A day hospital program for anorexia nervosa and bulimia

Abstract

A day hospital group treatment program is detailed which could offer effective treatment to many patients with anorexia nervosa and bulimia nervosa who would otherwise require inpatient treatment. The day hospital program can offer important clinical and financial advantages over an inpatient program. A major difference between the day program and an inpatient setting is the degree of containment offered to the patient and control over the patient's behavior. This necessitates important innovations. The day hospital treatment program includes psychological, social, and biological interventions. Most psychological treatment is done in groups. Staff use a multidisciplinary team approach. Potential pitfalls in the program include countertransference reactions and pathological group processes.

Eating Disorder Patients at a NSW Teaching Hospital: A Comparison with State-Wide Data

“…Even those who advocate day hospital programmes concede that ED patients who are seriously ill should be admitted [21]. The average annual number of admissions for AN (41 3) is close to the predicted number of new cases for the State (400), and the figure for BN admissions (97) is about onefifth of the predicted number of new cases for this latter condition.…”

Eating Disorder Patients at a NSW Teaching Hospital: A Comparison with State-Wide Data

“…Even those who advocate day hospital programmes concede that ED patients who are seriously ill should be admitted [21]. The average annual number of admissions for AN (41 3) is close to the predicted number of new cases for the State (400), and the figure for BN admissions (97) is about onefifth of the predicted number of new cases for this latter condition.…”

Treating Bulimia Nervosa With a Stratified-Care Approach

“…Such a program provides structured eating while allowing occupations to be continued. In addition, there is evidence to show that day patient treatment may be as effective as inpatient treatment, 13,14 which is the sixth level of intervention. Hospital admission for bulimia nervosa is rather uncommon but may be indicated for patients who are medically unstable or those with psychiatric symptoms that impair the treatment of the eating disorder in a less restrictive setting.…”

Day hospitalization programs for eating disorders: A systematic review of the literature

“…The DHP at Toronto General Hospital opened in 1985 (Piran & Kaplan 1990 9 ; Piran et al, 1989). It was created as a cost-effective alternative to inpatient care and was intended to augment the existing six-bed inpatient unit.…”

Eating Disorder Patients at a NSW Teaching Hospital: A Comparison with State-Wide Data

“…Even those who advocate day hospital programmes concede that ED patients who are seriously ill should be admitted [21]. The average annual number of admissions for AN (41 3) is close to the predicted number of new cases for the State (400), and the figure for BN admissions (97) is about onefifth of the predicted number of new cases for this latter condition.…”

Treating Bulimia Nervosa With a Stratified-Care Approach

“…Such a program provides structured eating while allowing occupations to be continued. In addition, there is evidence to show that day patient treatment may be as effective as inpatient treatment, 13,14 which is the sixth level of intervention. Hospital admission for bulimia nervosa is rather uncommon but may be indicated for patients who are medically unstable or those with psychiatric symptoms that impair the treatment of the eating disorder in a less restrictive setting.…”

Day hospitalization programs for eating disorders: A systematic review of the literature

“…The DHP at Toronto General Hospital opened in 1985 (Piran & Kaplan 1990 9 ; Piran et al, 1989). It was created as a cost-effective alternative to inpatient care and was intended to augment the existing six-bed inpatient unit.…”

Eating Disorder Patients at a NSW Teaching Hospital: A Comparison with State-Wide Data

“…Even those who advocate day hospital programmes concede that ED patients who are seriously ill should be admitted [21]. The average annual number of admissions for AN (41 3) is close to the predicted number of new cases for the State (400), and the figure for BN admissions (97) is about onefifth of the predicted number of new cases for this latter condition.…”

Treating Bulimia Nervosa With a Stratified-Care Approach

“…Such a program provides structured eating while allowing occupations to be continued. In addition, there is evidence to show that day patient treatment may be as effective as inpatient treatment, 13,14 which is the sixth level of intervention. Hospital admission for bulimia nervosa is rather uncommon but may be indicated for patients who are medically unstable or those with psychiatric symptoms that impair the treatment of the eating disorder in a less restrictive setting.…”

Day hospitalization programs for eating disorders: A systematic review of the literature

“…The DHP at Toronto General Hospital opened in 1985 (Piran & Kaplan 1990 9 ; Piran et al, 1989). It was created as a cost-effective alternative to inpatient care and was intended to augment the existing six-bed inpatient unit.…”