Inpatient Treatment | Psychotherapy | Family-Based Treatment | Pharmacotherapy
It is inevitable that the physical and/or psychological status
of some patients will require inpatient treatment. The American Psychiatric Association (2000b) and the Society for Adolescent Medicine (2003; Golden et al. 2003)
have articulated the criteria for admission to an inpatient setting.
Admission to a pediatric ward would be warranted in the presence
of severe and persistent medical complications that are life threatening. Indications
of medical instability include, but are not limited to, weight 75% of
ideal body weight, hypoglycemic syncope, fluid and electrolyte imbalance, cardiac
arrhythmia, and severe dehydration. Medium (a few weeks) and longer-term
(a month or more) admissions to a psychiatric facility that specializes
in the treatment of eating disorders should be considered for severely
underweight patients, particularly those who have been unresponsive
to outpatient efforts at weight restoration, as well as those patients
who present with serious comorbid psychiatric conditions that warrant more
intensive supervision and treatment. For a more detailed description
of inpatient treatment for eating disorders, see Golden et al. 2003.