NEDA TOOLKIT for Parents
Level One:
Outpatient Level Two:
Intensive Outpatient
Level Three:
Level Four:
Partial Residential
Hospitalization Treatment
(Full-day Outpatient Care)
Level Five: Inpatient
Treatment Purging
behavior (laxatives and
diuretics) Can greatly reduce incidents of purging
in an unstructured setting; no significant
medical complications, such as cardiac or
other abnormalities, suggesting the need for
hospitalization Can ask for and use
support from others
or use cognitive and
behavioral skills to
inhibit purging
Environmental stress
Others able to provide
adequate emotional and
practical support and
structure Severe family conflict or problems or absence
of family so patient is unable to receive
structured treatment in home; patient lives
alone without adequate support system
Geographic availability
of treatment
program Patient lives near treatment setting
Others able to
provide at least
limited support
and structure
Needs supervision
during and after
all meals and in
bathrooms; unable
to control multiple
daily episodes of
purging that are
severe, persistent,
and disabling, despite
trials of outpatient
care, even if routine
laboratory test results
reveal no obvious
abnormalities Treatment program is too distant for patient
to participate from home
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