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EATING DISORDER TREATMENT PROGRAM Call (800)227-3953
The Goals of the Foundation's Eating Disorder Program are:
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To initially stabilize the emotional and nutritional status of the patient.
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To bring about an immediate cessation of the destructive behaviors that are compromising the physical and/or emotional health of the patient.
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To normalize eating patterns and assist the patient in achieving healthy weight goals.
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To assist the patient in identifying and correcting the irrational thoughts toward food and body image.
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To provide a safe, supportive, environment in which the patient can discover and work through the psychological issues underlying the eating disorder behaviors.
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We believe a variety of factors contribute to the development of an eating disorder. This multiple causation requires a multi-dimensional assessment and treatment planning approach and the delivery of treatment services by a skilled, multi-disciplinary treatment team. Hence, our treatment team is lead by our staff psychiatrist. Our multi-dimensional assessment process consists of a nursing assessment, dietary evaluation by our registered dietician and physical examination and history by our medical director, including an analysis of lab findings, psychological testing and evaluation by our clinical psychologist and the psychiatric evaluation. A social history is gathered and focuses upon the early childhood history, family history, current inter-personal history, and relevant stressors which may have contributed to or be sustaining the distorted thinking and eating behaviors.
Based upon this extensive evaluation, an initial treatment plan is developed and implemented by the treatment team.
While the addiction model is used as a framework for the patient to begin assuming responsibility for his/her destructive behaviors, food is not viewed as an addictive substance. Rather, the destructive behaviors and irrational thoughts that serve to maintain the eating disorder and the resulting pathological relationship to food are the focus of our Advanced Integrated Model of Addiction.
The Eating Disorder Treatment Team:
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Board Certified Psychiatrist
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Medical Physician
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Licensed Nurses
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Clinical Psychologist
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Licensed Mental Health Professional Counselor
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Registered Dietitian
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Nurse Case Manager
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Activities Therapist
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Certified Teacher
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Admission Criteria:
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The patient meets current DSM-IV Criteria for Bulimia or Anorexia Nervosa
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AND
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Evidences need for high frequency and intensity of treatment interventions and a highly secure but unlocked setting, 24 hours a day, seven days a week to alleviate the symptoms of the eating disorder,
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AND
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The patient engages in self-injurious behavior, e.g., binging/purging, compulsive exercise which is compromising psycho-social functioning,
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OR
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The patient is presenting with suicidal ideation and intentions, however, can be managed in a sub-acute setting with 24 hour supervision,
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OR
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The patient has a co-morbid psychiatric disorder that is interfering with his/her ability to respond to less intensive interventions or has not been stabilized in less intensive settings,
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AND
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Demonstrates a history of chronic, impulsive behavior resulting in a significant deterioration in mental status, and psychosocial functioning from an established baseline,
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OR
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The patient meets criteria for Anorexia Nervosa and is medically unstable,
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OR
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The patient has demonstrated an inability to respond sufficiently to treatment interventions at lower levels of care, sufficient to control the destructive behaviors associated with the eating disorder.
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The phases of the program are made available to the patient based upon his/her identified needs and include:
Phase I. Stabilization and Engagement
This phase is generally a short-term focused placement in the sub-acute medical unit of the Foundation with the objective of stabilizing the destructive manifestations of the eating disorder. Additionally, interventions are designed to establish a primary clinical relationship and to facilitate engagement of the patient into the therapy program.
Discharge/Transfer Criteria from Phase I:
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Weight has been stabilized and the patient is compliant with the preliminary food plan.
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Medical stability: Patient is stable on medications and lab findings are stable.
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Destructive compensatory behaviors are sufficiently under control to permit less intensive supervision.
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Patient is compliant with prescribed food supplements.
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Patient is compliant with prescribed medications and not experiencing adverse reactions.
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Phase II. Active Psychosocial Treatment to Maintain Stabilization
This phase of treatment takes place in the longer-term Inpatient unit of the Foundation. Interventions during this phase are designed to continue to stabilize the symptoms of the disorder, and achieve personal growth once stabilization has been consistently established. In addition, therapy modalities are focused on assisting the patients in exploring the issues/stressors underlying the eating disorder behaviors, and developing new and healthy coping skills.
Personal responsibility is stressed during this phase of treatment and the patient gradually assumes more responsibility for food choices and portions. Healthy weight goals are achieved during this phase as well under the supervision of the Registered Dietician and Eating Disorder Case Manager.
Family Therapy is initiated during this phase of treatment and is regarded as essential to the achievement of recovery for the patient.
Treatment Modalities Utilized in Phase II
Based upon the individualized treatment plan, the following modalities are used in this phase:
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Cognitive Behavioral Therapy
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Nutrition Education
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School/Tutoring Education Program (patients 18 years or younger)
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Daily Monitored Meals program and Journal Therapy
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Dietary Supplements
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Nasogastric Feeding
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Medication Therapy
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Family Therapy
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Group Therapy
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Individual Therapy
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Body Imagery Therapy
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Leisure and Physical Activity Education
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Discharge Planning:
Discharge planning is initiated with the following objectives:
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Determination of the most appropriate discharge setting for the patient based upon identified clinical needs and resources available.
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To identify the most appropriate aftercare providers and establish the aftercare plan.
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The patient is deemed appropriate for discharge and transfer when the following conditions are met:
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Weight goals have been consistently maintained and the patient is complying with the prescribed food plan.
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The patient's mood is stable and he/she demonstrates compliance with medication regime.
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Behavioral symptoms have been substantially controlled and sufficient work with psychological and family factors has been accomplished to assure the patient does not relapse in a less intensive level of care.
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The patient evidences insight regarding relapse triggers and demonstrates initial coping skills with which to avoid relapse.
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Any co-existing psychiatric conditions are stable and the patient demonstrates the knowledge and the skills with which to manage such conditions.
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The patient is compliant with the aftercare plan.
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