The way it worked for me is I slept at home, went to hospital early am and signed in. Spent the morning at hospital, had group therapy, etc. Then at noon went to college as occupational therapy, then back to the hospital for rest of the afternoon. Then signed out and went home for the night. That went on about 8 months. It was a lifesaver. I felt safe and supported and had a big remission in my anxiety/suicidal symptoms. My husband's insurance paid for hospital, but the college work was from a government student loan. Hospital didn't pay for college, just the daycare.