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Residential Care

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.

Residential care is appropriate for patients who are not in dire medical straits but require the support and supervision of a 24 hour program in order to reduce their abnormal eating behaviors. Most residential facilities have a comfortable, informal feel rather than the less personal atmosphere of a hospital. Many patients entering residential centers weigh <85% of what their doctors recommend - although individuals of all weights may require residential care - and struggle with unwelcome, relentless thoughts about food or body size. Treatment plans include medical monitoring and are tailored to meet each resident’s needs. Nursing staff provides support during meals and snacks.


Residents participate in individual and family therapy as well as in a variety of groups that are designed to help them manage their unhealthy thoughts, feelings and behaviors. Led by mental health professionals, these group meetings focus on topics such as relaxation techniques, assertiveness training, peer relationships, family life, self- and body- acceptance, coping with change, or handling free time. In addition, many residential and hospital programs bring in registered arts therapists to run groups in drawing, painting, sculpture, music, dance or drama. For adolescent patients who are missing a number of days of middle or high school, residential facilities often offer academic curricula.


Length of stay in residential care varies from a month to a year or longer, though 30-60 days is most common. Most patients make progress but may not recover from their eating disorders during residential treatment and thus need well-planned aftercare either in partial hospitalization or in an intensive outpatient program; which of these two follow- up settings is appropriate depends upon the patient’s level of improvement, what services will now meet her needs, geographic factors, and insurance considerations.


References
The role of interpersonal functioning in the maintenance of eating psychopathology: A systematic review and testable model
Arcelus, J., Haslam, M., Farrow, C., Meyer, C. The role of interpersonal functioning in the maintenance of eating psychopathology: A systematic review and testable model. Clinical Psychology Review. 2012; 33: 156-167.

Long-term outcome of residential treatment for anorexia nervosa and bulimia nervosa
Brewerton, T.D., Costin, C. Long-term outcome of residential treatment for anorexia nervosa and bulimia nervosa. Eating Disorders. 2011; 19: 132-44.

Treatment results of anorexia nervosa and bulimia nervosa in a residential treatment program
Brewerton, T.D., Costin, C. Treatment results of anorexia nervosa and bulimia nervosa in a residential treatment program. Eating Disorders. 2011; 19: 117-31.

Mindfulness and its relationship with eating disorders symptomatology in women receiving residential treatment
Butryn, M.L., Juarascio, A., Shaw, J., Kerrigan, S.G., Clark, V., O'Planick, A., Forman E.M. Mindfulness and its relationship with eating disorders symptomatology in women receiving residential treatment. Eating Behaviors. 2013; 13-6.

Naturalistic study of course, effectiveness, and predictors of outcome among female adolescents in residential treatment for eating disorders
Delinsky, S.S., St Germain, S.A., Thomas, J.J., Craigen, K.E., Fagley, W.H., Weigel, T.J., Levendusky, P., Becker, A.E. Naturalistic study of course, effectiveness, and predictors of outcome among female adolescents in residential treatment for eating disorders. Eating and Weight Disorders. 2010; 15: e127-35.

Motivation to change among residential treatment patients with an eating disorder: assessment of the multidimensionality of motivation and its relation to treatment outcome
Delinsky, S.S., St Germain, S.A., Thomas, J.J., Craigen, K.E., Fagley, W.H., Weigel, T.J., Levendusky, P., Becker, A.E. Motivation to change among residential treatment patients with an eating disorder: assessment of the multidimensionality of motivation and its relation to treatment outcome. International Journal of Eating Disorders. 2011; 44: 340-8.

Yoga as an intervention in the treatment of eating disorders: does it help?
Douglass, L. Yoga as an intervention in the treatment of eating disorders: does it help? Eating Disorders. 2009; 17: 126-39.

Residential treatment for eating disorders
Frisch, M.J., Franko, D.L., Herzog, D.B. Residential treatment for eating disorders. International Journal of Eating Disorders. 2006; 39: 434-42.

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.

Thin
Greenfield, Lauren. Thin. New York: Chronicle Books, 2006.

Body-related social comparison and disordered eating among adolescent females with an eating disorder, depressive disorder, and healthy controls
Hamel, A.E., Zaitsoff, S.L., Taylor, A., Menna, R., Le Grange, D. Body-related social comparison and disordered eating among adolescent females with an eating disorder, depressive disorder, and healthy controls. Nutrients. 2012; 4: 1260-72.

Beliefs about exercise: Relationship to eating psychopathology and core beliefs among young female exercisers
Meyer, C., Blissett, J., Alberry, R., Sykes, A. Beliefs about exercise: Relationship to eating psychopathology and core beliefs among young female exercisers. Eating Behaviors. 2013; 14: 79-82.

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: 1236-1241.

Mirror exposure in women with bulimic symptoms: How do thoughts and emotions change in body image treatment?
Trentowska, M., Bender, C., Tuschen-Caffier, B. Mirror exposure in women with bulimic symptoms: How do thoughts and emotions change in body image treatment? Behaviour Research and Therapy. 2013; 51: 1-6.

Treatment issues and outcomes for males with eating disorders
Weltzin, T.E., Cornella-Carlson, T., Fitzpatrick, M.E., Kennington, B., Bean, P., Jefferies, C. Treatment issues and outcomes for males with eating disorders. Eating Disorders. 2012; 20: 444-59.

The combined presence of obsessive compulsive behaviors in males and females with eating disorders account for longer lengths of stay and more severe eating disorder symptoms
Weltzin, T., Cornella-Carlson, T., Weisensel, N., Timmel, P., Hallinan, P., Bean P. The combined presence of obsessive compulsive behaviors in males and females with eating disorders account for longer lengths of stay and more severe eating disorder symptoms. Eating and Weight Disorders. 2007; 12: 176-82.

Guideline Watch: Practice guideline for the treatment of patients with eating disorders
Yager, J., Devlin, M., Halmi, K., Herzog, D., Mitchell, J., Powers, P., Zerbe, K. Guideline Watch: Practice guideline for the treatment of patients with eating disorders. 3rd ed. Washington (DC): American Psychiatric Association; 2012.



Photo Credits:
Ceramics Class at Apex High School




This page was last updated on January 3, 2013.