When To Refer Clients

When to Refer

Referring Your Client to an Eating Disorder Treatment Program

Despite receiving the very best outpatient care, there are times when a client’s eating disorder has progressed to the point where a more intensive treatment program is necessary. It’s not easy making that decision to recommend your client to a higher level of care. You know that it will be stressful and disruptive to their life.

You also know that eating disorders are life-threatening illnesses and transitioning your client to a specialized program can be transformative. And when he or she has completed treatment with us, your client will return to you, ready to do the important work of continuing recovery and building a full and fulfilling life.

Four Signs that it’s Time for a Higher Level of Care

1. Your client has hit a plateau in therapy.

Often eating disorder and disordered eating clients plateau in outpatient therapy alone because there is not a direct food and meal supervision component. The individuals often devote a large amount of energy to convince their therapist that he or she is doing well and progressing. Eating disorder clients are often people pleasers and seek validation for achievement.  Without direct meal supervision, support with meal preparation, and working closely with a dietitian to identify consistent food recalls, it is often an insurmountable challenge for clients with eating disorders to make consistent gains in outpatient therapy alone.

2. Your client pulls back at mention of a treatment center or program.

It is not common for the intervention of a higher level of care for eating disorder clients to be a tricky one, demanding both grace and firmness to support the scared client with making an accountable choice. I have supervised therapists who become entangled in countertransference with eating disorder clients. When we hear things like, “He/She trusts me a lot and trust would be broken if I referred to a treatment center” then we know the client is crafting a case to avoid the treatment setting. Removing obstacle to treatment is an important part of the therapist-client relationship.

3. Your client is terrified to integrate a registered dietitian into treatment.

When clients are in the midst of disordered eating or eating disorder struggles, they often avoid dietitians and eating disorder specialists like the plague. My clients in recovery tell me that at the times when they were the most compromised, they sought out non-specialists and avoided dietitians.  Therapy is only a piece of the treatment team and collaboration with a multidisciplinary team including medical doctor and registered dietitian are key components for recovery. Avoidance of talking about the food component is avoidance of what is needed to fully recover.

4. If you do not have current lab results on your client

One of the benefits of working with a multidisciplinary team is the ability to collaborate weekly and receive updates on the client’s weight and labs. Even the most adept clinician cannot tell visually if a client is doing damage to their body with purging, bingeing, or restricting behaviors. Potassium and other electrolyte imbalances are one of the most dangerous health consequences of an eating disorder, which are not visible upon physical assessment. Weekly, biweekly, or monthly “blind” weights are a good way to monitor behavioral trends that may be reflected in weight trends.

When it’s Time to Refer

We are your partners in your client’s care. We will coordinate with you to ensure a seamless transition to our treatment center. While your client is with us, we will keep you informed on his or her progress as well as plan a smooth transition back to your care.

Preferred In-Network Provider for All Major Health Insurance

Preferred In-Network Provider for All Major Health Insurance

  • I was sent to [Center for Discovery], an all women's eating disorder treatment facility, and I was terrified to go. I was told I would be there for a month and would return home after that. I ended staying there for almost 3 months, and I can honestly say I am beyond thankful for my time there. I learned so much and they helped me find myself and get over my traumas and learn to cope with issues that I was having. All the staff was super helpful and had my best interest at heart. I may have not liked all of them, but I knew they wanted what was best for me. Even after my insurance run out, the therapist I was working with arranged for me to go to another center to continue my treatment because I was not ready to come home. I highly recommend getting help with Center for Discovery. They truly care!
    Rebecca S
    Alumni
  • I was at [Center for Discovery] for 6 weeks. I'm from Ohio and being so far away from home was hard. The staff made me feel super comfortable and cared for, making my stay much more manageable. The program was very individualized. They worked hard to make sure my specific needs were met and that my specific behaviors were addressed. This is a top notch facility with incredibly caring staff. Not only were the house staff wonderful, but everyone from admissions to the medical director worked hard to make sure I knew what was going on. This is a wonderful company who are true to what they say. They gave me my life back. I'm someone who has been in and out of treatment for my eating disorder and this program was by far the best. I feel so optimistic about my future. The progress I made there was life changing and I will be forever grateful. I recommend this program to anyone who is serious, willing, and ready to get better.
    Natalie F
    Alumni
  • I was surprised by my parents with the option of going to get help for my eating disorder and overall unhealthy lifestyle. I so badly wanted to get help, but was too ashamed. After talking to my mom I agreed to at least talk to someone from Center for Discoveryabout what program I would be in and what it would be like. The gal was super helpful, kind, and did not make me feel like I was the only person who suffered from what I did. She was very patient with me and overall helped out our family with the process of insurance and costs and what not. As for the actual facility I stayed at, it was a great experience.
    Rebecca S
    Alumni
  • We had our son in an acute care hospital and the social worker recommended the Center for Discovery. Before our son was discharged, my wife and I met with the staff and toured the facility. We were impressed by the staff and how the program was structured. Our son was there 6 weeks. It was a game changer and now we feel our son left with a good base of skills that he has continued to use. We now feel our son can leave a normal type life and not have to worry that he may need to live in a group home setting as an adult. We can't say enough for the help and support we received from the entire staff at the Center for Discovery. When we were considering the facility we did some reviews on line. Some weren't overly positive, but most were and we feel that it was a very positive experience for our son and our family. Even our son now admits that he learned some great skills and that his time at Center for Discovery turned his life around.
    John W
    Parent of Alumni

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