Table of ContentsView AllTable of ContentsOverviewConsiderationsTimingResidential Treatment CentersFull Continuum of Care

Table of ContentsView All

View All

Table of Contents

Overview

Considerations

Timing

Residential Treatment Centers

Full Continuum of Care

Eating disorders can be extremely dangerous andpotentially deadly illnesses. Research indicates that anorexia has the highest mortality rate of any mental health condition, and 10,200 people die each year due to an eating disorder.Because of this, hospitalization for eating disorders is sometimes necessary to help stabilize a person’s condition.

People with eating disorders frequently experience medical complications, which can affect all systems of the body. As a result, sometimes people witheating disorders, includinganorexia nervosaandbulimia nervosa, may require treatment in a hospital or residential treatment center (RTC).

At a GlanceBoth inpatient hospitalization and residential treatment centers for eating disorders provide patients with additional support, structure, medical care, and monitoring. It may be helpful to understand what will happen in these settings for an eating disorder.

At a Glance

Both inpatient hospitalization and residential treatment centers for eating disorders provide patients with additional support, structure, medical care, and monitoring. It may be helpful to understand what will happen in these settings for an eating disorder.

Overview of Hospitalization for Eating Disorders

Inpatient hospitalization is the most intensive level of treatment. The main reason for inpatient hospitalization is medical instability.As a result, eating disorder patients needing inpatient hospitalization are often admitted to specialized units rather than general psychiatric units where patients with other mental disorders are usually treated.

Whenever possible, eating disorder hospitalization should take place in a specialized unitfor eating disorders versus in a general medical or psychiatric unit.Eating disordersrequire a unique collaboration between many medical and mental health specialists, and general hospital units may not be set up to provide the appropriate care.

Considerations for Hospitalization for Eating Disorders

Because hospitalization is very expensive, it is usually short-term. Many patients only stay at the inpatient level of care until they have been medically stabilized enough to continue treatment at a lower level of care.

The medical management available at the inpatient level is very important. Many patients require monitoring of vitals, intravenous fluids, tube feeding, medication, and laboratory tests.

It may also include other specialists if needed. Inpatient units are often connected to or affiliated with a full hospital which can provide access to different medical specialists, including cardiologists, neurologists, gastroenterologists, etc.

Hospital staff also will provide basic nutrition information and nutritional counseling, and a dietitian will plan meals. If the patient can’t eat enough to regain or maintain weight, doctors and other treatment team members may recommendmedical refeeding, which involves inserting a tube through the patient’s nose down into the stomach.

This tube then can carry nutrition directly to the stomach. Medical refeeding is one of the unique services that inpatient hospitalization is able to provide. Another form of support that inpatient hospitalization is able to provide issupported meals. Staff members will typically supervise all of a patient’s meals to provide support and monitor intake.

When Might Someone Be Hospitalized for an Eating Disorder?

Any time a person is experiencing medical complications due to their eating disorder including but not limited to an unstable heart rate or blood pressure, fainting, or bleeding from vomiting, they should be screened for hospitalization.Patients may require hospitalization if they are severely malnourished and/or have lost a great deal of weight and are at risk forrefeeding syndrome.

Although hospitalization can be scary, it is also a necessary component of treatment for many people. If your therapist, physician, or dietitian recommends hospitalization, please go. It may save your life. Choosing not to go to the hospital when needed can be extremely dangerous.

Patients may often be transferred to residential treatment or a partial hospitalization program when their vitals are stable, they have resumed eating on their own with structure, and they have gained some weight.

They may still require high levels of support and structure, but this can usually be provided at a nonmedical residential treatment center or a partial hospitalization program, which a patient attends during the day but returns home at night to sleep.

Residential treatment centers also house patients 24 hours a day, but these are non-medical facilities that provide housing, meals, and multidisciplinary treatment.

Residential treatment is appropriate for patients who are medically stable but need full supervision to address eating disorder symptoms, such as vomiting,excessive exercise, laxative use, and dietary restriction.

It can also be appropriate when someone is suicidal (although if there are any imminent concerns for suicide, this is an indication for inpatient hospitalization), if the patient lives far away from treatment providers, if there is a lack of social support, or if there are other complicating medical or psychiatric factors.

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.For more mental health resources, see ourNational Helpline Database.

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see ourNational Helpline Database.

The goal of residential treatment is to improve physical andpsychological health. The average length of stay in a residential treatment center is 80 days. Patients receive supervised meals. Intensive psychotherapy, or counseling, is usually a routine part of residential treatment.

Because patients are at residential treatment centers 24 hours a day, seven days a week, patients may be able to have sessions withtherapistsmore frequently than on an outpatient basis. In some centers, they may be able to meet with their individual therapist several times during the week. They will also usually attend group therapy sessions and family therapy sessions.

How Hospitalization Fits in the Continuum of Care

Thefull continuum of care for eating disordersincludes outpatient care, intensive outpatient programs (IOP), day treatment or partial hospital programs (PHP), residential programs, and inpatient hospitalization. A patient may move in either direction through the varying levels of care based on factors including symptom severity, medical status, motivation, past treatment history, and financial abilities.

Takeaways

Hospitalization is one option in the treatment of eating disorders. Medical hospitalization is considered the highest level of care. It is the most expensive option, and tends to be used when a person needs medical stabilization. One a person’s condition has been stabilized, they are then moved to a lower level of care, such as residential or inpatient treatment, partial hospitalization, intensive outpatient treatment, or outpatient treatment.

If you or someone you love has an eating disorder, talk to your doctor about which treatment options are right for you. With the appropriate care, you can get the help and support you need to overcome your eating disorder and live a healthy life.

Disordered Eating Treatments

7 SourcesVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.National Association of Anorexia Nervosa and Associated Disorders.Eating disorder statistics.Shafii T, Morrison A, Qu P, Rutman L, Kaplan R.Implementation of standardized care for the medical stabilization of patients with anorexia nervosa.Pediatr Qual Saf. 2022;7(5):e582. doi:10.1097/pq9.0000000000000582National Association for Anorexia Nervosa and Associated Disorders.Inpatient/ hospital treatment programs.ScienceDirect.Specific Mental Disorders: Eating Disorders.Clark Bryan D, Macdonald P, Cardi V, et al.Transitions from intensive eating disorder treatment settings: qualitative investigation of the experiences and needs of adults with anorexia nervosa and their carers.BJPsych Open. 2022;8(4):e137. doi:10.1192/bjo.2022.535Friedman K, Ramirez AL, Murray SB, et al.A narrative review of outcome studies for residential and partial hospital-based treatment of eating disorders.Eur Eat Disord Rev. 2016;24(4):263-276. doi:10.1002/erv.2449McLean Hospital.Klarman Eating Disorders Center.

7 Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.National Association of Anorexia Nervosa and Associated Disorders.Eating disorder statistics.Shafii T, Morrison A, Qu P, Rutman L, Kaplan R.Implementation of standardized care for the medical stabilization of patients with anorexia nervosa.Pediatr Qual Saf. 2022;7(5):e582. doi:10.1097/pq9.0000000000000582National Association for Anorexia Nervosa and Associated Disorders.Inpatient/ hospital treatment programs.ScienceDirect.Specific Mental Disorders: Eating Disorders.Clark Bryan D, Macdonald P, Cardi V, et al.Transitions from intensive eating disorder treatment settings: qualitative investigation of the experiences and needs of adults with anorexia nervosa and their carers.BJPsych Open. 2022;8(4):e137. doi:10.1192/bjo.2022.535Friedman K, Ramirez AL, Murray SB, et al.A narrative review of outcome studies for residential and partial hospital-based treatment of eating disorders.Eur Eat Disord Rev. 2016;24(4):263-276. doi:10.1002/erv.2449McLean Hospital.Klarman Eating Disorders Center.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

National Association of Anorexia Nervosa and Associated Disorders.Eating disorder statistics.Shafii T, Morrison A, Qu P, Rutman L, Kaplan R.Implementation of standardized care for the medical stabilization of patients with anorexia nervosa.Pediatr Qual Saf. 2022;7(5):e582. doi:10.1097/pq9.0000000000000582National Association for Anorexia Nervosa and Associated Disorders.Inpatient/ hospital treatment programs.ScienceDirect.Specific Mental Disorders: Eating Disorders.Clark Bryan D, Macdonald P, Cardi V, et al.Transitions from intensive eating disorder treatment settings: qualitative investigation of the experiences and needs of adults with anorexia nervosa and their carers.BJPsych Open. 2022;8(4):e137. doi:10.1192/bjo.2022.535Friedman K, Ramirez AL, Murray SB, et al.A narrative review of outcome studies for residential and partial hospital-based treatment of eating disorders.Eur Eat Disord Rev. 2016;24(4):263-276. doi:10.1002/erv.2449McLean Hospital.Klarman Eating Disorders Center.

National Association of Anorexia Nervosa and Associated Disorders.Eating disorder statistics.

Shafii T, Morrison A, Qu P, Rutman L, Kaplan R.Implementation of standardized care for the medical stabilization of patients with anorexia nervosa.Pediatr Qual Saf. 2022;7(5):e582. doi:10.1097/pq9.0000000000000582

National Association for Anorexia Nervosa and Associated Disorders.Inpatient/ hospital treatment programs.

ScienceDirect.Specific Mental Disorders: Eating Disorders.

Clark Bryan D, Macdonald P, Cardi V, et al.Transitions from intensive eating disorder treatment settings: qualitative investigation of the experiences and needs of adults with anorexia nervosa and their carers.BJPsych Open. 2022;8(4):e137. doi:10.1192/bjo.2022.535

Friedman K, Ramirez AL, Murray SB, et al.A narrative review of outcome studies for residential and partial hospital-based treatment of eating disorders.Eur Eat Disord Rev. 2016;24(4):263-276. doi:10.1002/erv.2449

McLean Hospital.Klarman Eating Disorders Center.

Meet Our Review Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?HelpfulReport an ErrorOtherSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?HelpfulReport an ErrorOtherSubmit

What is your feedback?