Intensive Outpatient Treatment for Eating Disorders

2017 ◽  
pp. 696-700
Author(s):  
Linda Paulk Buchanan
Keyword(s):  
Eating Disorders ◽  
Outpatient Treatment ◽  
Best Practice ◽  
Outpatient Psychotherapy ◽  
Levels Of Care ◽  
The Common ◽  
Intensive Outpatient ◽  
Family Nutrition ◽  
Population Treatment ◽  
Common Misconceptions

As the vast majority of people with eating disorders cannot recover with traditional outpatient psychotherapy, a multimodal and multidisciplinary approach is recognized as the best practice for treatment of this population. Treatment begins with assessment of psychological, psychiatric, and nutritional functioning followed by a combination of individual, family, nutrition, and group therapy. The author shares how she became interested in this field and describes some of the joys and challenges she has experienced in developing a freestanding, psychologist-owned intensive outpatient facility. This chapter covers levels of care, treatment components, and some of the common misconceptions associated with these individuals. The author discusses the business aspects of her practice. Resources are provided for developing this niche.

scholarly journals Decision to Admit and Aims of Hospitalization in the Treatment of Eating Disorders: Making Sense of a Seven Years Experience

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Nunes ◽  
S. Duarte-Silva ◽  
I. Brandão ◽  
A. Roma-Torres
Keyword(s):  
Eating Disorders ◽  
Clinical Judgment ◽  
Outpatient Treatment ◽  
Inpatient Treatment ◽  
Scientific Evidence ◽  
Previous Treatment ◽  
Physical Parameters ◽  
Therapeutic Milieu ◽  
Levels Of Care ◽  
Making Sense

Eating disorders are one of the most intriguing and challenging psychiatric illnesses.Treatment recommendations for eating disorders are still based heavily on expert clinical judgment instead of on scientific evidence from controlled trials.According to APA's 2006 Practice Guidelines, patient's level of care is determined considering overall physical condition, psychology, behavior, and social circumstances, rather than simply relying on one or more physical parameters, such as weight. Of the five levels of care proposed, inpatient treatment is considered the last resort.Therefore, inpatient treatment should not be intended to replace outpatient treatment, but to precede and prepare for long-term recovery.The decision to hospitalize is usually based on several criteria, including medical (e.g. severe weight loss, significant psychiatric comorbidity), psychotherapeutic (e.g. lack of response to outpatient treatment) and psychosocial criteria (e.g. marked family disturbance). Indeed, hospitalization may have its own positive indications, especially when a supporting and stimulating therapeutic milieu is offered.The primary aim of this study is to characterize a group of 97 eating disorders inpatients admitted in Hospital São João Psychiatry Department between 2000 and 2007, respecting gender, age, diagnosis, previous treatment length, motive for hospitalization and its duration, BMI and number of hospitalizations. Secondarily, significant correlations will be explored and further discussed.

The Welsh Eating Disorder Service Review 2018, Scottish Eating Disorder Service Review 2021 and recommendations of best practice in comorbid eating disorders and diabetes

2021 ◽  
pp. 135910452110138
Author(s):  
Jacinta Tan ◽  
Gemma Johns
Keyword(s):  
Eating Disorders ◽  
United Kingdom ◽  
Eating Disorder ◽  
High Mortality ◽  
Best Practice ◽  
Service Development ◽  
The United Kingdom ◽  
Scottish Government ◽  
The Relationship ◽  
Service Change

Background: Diabetes and eating disorders are frequently comorbid. This particular comorbidity is not only often poorly recognised, but is difficult to treat and has a high mortality. Method: In this article, we will briefly review the relationship between diabetes and eating disorders. We will review the current NICE and other guidance and reports concerning both diabetes and eating disorders in the United Kingdom. We will then describe the recommendations of the 2018 Welsh Government Eating Disorder Service Review and the 2021 the Scottish Government Eating Disorder Service Review regarding diabetes and eating disorders, which will lead to service change. Conclusions: We conclude that this is a relatively underdeveloped but important area where there needs to be further service development and more collaboration between diabetes and eating disorder services.

Fr627 INTENSIVE OUTPATIENT TREATMENT OF PEDIATRIC RUMINATION SYNDROME IN THE ERA OF TELEMEDICINE

2021 ◽  
Vol 160 (6) ◽  
pp. S-382-S-383
Author(s):  
Kathryn Hawa ◽  
Ashley Kroon Van Diest ◽  
Jody Wall ◽  
Neetu Bali ◽  
Karla Vaz ◽  
...  
Keyword(s):  
Outpatient Treatment ◽  
Rumination Syndrome ◽  
Intensive Outpatient ◽  
Intensive Outpatient Treatment

scholarly journals Essentials for Best Practice: Treatment Approaches for Athletes With Eating Disorders

2018 ◽  
Vol 12 (4) ◽  
pp. 495-507 ◽  
Author(s):  
Jenny H. Conviser ◽  
Amanda Schlitzer Tierney ◽  
Riley Nickols
Keyword(s):  
Eating Disorders ◽  
Emotional Regulation ◽  
Best Practice ◽  
Sport Participation ◽  
Emotional Health ◽  
Multidisciplinary Treatment ◽  
Return To Sport ◽  
Multidisciplinary Care ◽  
Return To Play ◽  
Treatment Team

Eating disorders (EDs) and disordered-eating behaviors (DEBs), pose a high risk of morbidity and mortality, threatening physical health, emotional health, and overall quality of life. Unfortunately, among athletes, prevalence rates continue to increase. This document summarizes the challenges of establishing and navigating the multidisciplinary care needed to effectively treat EDs and DEBs among athletes. The benefits of timely and frequent communication within the multidisciplinary treatment team (MDTT) are emphasized and discussed. Authors advise who should be selected as members of the MDTT and suggest that all personnel, including athletic coaches, athletic trainers, physical therapists, and certified fitness professionals be ED-informed and ED-sensitive. Vital components of care are noted including use of a variety of evidence-based psychotherapeutic modalities, interventions which target emotional regulation, and prioritize values based compassionate care. Authors caution that performance decrements and medical/physiological changes are not always easily observable in individuals with EDs and DEBs and therefore, attuned, consistent, and ongoing monitoring is needed. Consensus regarding previously established parameters for return to play and careful titration of physical activity throughout the ED recovery process are suggested as important for preserving health, preventing re-injury, or relapse and facilitating successful return to sport participation.

Neuropsychological changes in patients with substance use disorder after completion of a one month intensive outpatient treatment program

2018 ◽  
Vol 27 (8) ◽  
pp. 632-638 ◽  
Author(s):  
James W. McKowen ◽  
Benjamin M. Isenberg ◽  
Nicholas W. Carrellas ◽  
Courtney A. Zulauf ◽  
Nalan E. Ward ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Treatment Program ◽  
Outpatient Treatment ◽  
Neuropsychological Changes ◽  
Intensive Outpatient ◽  
Intensive Outpatient Treatment

scholarly journals Common Misconceptions about the Phonological Deficit Theory of Dyslexia

2021 ◽  
Vol 11 (11) ◽  
pp. 1510
Author(s):  
David L. Share
Keyword(s):  
Struggling Readers ◽  
Phonemic Awareness ◽  
Phonological Processing ◽  
Reading Ability ◽  
Discussion Paper ◽  
Phonological Deficit ◽  
Core Deficit ◽  
The Common ◽  
Deficit Theory ◽  
Common Misconceptions

In this discussion paper, I review a number of common misconceptions about the phonological deficit theory (PDH) of dyslexia. These include the common but mistaken idea that the PDH is simply about phonemic awareness (PA), and, consequently, is a circular “pseudo”-explanation or epiphenomenon of reading difficulties. I argue that PA is only the “tip of the phonological iceberg” and that “deeper” spoken-language phonological impairments among dyslexics appear well before the onset of reading and even at birth. Furthermore, not even reading-specific expressions of phonological deficits—PA or pseudoword naming, can be considered circular if we clearly distinguish between reading proper—real meaning-bearing words, or real text, and the mechanisms (subskills) of reading development (such as phonological recoding). I also explain why an understanding of what constitutes an efficient writing system explains why phonology is necessarily a major source of variability in reading ability and hence a core deficit (or at least one core deficit) among struggling readers whether dyslexic or non-dyslexic. I also address the misguided notion that the PDH has now fallen out of favor because most dyslexia researchers have (largely) ceased studying phonological processing. I emphasize that acceptance of the PDH does not imply repudiation of other non-phonological hypotheses because the PDH does not claim to account for all the variance in reading ability/disability. Finally, I ask where neurobiology enters the picture and suggest that researchers need to exercise more caution in drawing their conclusions.

An intensive outpatient treatment program for combat-related PTSD: Trauma Management Therapy

2017 ◽  
Vol 81 (2) ◽  
pp. 107-122 ◽  
Author(s):  
Deborah C. Beidel ◽  
Jeremy W. Stout ◽  
Sandra M. Neer ◽  
B. Christopher Frueh ◽  
Carl Lejuez
Keyword(s):  
Treatment Program ◽  
Outpatient Treatment ◽  
Trauma Management ◽  
Intensive Outpatient ◽  
Intensive Outpatient Treatment
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