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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 Page  | 28