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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 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 Page  | 29