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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.

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Table Reference Number
TABLE 26–5. Three phases of family-based treatment of anorexia nervosa

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