
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 2 or more supervised 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. Themes for group discussion often include women’s/men’s issues, adjusting to change, relaxation methods, family or peer relationships, expressing feelings, 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
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].
Day hospital treatment of anorexia nervosa and bulimia nervosa
Olmsted, M.P. Day hospital treatment of anorexia nervosa and bulimia nervosa. In: Fairburn, C.G. and Brownell, K.D. (eds). Eating Disorders and Obesity: A Comprehensive Handbook. New York, The Guilford Press; 2002: 193-198.
This page was last updated on October 9, 2007.
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