchair-accessible; there is an elevator in the office suite where PHP is, but no one who was a wheelchair user was there when I was there. The apartment that’s transitional housing is not wheelchair accessible—there are stairs up to the apartment.
They have adolescent PHP and adult PHP, with an average of like 6 adolescents and 10 adults at a time, max adult capacity being 14. They treat all genders, though some misgendering of nonbinary people who used they/them pronouns did occur.
One thing to note is that the PHP has no medical providers on staff, just techs, therapists, and dietitians daily, and the psychiatrists who are consultants for the program come in once a week to do med management sessions. To reiterate, there is no medical doctor or nurse onsite at all—they do have a doctor they refer people to if they need care, or they’ll tell them to go to urgent care or the ER.
When I was there, you saw your therapist twice a week for 45 minutes and your dietitian and psychiatrist once a week for 30 minutes, though now most clients are getting just one therapy session per week due to the therapists having high caseloads. There are currently 3 dietitians, 2 techs, and 3 primary therapists, all of whom work with both adults and adolescents.
I would say that the therapies aren’t well-defined at all, either in groups or individual sessions. The group sessions are vague Monte Nido groups (e.g. “Thoughts and Actions” instead of CBT), often focusing on worksheets with basic mindfulness or CBT info or handouts with, like, random graphics from the internet that have the Monte Nido label at the top. I could usually tell what type of therapy we were doing, having a degree in psychology and having worked in the field, but many clients newer to treatment were totally lost. Most groups and snacks are led by the techs, with most meals led by the dietitians; a therapist leads the check-in/process group in the morning and there’s about one other therapist-led group per day for adults.
Snacks were provided, with a variety of potential snack options (milk, yogurt, juice, applesauce, cookies, chips, crackers, cheese, granola bars, fresh and dried fruit, nuts, nut butters, bread, store-bought baked goods) to choose from, based on one’s meal plan, which could either be specific exchanges (e.g, a protein, fruit, and grain) or total exchanges (e.g. 3 exchanges). Also, before and after every meal and snack at PHP, everyone has to say an affirmation.
Except for the day of the week that involves experiential (Tuesday for adults, Thursday for adolescents) clients are expected to bring their lunch each day, meeting all of their exchanges. If not all exchanges are brought, at least for adults, it’s marked down as restriction. (The one exception is that one can use condiments and beverages from the fridge.) Experiential is often an outing, sometimes cooking or getting delivery. When I was there, the outings we did were Noodles and Company, IKEA, Taco Bell, and a local “health conscious” chain, where for the last one, we couldn’t order from about 75% of the menu due to it being low-calorie salads and smoothies. We also had takeout Greek food once, and for cooking experientials, cooked chili once and had a baked potato bar another time.
In PHP and IOP, at least for adults, they do not supplement at all. There isn’t really much meal coaching or support from staff at meals or snacks, necessarily; mostly, individuals who are struggling to complete are either sent to the Ranch (the inpatient/res program in Wickenburg) or they are discharged. In my experience, most people completed, though there’s definitely a steep learning curve whether stepping down from the Ranch or up from outpatient, and levels of motivation and morale were often low.
I’m not sure how well they treat ARFID; individuals who had fairly limited variety weren’t necessarily challenged on that while picking snacks, which could potentially be helpful for those with particular safe/safer foods, but it didn’t seem like there was any ARFID-specific support.
You can be vegetarian, though I’m not sure about vegan? I didn’t know anyone who was vegan during my time in Rosewood’s PHP.
It does work on a level system, effectively levels 1, 2, and 3. Level 1 is expected to work towards full MP completion and complete consistently, with no activity outside of the weekly yoga group in PHP. Level 2 can do gentle movement, typically like 20 minute walks several times per week outside of programming, can bring a snack from home Monday and Wednesday mornings, and can sit at the level 2 and 3 table, and level 3 can potentially do more intensive movement as well as walks, can bring their own snack items daily, can use their phone on breaks during the day, and can theoretically leave the table once they’re done eating.
The only real privileges are phone use during the day and increased activity, both of which are achieved by completing one’s meal plan with little-to-no compensation.
I think my favorite therapy group was Body and Soul, mostly because I really liked the dietitian who led it—she has a great personality. Also, yoga was great because the instructor is super cool, though doing yoga in the group room isn’t exactly comfortable, both due to the hard surface of the floor and the number of patients we got up to. I also got to keep seeing the diabetes educator who works with diabetic patients at the Ranch, which I found super helpful for continuity and support in that realm. I think she’s awesome and found my work with her more therapeutic than many of my individual therapy sessions in the program.
In terms of being a trauma-informed program, I wouldn’t say this PHP was necessarily. Staff wanted to support clients and were clearly doing the best they could with very little support and training. They did have frozen oranges one could grab, and a therapist was theoretically always available during program hours to check in with if you needed to talk to someone, but that was really about it. There was a lot of “use your skills” talk when clients were struggling, which I think is a bit of a cop out for a program that doesn’t necessarily teach clear skills.
The typical daily adult PHP schedule was as follows:
9-10: check-in/process group
10-10:15: break
10:15-10:45: snack (choosing, plating, consuming, putting away dishes)
10:45-11:30: some sort of group
11:30-12:15: another group
12:15-12:30: break 2
12:30-1:45 pre-meal process, lunch, post-meal process
1:45 group
2:45 clean up group room and snack
3:15 leave!!!
Outside of program, you were on your own in terms of emotional support and transportation. They do have transitional housing in a luxury apartment complex for individuals who aren’t local—it’s typically $50/week or you can get a scholarship so it’s free. There’s no accountability within the transitional housing beyond whatever your peers may provide and the front desk person doing a walkthrough once a week to check for cleanliness and diet products. The TL, short for transitional living, is about a ten-minute walk from the office suite with PHP, and in the other direction, the Walmart is about a ten-minute walk as well. They discouraged clients in the TL from walking to get groceries, but if none of the TL residents had a car, there wasn’t really another option.
The average length of stay for adults was around 2 months, I think, and when I was there, the age range was 18-40, with most people in their early 20s. They do try to set up aftercare somewhat, though usually by referring to a Monte Nido IOP.
I wouldn’t really recommend this program—it functions like an IOP in terms of level of actual support. That said, it’s the only ED PHP for adults at least in the greater Phoenix area. I came in pretty motivated, stepping down from the Ranch and being in a good headspace, and found that it was fine for me personally, but for most people needing intensive ED treatment, it wouldn’t be my first recommendation if there’s a possibility of another option or potentially a SCA. I did appreciate that they … sort of have a HAES approach, and that it gave me time to sort out my next steps and practice independence, but I didn’t feel I gained much from the actual program.
This program based on what you mentioned looks very doable for my situation and I am avoiding any higher level of care. Are the adult and adolecents together. Do they do the same groups and eat together? Do they have a weight cut off or bmi that a patient has to meet before admitting or stepping down.
At Rosewood, at least in both their IP/res at the ranch and in their PHP in Tempe, adults and adolescents do not have any groups or meals together and are very much discouraged from interacting when passing in the halls or in the kitchen.
I don’t know about any sort of minimum BMI, necessarily—my guess is there would be one, and that admissions (through Monte Nido) would know. In my experience, they very much did not let people know their weight while in treatment, and my dietitian was very quiet about even weight trends.
That said, from what I saw, if someone was at a lower weight and not making much progress, they would typically have them do a longer treatment stay than “usual” (so it could be several months or so in total) and/or put them on a behavioral contract, which could involve the team recommending a HLOC and discharge if someone doesn’t agree to stepping up
Thank you so much. I really appreciate it.
No problem! I hope you can get the care you need.
rosewood IOP was the worst experience I ever had and continue to be the worst and most inexperienced and disorganized company I’ve worked with. They continue to mismanage, lie, and make a mess of treatment plans which have prolonged my treatment and worsened my conditions. I have communicated my needs and they continued to ignore and neglect all of my communications and breadcrumb with my care. I have had it with this company. Would never recommend using this company for anyone’s children. Do not come here or even try to contact them. They will let you sit and wait for hours and still not help. Give you the run around and never actually treat the problem then circle back around and blame the patients.
Fully agree. IP/res/php/iop all are incredibly unstructured and harmful imo. Ive known 3 people from rosewood to pass away since our time there. Absolutely awful.
Looking for a recent review of the adult PHP program! Some specific questions I have:
How effective/helpful would you say the program was overall for you?
How accepting were the staff in terms of gender and sexual identity? Did group / therapy explore queer identity / LGBTQ+ topics much?
What were groups like/what types of activities do you do? I’m looking for a varied approach, not just CBT and DBT.
Do you ever have to cook your own food?
What was your experience with the medical team?
What are current COVID restrictions? Are there outings/visitors allowed?
Any other things you think someone going to this facility should be aware of?
Thank you in advance!
They do not comply with Covid regulations, they don’t wash their dishes and utilize a dishwasher but don’t wear gloves. The patients don’t even work with a certified therapist. Groups are run by a receptionist most of the time and they typically read off of print offs. Don’t waste your time and money.
I am also looking for reviews on this program. Thank you!
My friends died from going there. No one circled back to help them after they left. They are there for a paycheck and don’t care for their patients. Don’t bother.
Does anyone have any recent reviews? Do they have in-person programming right now? Are there apartments available for those who are out of state?
They only help people who are younger and willing to pay out of pocket or have really expensive insurance. Don’t bother if you are a struggling individual. They won’t help you unless you are really on them as well. I have gone there multiple times and sought help for years but they continued to ask me what my issue is, but I have cultural differences which they never got specialized care for. They did not even try.