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Level of Care Guidelines for Patients With Eating Disorders (continued) Level 3: Level 2: Partial Hospitalization Level four: Residential Level 5: (Full-Day Outpatient Care)a Level 1: Outpatient Intensive Outpatient Treatment Center Inpatient Hospitalization Motivation to recuperate, Fair-to-good Fair motivation Partial motivation; Poor-to-truthful motivation; Very poor to poor motivation; patient including cooperamotivation cooperative; patient preoccupied preoccupied with intrusive tiveness, insight, patient preoccupied with intrusive repetitive thoughtse; patient and skill to control with intrusive, repetitive thoughtse uncooperative with treatment or obsessive thoughts repetitive thoughtse four�6 hours a day; cooperative solely in extremely >three hours/day affected person cooperative structured environment with highly structured therapy Co-occurring problems Presence of comorbid condition may affect choice of stage of care Any current psychiatric disorder that (substance use, would require hospitalization despair, anxiousness) Structure wanted for Self-enough Self-adequate Needs some construction Needs supervision in any respect Needs supervision during and after all consuming/gaining to realize weight meals or will restrict meals or nasogastric/particular feeding weight eating modality Ability to regulate Can manage Some diploma of external structure beyond self-control required to stop affected person from compulsive exercising; compulsive compulsive rarely a sole indication for growing the level of care exercising exercising by way of self-management Purging conduct Can significantly cut back incidents of purging in an unstructured setting; Can ask for and use Needs supervision during and in spite of everything (laxatives and no important medical problems, such as electrocardiographic help from others meals and in loos; unable to diuretics) or different abnormalities, suggesting the need for hospitalization or use cognitive and management a number of day by day episodes of behavioral skills to purging which might be extreme, persistent, inhibit purging and disabling, regardless of acceptable trials of outpatient care, even if routine laboratory test outcomes reveal no apparent metabolic abnormalities Copyright 2010, American Psychiatric Association. 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