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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. Patients entering residential centers generally weigh <85% of what their doctors recommend 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 (APA); 2006 Jun. 128 p. [765 references].

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: The Journal of Treatment and Prevention 2006; 14, (2): 131-142.


This page was last updated on October 9, 2007.