|Bulimia Resource Guide Summary|
|Bulimia Nervosa Resource Guide for Family and Friends|
|Maximizing Health Insurance Benefits to Pay for Bulimia Treatment|
|Mental Health Laws Affecting Bulimia Treatment|
|Find a Bulimia Treatment Center|
|Checklists and Tip Charts|
|Bulimia Nervosa Resources for Schools and Coaches|
|Selected Reference List|
|Bulimia Nervosa: Efficacy of Available Treatments|
|ABOUT THIS RESOURCE|
|Who Produced and Funded this Content|
|FOR THE MEDIA|
Knowing the terms used to describe the treatment setting is important because insurance benefits are tied not only to a patient's diagnosis, but also to the type of treatment setting and level of care.
There are several types of treatment centers and levels of care for treating bulimia nervosa. Knowing the terms used to describe these is important because insurance benefits (and the duration of benefits) are tied not only to a patient's diagnosis, but also to the type of treatment setting and level of care.
Treatment is delivered in hospitals, residential treatment facilities, and private office settings. Levels of care consist of acute short-term inpatient care, partial inpatient care, intensive outpatient care (by day or evening) and outpatient care. Acute inpatient hospitalization is necessary when a patient is medically or psychiatrically unstable. Once a patient is medically stable, s/he is discharged from a hospital, and ongoing care is typically delivered at a sub-acute care residential treatment facility. The level of care in such a facility can be full-time inpatient, partial inpatient, intensive outpatient by day or evening, and outpatient. There are also facilities that operate only as outpatient facilities. Outpatient psychotherapy and medical follow-up may also be delivered in a private office setting.
The treatment setting and level of care should complement the general goals of treatment for bulimia nervosa. Generally, goals are:
Psychotherapy and drug therapy are available in all the care settings. Many settings provide additional care options that can be included as part of a tailored treatment plan. Support groups may help a patient to maintain good mental health and may prevent relapse after discharge from a more intensive program.
The intensity and duration of treatment depends on:
Criteria for Treatment Setting and Levels of Care*Inpatient
Patient is medically unstable as determined by:
Patient is medically stable and requires no intensive medical intervention.
Patient is psychiatrically impaired and unable to respond to partial hospital or outpatient treatment.
Patient is medically stable but:
Patient is medically stable and:
*These criteria summarize typical medical necessity criteria for treatment of eating disorders used by many healthcare facilities, eating disorder specialists, and health plans for determining level of care needed.