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Partial Hospitalization

Please note: Eating disorders develop in men, women, girls, and boys. For ease in reading, we have used "she" and "her" in the text below.

Partial hospitalization, also called day treatment, is suitable for patients who do not require 24 hour care but are not ready for outpatient programs. Individuals entering this level of care may be quite absorbed in negative thoughts about calories or weight and need structure in their day in order to refrain from unhealthy behaviors. Partial hospitalization programs, which are often part of an inpatient or residential facility, consist of up to 8 hours of structured activities, including support and encouragement during meals and snacks. Individuals commute to treatment from home or perhaps from transitional housing units affiliated with a residential center. In recommending partial hospitalization, the physician considers how many days a week the patient needs to attend in order to derive optimal benefit.


For an individual to make good use of partial hospitalization, she needs to be able to participate in groups, which constitute a major part of the program. Led by mental health professionals, these group discussions focus on topics such as women’s/men’s issues, adjusting to change, relaxation methods, family or peer relationships, expressing feelings, managing free time, and body appreciation. Arts-based therapies and instruction in meal planning, cooking and grocery shopping may also be available. Participation in some groups is shared with individuals on the inpatient unit.


Patients who attend day treatment also have appointments with various members of their treatment team, which is likely to include an individual and/or family therapist, a primary care physician, and a nutrition counselor. Collaboration among treatment providers is essential. Time spent at the partial hospitalization level ranges from a week to a few months. Having made progress in day treatment, an individual is generally well enough for intensive outpatient or outpatient care.



References
Day hospital programmes for eating disorders: a review of the similarities, differences and goals
Abbate-Daga, G., Gramaglia, C., Preda, S., Comba, E., Brustolin, A., Fassino, S. Day hospital programmes for eating disorders: a review of the similarities, differences and goals. Eating and Weight Disorders. 2009; 14: e 31-41.

Emotions in eating disorders: Changes of anger control after an emotion-focused day hospital treatment
Abbate-Daga, G., Marzola, E., Gramaglia, C., Brustolin, A., Campisi, S., De-Bacco, C., Amianto, F., Fassino, S. Emotions in eating disorders: Changes of anger control after an emotion-focused day hospital treatment. European Eating Disorders Review. 2012; 20: 496-501.

Number of different purging behaviors used among women with eating disorders: psychological, behavioral, self-efficacy and quality of life outcomes
Ackard, D.M., Cronemeyer, C.L., Franzen, L.M., Richter, S.A., Norstrom, J. Number of different purging behaviors used among women with eating disorders: psychological, behavioral, self-efficacy and quality of life outcomes. Eating Disorders. 2011; 19: 156-74.

Practice guideline for the treatment of patients with eating disorders
American Psychiatric Association (APA). Practice guideline for the treatment of patients with eating disorders. 3rd ed. Washington (DC): American Psychiatric Association ; 2006 Jun. 128 p. [765 references].

Body attitudes in patients with eating disorders at presentation and completion of intensive outpatient day treatment
Exterkate, C.C., Vriesendorp, P.F., de Jong, C.A. Body attitudes in patients with eating disorders at presentation and completion of intensive outpatient day treatment. Eating Behaviors. 2009; 10: 16-21.

Effectiveness of day hospital treatment for anorexia nervosa and bulimia nervosa
Fittig, E., Jacobi, C., Backmund, H., Gerlinghoff, M., Wittchen, H.U. Effectiveness of day hospital treatment for anorexia nervosa and bulimia nervosa. European Eating Disorders Review. 2008; 16: 341-51.

Arts-based therapies in the treatment of eating disorders
Frisch, M.J., Franko, D.L., Herzog, D.B. Arts-based therapies in the treatment of eating disorders. Eating Disorders. 2006; 14: 131-42.

Carers' assessment, skills and information sharing: Theoretical framework and trial protocol for a randomised controlled trial evaluating the efficacy of a complex intervention for carers of inpatients with anorexia nervosa
Goddard, E., Raenker, S., Macdonald, P., Todd, G., Beecham, J., Naumann, U., Bonin, E.M., Schmidt, U., Landau, S., Treasure, J. Randomised controlled trial evaluating the efficacy of a complex intervention for carers of inpatients with anorexia nervosa. European Eating Disorders Review. (In press).

The effectiveness of a day program for the treatment of adolescent anorexia nervosa
Goldstein, M., Peters, L., Baillie, A., McVeagh, P., Minshall, G., Fitzjames, D. The effectiveness of a day program for the treatment of adolescent anorexia nervosa. International Journal of Eating Disorders. 2011; 44: 29-38.

Becoming 'whole' again: a qualitative study of women's views of recovering from anorexia nervosa
Jenkins, J., Ogden, J. Becoming 'whole' again: a qualitative study of women's views of recovering from anorexia nervosa. European Eating Disorders Review. 2012; 20: e23-31.

The slippery slope: prediction of successful weight maintenance in anorexia nervosa
Kaplan, A.S., Walsh, B.T., Olmsted, M., Attia, E., Carter, J.C., Devlin, M.J., Pike, K.M., Woodside, B., Rockert, W., Roberto, C.A., Parides, M. The slippery slope: prediction of successful weight maintenance in anorexia nervosa. Psychological Medicine. 2009; 39: 1037-45.

A Dutch day treatment program for anorexia and bulimia nervosa in comparison with internationally described programs
Lammers, M.W., Exterkate, C.C., De Jong, C.A. A Dutch day treatment program for anorexia and bulimia nervosa in comparison with internationally described programs. European Eating Disorders Review. 2007; 15: 98-111.

The St George's eating disorders service meal preparation group for inpatients and day patients pursuing full recovery: A pilot study
Lock, L., Williams, H., Bamford, B., Lacey J.H. The St George's eating disorders service meal preparation group for inpatients and day patients pursuing full recovery: A pilot study. European Eating Disorders Review. 2012; 20: 218-24.

Efficacy and intensity of day hospital treatment for eating disorders
Olmsted, M.P., McFarlane, T., Trottier, K., Rockert, W. Efficacy and intensity of day hospital treatment for eating disorders. Psychotherapy Research. (In press).

Clinical outcomes of a novel, family-centered partial hospitalization program for young patients with eating disorders
Ornstein, R.M., Lane-Loney, S.E., Hollenbeak, C.S. Clinical outcomes of a novel, family-centered partial hospitalization program for young patients with eating disorders. Eating and Weight Disorders. 2012; 17: e170-7.

Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders
Ozier, A.D., Henry, B.W. American Dietetic Association. Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders. Journal of the American Dietetic Association. 2011; 111: 1236-41.

Cognitive behavioral approaches in adolescent anorexia and bulimia nervosa
Schmidt, U. Cognitive behavioral approaches in adolescent anorexia and bulimia nervosa. Child and Adolescent Psychiatric Clinics of North America. 2009; 18: 147-58.

Predictors of treatment acceptance and of participation in a randomized controlled trial among women with anorexia nervosa
Tasca, G.A., Keating, L., Maxwell, H., Hares, S., Trinneer, A., Barber, A.M., Bradwejn, J., Bissada, H. Predictors of treatment acceptance and of participation in a randomized controlled trial among women with anorexia nervosa. European Eating Disorders Review. 2012; 20: 155-61.

Reciprocal influence of alliance to the group and outcome in day treatment for eating disorders
Tasca, G.A., Lampard, A.M. Reciprocal influence of alliance to the group and outcome in day treatment for eating disorders. Journal of Counseling Psychology. 2012; 59: 507-17.

Treatment of anorexia nervosa in a specialty care continuum
Treat, T.A., McCabe, E.B., Gaskill, J.A., Marcus, M.D. Treatment of anorexia nervosa in a specialty care continuum. International Journal of Eating Disorders . 2008; 41: 564-72.

An evaluation of the effectiveness and short-term stability of an innovative Australian day patient programme for eating disorders
Willinge, A.C., Touyz, S.W., Thornton, C. An evaluation of the effectiveness and short-term stability of an innovative Australian day patient programme for eating disorders. European Eating Disorders Review. 2010; 18: 220-33.

Stability of long-term outcome in bulimia nervosa: a 3-year follow-up
Zeeck, A., Weber, S., Sandholz, A., Joos, A., Hartmann, A.. Stability of long-term outcome in bulimia nervosa: a 3-year follow-up. Journal of Clinical Psychology. 2011; 67: 318-27.

Inpatient versus day clinic treatment for bulimia nervosa: a randomized trial
Zeeck, A., Weber, S., Sandholz, A., Wetzler-Burmeister, E., Wirsching, M., Hartmann A. Inpatient versus day clinic treatment for bulimia nervosa: a randomized trial. Psychotherapy and Psychosomatics. 2009; 78: 152-60.



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This page was last updated on December 7, 2012.