Stopping the “revolving door”: “Zeida Laderech,” a unique rehabilitation house for young adults with severe and enduring eating disorders

Abstract

A failure to maintain improvement achieved during acute treatment, followed by a “revolving door syndrome,” is a common phenomenon in eating disorders (EDs). As a result, many patients develop a chronic course that is difficult to treat. To target these difficulties, we established a novel rehabilitation treatment model in Israel for patients with severe and enduring EDs, based on the “recovery theory” in mental health treatment. This paper describes the process of conceiving this model and specifies the components of this rehabilitation house, “Zeida Laderech” (Provisions for the Journey), that aims to provide a home‐like environment, while assisting in developing a healthy and balanced lifestyle. Finally, the model is discussed in light of other residential programs established in the world. With the hope to improve the overall prognosis of individuals with EDs, it is suggested that the similar programs and ongoing innovation will continue to emerge internationally.

Moving between positions: a qualitative study of mentoring relationships in chronic eating disorders

“…This occurs when the researcher repeatedly encounters the same themes, concepts, or patterns in the data, and further data collection is unlikely to provide additional understanding or perspectives. The mentoring program was structured as the second phase of a rehabilitation program tailored for individuals with EDs who have finished an intensive rehabilitation program [ 16 ] and transitioned to independent living. The mentees had weekly sessions with a psychotherapist and a dietician in addition to the mentoring sessions.…”

Understanding Eating Disorders and the Nurse's Role in Diagnosis, Treatment, and Support

“…Initial inpatient treatment often fails, and patients are admitted multiple times for relapses at rates as high as 63%, especially during the first year after initial treatment. Long-term recovery is challenging (Andrés-Pepiñá et al, 2020; Dobrescu et al, 2020; Fichter et al, 2017; Latzer, 2019). The strain on the family in supporting a person with an ED can be significant (van Hoeken & Hoek, 2020).…”

“…Adjunctive therapies such as mindfulness, art, and meditation can support patients (Owens et al, 2023). Recovery and restoration from an ED should incorporate physical, psychological, and social improvements (Corral-Liria et al, 2022; Johns et al, 2019; Latzer, 2019). Using evidence-based treatment and adherence to protocols in manualized programs improves outcomes and decreases the odds of relapse (Guarda & Attia, 2018).…”