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 Suicidality
If suicidality is present, inpatient monitoring and treatment may be
needed depending on the estimated level of risk
Specific plan with high
lethality or intent;
admission may also
be indicated in patient
with suicidal ideas or
after a suicide attempt
or aborted attempt,
depending on the
presence or absence
of other factors
modulating suicide risk
Weight as
percentage of
healthy body
weight Generally
>85% Generally
>80% Generally >80%
Generally <85%
Generally <85%; acute
weight decline with
food refusal even if not
<85% of healthy body
weight Motivation
to recover,
including co-
operativeness, insight, and
ability to con-
trol obsessive
thoughts Fair-to-good
motivation Fair
motivation Partial
motivation; cooperative;
patient preoccupied
with intrusive,
repetitive thoughts >3
hours/day Poor-to-fair
motivation; patient
preoccupied with
intrusive repetitive
thoughts 4–6 hours
a day; patient
cooperative with
highly structured
treatment Very poor to poor
motivation; patient
preoccupied with
intrusive repetitive
thoughts; patient
uncooperative with treatment or
cooperative only in
highly structured
environment Co-occurring
Presence of comorbid condition may influence choice of level of care
disorders (substance use,
depression, anxiety)
Any existing psychiatric
disorder that would
require hospitalization
(i.e., severe
depression, addiction,
self-harm) Structure
needed for
eating/gaining weight
Self- sufficient
Needs supervision
during and after all
meals or nasogastric/
special feeding
modality Ability to
control compulsive
exercising Can manage Some degree of external structure beyond self-control required to prevent
compulsive patient from compulsive exercising; rarely a sole indication for increasing the
exercising level of care
through self-
control Self-
sufficient Needs some
structure to gain
weight Needs supervision
at all meals or will
restrict eating
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