During your inpatient stay, the team will begin to plan for your transition to the Eating Disorder Day Hospital. The partial hospitalization program is a step-down service from the inpatient program with a focus on relapse-prevention and successful transition to home and outpatient follow-up care. The Day Hospital is fully integrated with the Inpatient Program and is located on the same unit and staffed by the inpatient treatment team.
The Day Hospital runs from 8am to 8pm, seven days a week. As you progress through the program you will start to have days off to practice independent eating in a less supervised setting. You will learn relapse-prevention skills and develop a discharge plan for your return to home life, and will work closely with medical, nursing, occupational therapy and dietician staff providing meal support. You will gradually spend increasing time outside the hospital living at the Jefferson House (or with your family if you are an adolescent patient) and will have daily opportunities to practice your new healthy eating skills and to troubleshoot problems before leaving the structured hospital environment to return home.
By discharge most patients are attending the Day Hospital three days a week; are preparing meals daily at the Jefferson House; are ordering carry-out meals; and are eating in social settings including at restaurants and cafeteria. Participation in the Day Hospital helps shorten the length of your inpatient stay, gets you ready to leave the structure and support of the treatment program and helps you independently practice the new skills you have learned in a real world environment.
The Eating Disorders Day Hospital strives to:
- increase patients' functional ability to the highest possible level
- decrease the length of inpatient hospitalization
- provide a smooth transition from inpatient to outpatient treatment
- facilitate reestablishing relationships with family, work and community
- provide additional education and support for patients and families
- provide practice in daily activities that improve and normalize social eating skills and nutritional intake. These activities include eating family-style and cafeteria meals, preparing and cooking meals, grocery shopping, and restaurant outings.
Living Accommodations for Eating Disorders Day Hospital Patients
Patients 18 years of age and older are accommodated at the Jefferson House for a low-cost fee. The Jefferson House is located two blocks from the hospital and is dedicated to the Johns Hopkins Eating Disorders Program. While in the Partial Hospital, adolescent patients stay with their families. If they are from out of town, staff will assist families in obtaining low-cost accommodation in the Baltimore area.
Sample Eating Disorder Day Hospital Schedule
Breakfast – Grocery shopping outing (with occupational therapist) and breakfast at a coffee shop
Activity group and individual rounds meeting with the psychiatrist-led team
School for adolescent patients (9:30-11:00a)
Coping skills group (led by social worker) or cognitive-behavior therapy group (led by nurse)
Lunch - meal planning, preparation and performance group – this includes either selecting foods in the cafeteria, eating in a restaurant, having a family-style meal on the unit or cooking a meal (led by nurses).
Psychotherapy Group (led by psychiatrist or social worker)
Psychotherapy Group (led by social worker)
Daily walk with staff or supervised gym time if appropriate (with nurse)
Stretch and Relaxation group (led by nurse or occupational therapist)