Inpatient and partial hospital treatment for adolescent eating disorders.
The eating disorders are complex illnesses that tend to have a chronic relapsing course with severe morbidity and high mortality rates. Outcome seems to be best when the disorders are recognized early, brought to treatment quickly, the family is involved, and the first episode of care results in full return and maintenance of weight and menstruation. Adolescents who reach the point of needing hospitalization should be treated aggressively. In this article the authors have tried to outline some key treatment principles not just for the hospital stay, but elements that should be carried throughout the entire program of recovery for adolescents with eating disorders: from medical evaluation, through inpatient stay, partial hospitalization, intensive outpatient program, and follow-up outpatient therapy. Recent reductions in insurance authorizations and decreased lengths of stay in the psychiatric hospital make the already difficult challenge of recovery from AN and BN even more daunting. Despite these difficulties, we are still able to get a high proportion of youths better and eventually fully recovered.
Anzai
Neal
N
Kapi'olani Counseling Center, 1441 Kapiolani Blvd, Suite 1800, Honolulu, HI 96814, USA. NealA@kapiolani.org
Lindsey-Dudley
Kristen
K
Bidwell
Robert J
RJ
D000293:Adolescent; D000553:Ambulatory Care; D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D002032:Bulimia / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D003631:Day Care, Medical; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D015596:Nutrition Assessment; D010343:Patient Admission; D011379:Prognosis