![]() ![]() With decreases in insurance reimbursement in the 1990s for inpatient hospital treatment for patients with eating disorders (EDs), alternative levels-of-care, including that of residential treatment, were developed for management of the medical, nutritional, and mental health care needs of the ED patient population in the United States. ![]() The data on the 1,421 patients, which represents 96% of all patients treated during the study period, more than doubles the number of residential ED patients with outcome in the literature. Limitations include the high variance of purging data and reliance on self- and parent-report for admission data. ![]() Other demographic statistics and additional analyses are presented. Results suggest that, (1) for patients who needed weight restoration upon admission, adolescent and adult patients gained 2.0 and 2.1 lb/week, respectively (2) of patients who reported purge behavior the month before admission, 89.1% were able to completely cease purging while in treatment (3) although improvement of approximately 10 mean GAF points was made during treatment, patients were still quite impaired at discharge and (4) mean length of stay was 12 days longer for adolescents than adults, and 10–15 days longer for patients diagnosed with anorexia compared to bulimia or ED Not Otherwise Specified (EDNOS), respectively. Thus, outcome data on weight restoration, purging behaviors, and/or Global Assessment of Functioning (GAF) for 1,421 patients treated over an 8-year period in residential ED programs are described. The use of residential eating disorder (ED) treatment has grown dramatically in the United States, yet there has been minimal evaluation of treatment outcomes. 6Biostatistics Unit, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, United States.5Greenwich Adolescent Medicine, Greenwich, CT, United States.4Division of Child and Adolescent Psychiatry, Zucker Hillside Hospital, Northwell Health, New Hyde Park, NY, United States.3Department of Outcomes and Research, Center For Discovery, Los Alamitos, CA, United States.2Hofstra-Northwell School of Medicine, Hempstead, NY, United States.1Division of Adolescent Medicine, Cohen Children’s Medical Center, Northwell Health, New Hyde Park, NY, United States.Cox 3, Ronald Feinstein 1,2, Victor Fornari 2,4, Lindsay Moskowitz 2,4, Marcie Schneider 5, Sara Levine 5, Joan Malizio 1 and Joanna Fishbein 6 ![]()
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