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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
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].

A case series investigating acceptance and commitment therapy as a treatment for previously treated, unremitted patients with anorexia nervosa
Berman, M.I., Boutelle, K.N., Crow, S.J. A case series investigating acceptance and commitment therapy as a treatment for previously treated, unremitted patients with anorexia nervosa. European Eating Disorders Review. (In press).

Readiness to change mediates the impact of eating disorder symptomatology on treatment outcome in anorexia nervosa
Bewell, C.V., Carter, J.C. Readiness to change mediates the impact of eating disorder symptomatology on treatment outcome in anorexia nervosa. International Journal of Eating Disorders. 2008; 41: 368-71.

Refining treatments for eating disorders
Crow, S., Peterson, C.B. Refining treatments for eating disorders. American Journal of Psychiatry. 2009; 166: 266-7.

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.

Bulimic symptoms in undergraduate men and women: Contributions of mindfulness and thought suppression
Lavender, J.M., Jardin, B.F., Anderson, D.A. Bulimic symptoms in undergraduate men and women: Contributions of mindfulness and thought suppression. Eating Behaviors. 2009; 10: 228-31.

Readiness for change and short-term outcomes of female adolescents in residential treatment for anorexia nervosa
McHugh, M.D. Readiness for change and short-term outcomes of female adolescents in residential treatment for anorexia nervosa. International Journal of Eating Disorders. 2007; 40: 602-12.

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.

The road less traveled: Associations between externalizing behaviors and eating pathology
Slane, J.D., Burt, S.A., Klump, K.L. The road less traveled: Associations between externalizing behaviors and eating pathology. International Journal of Eating Disorders. (In press).

The assessment of the family of people with eating disorders
Treasure, J., Sepulveda, A.R., MacDonald, P., Whitaker, W., Lopez, C., Zabala, M., Kyriacou, O., Todd, G. The assessment of the family of people with eating disorders. European Eating Disorders Review. 2008; 16: 247-55.

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.



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This page was last updated on October 6, 2009.