Five Levels of Care for Eating Disorder Treatment From the American Psychiatric Association Guidelines for Treatment of Patients with Eating Disorders
Outpatient:
Others are able to provide emotional support and structure.
Patient lives near a treatment setting
Fair-good motivation
Self-sufficient
Can manage compulsive exercise through self-control
Can greatly reduce incidents of purging in an unstructured setting, no significant medical condition
Intensive Outpatient:
Others are able to provide emotional support and structure
Patient lives near a treatment setting
Fair motivation
Self-sufficient
Some degree of external structure beyond self control to prevent patient from compulsive exercising
Can greatly reduce incidents of purging in an unstructured setting, no significant medical condition
Partial Hospitalization:
Others able to provide at least limited support and structure
Patient lives near a treatment setting
Partial motivation
Need some structure to maintain weight
Some degree of external structure beyond self control to prevent patient from compulsive exercising
Can greatly reduce incidents of purging in an unstructured setting, no significant medical condition
Residential Treatment Center
Sever family conflict or absence of family so patient is unable to receive stricter from home, patient lives alone without an adequate support system
Treatment program is to distant for patient to participate from home
Poor-fair motivation
Needs supervision at all meals or will restrict eating
Some degree of external structure beyond self control to prevent patient from compulsive exercising
Can ask for and use support from others or use cognitive and behavioral skills to inhibit purging
Medically stable to the extent that intravenous fluids, nasogastric tube feedings, or multiple laboratory tests are not needed.
Inpatient Hospitalization
Sever family conflict or absence of family so patient is unable to receive stricter from home, patient lives alone without an adequate support system
Treatment program is to distant for patient to participate from home
Very poor motivation
Needs supervision during and after meals or nasogastric/ special feeding modality
Needs supervision during and after all meals and in bathrooms; unable to control multiple daily episodes or purging.
Heart rate <40 bpm; blood pressure <90/60 mmHg; glucose <60 mg/dl; potassium <3 mEq/L; electrolyte imbalance; temperature <97.0; dehydration; hepatic, renal, or cardiovascular organ compromise requiring acute treatment; poorly controlled diabetes
Specific suicide plan with high lethality or intent
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