Continuum of Care Approach to Bulimia Treatment
Walden Behavioral Care is the only bulimia treatment facility in New England that offers the full continuum of care, from intensive inpatient care to outpatient programs. By offering this complete continuum of treatment for bulimia, we can not only meet the needs of all patients who require care, we can also change bulimia treatment as the patient progresses toward recovery. This approach not only encourages the patient to progress, it also helps ensure that insurance benefits cover more of the bulimia treatment needed to achieve recovery.
Bulimia Treatment: Levels of Care
Based on an in-depth assessment, we will determine whether patients should receive inpatient care, residential care, partial hospitalization or intensive outpatient treatment for bulimia. Each program provides different levels of bulimia treatment and progressively brings the patient closer to recovery:
Inpatient Care For The Treatment of Bulimia
Inpatient treatment bulimia is for those whose bulimia treatment requires that they receive 24-hour acute care and supervision. Patients whose eating disorders is severe enough that they require inpatient care receive continuous monitoring of their condition, ongoing meal planning, therapy and support, and the security needed to ensure that they follow the treatment regime. The purpose of inpatient treatment of bulimia is to achieve medical and behavioral stabilization and acceptance by the patient of the need to change disordered behaviors.
Residential Care For The Treatment of Bulimia
Bulimia recovery is most likely when residential treatment is part of the continuum of care, rather than a separate, all-encompassing program.
In the past, residential care was used for addiction treatment, but has been widely viewed as inefficient because residential programs typically prescribed the same length of stay for all patients. People respond differently to bulimia treatment and are at varying levels of bulimia recovery, so the same bulimia treatment won’t work for everyone.
One benefit of residential living is that it begins to integrate patients back into the community. They may dine at restaurants, go shopping and cook. Residential settings typically are comfortable and inviting. This can aid in the treatment of bulimia by putting patients in a more positive state of mind.
Patients in a residential setting develop and solidify healthy eating and living patterns with an orientation toward bulimia recovery. They develop intermediate range goals and plans, as well as behavioral goals and coping skills. Patients at this level also continue to meet DSM IV criteria for inpatient care.
Partial Hospitalization For The Treatment of Bulimia
As bulimia recovery progresses, patients can move into a partial hospitalization program. This bulimia treatment is also appropriate for new patients whose path to recovery is less severe.
The bulimia treatment focus of Walden’s partial hospitalization is on gaining awareness of the triggers and functions of eating-disordered behavior, learning new skills and strategies that are practiced during off-treatment hours, and developing relationships with others. Participants gain an understanding of their emotions and learn to deal with the challenges they will face in day-to-day living.
Bulimia treatment within the partial hospitalization program includes case management, management of medication, nutrition counseling, and individual, family and group therapy. Staff supervises a meal a day and two snacks. Case managers conduct individual and family therapy, and help establish and coordinate care with an outpatient team.
Patients develop and reinforce coping strategies for healthy living. Given the individual’s re-integration into an outpatient setting, relapse prevention is especially important and much attention is given to planning for prevention.
Intensive Outpatient Care For The Treatment of Bulimia
Intensive outpatient treatment of bulimia begins only when patients are ready to support themselves. They must have control over their bulimia and be able to live at home. At this point, they are typically working or attending school, and are regularly making decisions for themselves.
The program is for individuals who are medically stable, without acute psychiatric symptoms and actively working with an outpatient bulimia treatment team. Intensive outpatient care is designed for individuals who are making a transition from a higher level of care, or patients who require more support and bulimia treatment than their outpatient team alone can provide.
Intensive outpatient care provides a therapeutic safety net for patients in bulimia recovery. It is there to provide support until the patient is ready to continue with standard outpatient bulimia treatment. Participants typically are functioning well, but can benefit from the structure and support of the program, and from connecting with others who have similar needs.
Helping Someone With Bulimia
To learn more about Walden Behavioral Care’s bulimia treatment programs, contact Walden at 781-647-6727 or online.