The Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE
Patients at the Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE are experiencing results.
Lindner Center of HOPE offers a disciplined approach to eating disorder treatment that combines psychiatric management, psychotherapy, nutritional services, and family engagement throughout the entire process. Board certified clinicians offer the wisdom, compassion and proven treatment modalities to successfully treat complex illnesses such as eating disorders, returning patients, and their loved ones, to more fulfilling lives.
The Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE includes services for adults and adolescents, females and males, while also incorporating research.
For an initial assessment and consultation with a licensed therapist at Lindner Center of HOPE, call 513-536-HOPE (4673). Assessment includes a 50-minute session with a licensed therapist. The initial assessment is covered by most major insurance plans.
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Recognizing Eating Disorders
Eating disorders can affect individuals of any age, gender or ethnic background. While the potential warning signs may vary significantly, these are general signs for eating disorders:
- Preoccupation with body shape and/or weight
- Weight disturbances or unexplained weight changes (underweight, overweight or obese)
- Hoarding high-calorie food
- Obsession with diets, calories, food, or nutrition
- Compulsive eating, binge eating, or inability to stop eating
- Frequent rigorous dieting, regardless of body weight
- Compulsively arranging food and/or cutting into tiny pieces
- Eating alone or late night eating
- Rigidity around food – eating only particular types of food and/or at certain times
- Emotional overeating
- Taking laxatives or diet pills or excessive exercising to prevent weight gain
- Avoiding eating in public and social situations that involve food
- Repeatedly going to the bathroom shortly after meals
- Regular fasting
Qualified professionals at Lindner Center of HOPE have the experience and tools to identify eating disorders and possible co-occurring conditions. Often, patients are aware that they need help for an eating disorder, but do not realize that another mental disorder may be the root cause or may be exacerbating symptoms or behaviors.
The clinicians at Lindner Center of HOPE specialize in understanding co-occurring conditions. They use a combination of established protocols and current research to reveal underlying causes. These proven techniques help them truly understand the complex nature of co-occurring conditions, recommend the appropriate level of care, and create a tailored treatment plan.
Causes of Eating Disorders
Approximately 10 million adolescents and adults in the United States suffer from eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, overeating and obesity, or compulsive exercising.
Eating disorders are mental illnesses caused by numerous factors. They can impair normal functioning, hinder mental health and present significant health risks. They often co-occur with other mental disorders, such as depression. Lindner Center of HOPE can help.
A variety of possible genetic, medical, psychological and environmental factors can influence eating disorders. They may include:
- Genetic (or hereditary) factors
- Neurochemical differences
- Biologic changes that occur secondary to weight loss and malnutrition
- Individuals with certain temperament or personality features, such as perfectionism and obsessionality, may be more susceptible to developing eating disorders.
- Conflicting social messages about nutrition and extreme thinness can influence the development and treatment of eating disorders.
Lindner Center of HOPE creates individualized treatment plans to help patients succeed
Every patient begins successful treatment with a thorough initial assessment and consultation with a licensed therapist. This initial assessment is generally covered by major insurance plans.
Upon an initial assessment, patients receive a personalized treatment plan. Patients who choose treatment at the Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE are provided with a plan for combating the eating disorder. The plan may include a combination of Family Based Therapy, individual and group psychotherapy, meal planning and support, nutritional education and counseling, medical monitoring and exercise assessment, control interventions, and psychiatric management, to support the patient throughout treatment, equipping the patient with the tools and support he or she needs for continued success at home.
Lindner Center of HOPE effectively treats a range of eating disorders, including anorexia nervosa; bulimia nervosa; binge eating disorder; overeating and obesity; and compulsive exercising.
For adults, treatment for eating disorders at Lindner Center of HOPE is available through inpatient care, outpatient care, intensive outpatient care and an eating disorders partial hospital program (PHP).
For adoleschttp://lindnercenterofhope.org/treatment-options/partial-hospitalization/eating-disorder-php/ents, Lindner Center of HOPE offers a comprehensive diagnostic and intensive treatment option in a residential setting, called Williams House, with consultation from the Harold C. Schott Foundation Eating Disorders Treatment Team.
Proximi is another option for intensive treatment of an eating disorder for adolescents and their families.
Treatment team members also offer outpatient assessment and treatment through Lindner Center of HOPE Professional Associates (LCOHPA). Cincinnati Children’s at Lindner Center of HOPE encompasses the inpatient and partial hospitalization programs for adolescents at Lindner Center of HOPE. These programs treat all adolescent mental health diagnoses, but offer a specialized track staffed by the Harold C. Schott Eating Disorders Treatment Team for treating teens with eating disorders. To read more about Cincinnati Children’s Hospital Medical Center’s mental health programs, click here.
Research studies and the advances they lead to are closely integrated into the evidence-based treatment programs provided at Lindner Center of HOPE. The Research Institute at Lindner Center of HOPE consistently manages eating disorder-related studies that are working to test new treatment options and increase the knowledge-base about eating disorders.
Eating Disorder Program Intake Form
Complete this automated form one week prior to your scheduled initial assessment with a licensed therapist at Lindner Center of HOPE. Once form is completed, please print and bring to your initial appointment.
Comprehensive outpatient services led by experts in the clinical practice group, Lindner Center of HOPE Professional Associates (LCOHPA), establish an individualized treatment approach that allows patients struggling with eating disorders to participate in meaningful therapy, support and recovery groups. Families also receive extensive support and education on understanding and working with the loved one suffering from an eating disorder. Outpatient treatment helps patients continue their recovery while maintaining normal life activities.
- Female and male adults or adolescents (10 and older) with eating disorders who are able to participate successfully in regularly scheduled outpatient visits and who are not at medical risk
- Family members who are struggling with a loved one’s eating disorder
The clinicians at Lindner Center of HOPE understand that eating disorders are a form of mental illness. That’s why patients with eating disorders live and receive therapy side-by-side with patients facing other mental illnesses. Treatment is provided in a positive, open care environment with 24-hour support every day.
Effective, inpatient treatment includes psychiatric/medication management, medical management and consultation, re-feeding under strict medical and nutritional control, nutrition planning and support, companion meals, individual psychotherapy, and family therapy. The treatment team works with each patient to address specific symptoms, and more importantly, resolve deeper issues enabling ongoing recovery and improved mental and physical wellness. Patients confront personal challenges to break the cycle of disordered eating.
Through a unique collaboration, Cincinnati Children’s at Lindner Center of HOPE, staffed by the Harold C. Schott Eating Disorders Treatment Team, provides care to adolescents suffering with eating disorders. We offer a center of excellence, in a serene, therapeutic environment for the care and treatment of adolescents. To read more about Cincinnati Children’s Hospital Medical Center’s mental health programs, click here.
Who Benefits from Eating Disorder Treatment
- Female and male adults or adolescents (12 and older) who are struggling with eating disorders
- Patients who have not progressed in recovery with other treatment programs or whose eating disorder has led to dangerous medical consequences
This intensive treatment option provides a therapeutic, supportive environment for patients age 12 and older struggling with eating disorders. Adolescent partial hospitalization is provided by the Harold C. Schott Eating Disorders Treatment Team on Cincinnati Children’s unit at Lindner Center of HOPE, while designated Lindner Center of HOPE staff provide adult partial hospitalization programming. This program can assist patients transitioning from an inpatient stay to daily routine and home environments. Families also receive extensive support and education on understanding and working with the loved one suffering from an eating disorder. Partial hospitalization can also be considered as a treatment alternative to full hospitalization.
- Individuals (ages 12 and older) who are facing the challenges of an eating disorder, and their parents or family members
- Patients who need a more intensive, structured program than traditional outpatient visits can provide
- Patients who may not require hospitalization, but who may benefit from hands-on intensive day-long therapy without requiring an overnight stay
- Patients transitioning from hospitalization who need on-going, intensive care
Eating Disorder Intensive Outpatient Program at Lindner Center of HOPE
The Eating Disorder Intensive Outpatient Program at Lindner Center of HOPE (EDO IOP) is a treatment program designed to provide more intensive treatment for eating disordered patients for those who are not benefitting from outpatient treatment but do not meet criteria for partial hospitalization or inpatient treatment. The goals of EDO IOP are to continue weight restoration, nutritional support and planning, develop coping skills, and to assist patients in the management of their disease and symptoms to the point that traditional outpatient services will be effective. EDO IOP is often used as step-down treatment from partial hospitalization with the intent of transitioning the patient back into their home environment and healthy routines. As such, EDO IOP is a cost effective option for patients who meet admission criteria for this program.
EDO IOP traditionally operates Tuesday through Friday from 3:00 PM – 6:00 PM on the campus of the Lindner Center of HOPE at 4075 Old Western Row Road, Mason, 45040. Alternative days will be identified when programming is closed due to holidays. Patients are expected to arrive at 2:30 for check in. Weight checks will occur on Tuesday at 2:30 and as needed on other days. Patients will also be expected to schedule with an individual therapist specialized trained in eating disorders at Lindner Center of HOPE on Mondays during the duration of the program. Duration of the program is based on individual progress towards established goals.
The Eating Disorder Intensive Outpatient Program at Lindner Center of HOPE (EDO IOP) is a treatment program designed to provide intensive treatment for eating disordered patients who do not meet criteria for partial hospitalization but who are not stable enough to be treated in the traditional outpatient setting. The goal of EDO IOP is weight restoration, nutritional support and planning, instruction of cognitive coping skills, and to assist patients in the management of their disease and symptoms to the point that traditional outpatient services will be effective. EDO IOP is often used as step-down treatment from partial hospitalization with the intent of transitioning the patient back into their home environment and healthy routines.
Proximi Recovery Eating Disorders Program
Parents of adolescents (ages 12-17) struggling with Anorexia Nervosa or Bulimia Nervosa are often on a difficult journey
as they attempt to care for their child. This journey can often cause parents to question their parenting and their ability
to successfully help their loved one. The Proximi Recovery Eating Disorder Program (PREP) is uniquely designed to meet
the daily needs of these struggling families through home, school and community assistance from a trained therapist.
Patients of different ages have different needs. That’s why we have two separate facilities for adults and adolescents.
- The Williams House is our adolescent comprehensive diagnostic assessment and treatment program. It focuses on intensive assessment and treatment readiness for patients age 11 through 17 who suffer with complex, co-morbid mental health issues. Our assessment includes social interaction and observations that help us understand a teen’s ability to manipulate abstract ideas, resilience, social intelligence and over all emotional maturity.
- The Sibcy House is our comprehensive diagnostic assessment and treatment readiness program for adults. Often, patients arrive at Sibcy House with multiple diagnoses and a history of treatment attempts. We use proven methodologies to arrive at a conclusive diagnosis and use it to guide our patient’s individualized treatment plan.
Research Programs to Advance the Treatment of Eating Disorders
The Research Institute at Lindner Center of HOPE, in affiliation with the University of Cincinnati (UC) College of Medicine, conducts research to better prevent, diagnose and treat common mental illnesses, including eating and weight disorders. Typically it can take up to 17 years before research findings become fully integrated into routine diagnostics and treatment. However, at Lindner Center of HOPE, research informs patient care each and every day.
Current Research Studies
Research in genetics, brain imaging, psychopharmacology and psychotherapy advances the treatment of eating disorders. The professional staff closely integrates research studies into programs to benefit patients and the treatment of eating disorders. Patients interested in participating in specific studies apply through Lindner Center of HOPE.
Highly Qualified Team Tailors Treatment to the Individual
The team at the Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE is nationally recognized for their scientifically proven methods and progressive expertise in assessing and treating eating disorders.
This team brings a wealth of experience and specialization to an innovative eating disorders program. Active in numerous professional associations, the eating disorders treatment team works together to integrate their knowledge of proven approaches and current research to ensure comprehensive, effective patient care. They oversee:
- Psychiatric assessment, including careful assessment for psychiatric co-morbidity
- Medical monitoring and stabilization
- Psychiatric medication evaluation and treatment
- Ongoing therapeutic evaluations and program support
- Nutritional evaluation
- Nutrition group twice a week
- Ongoing individual nutrition education and meal planning
Care Coordinators / Therapists
- Treatment team planning
- Group therapies
Mental Health Specialists
- Management of therapeutic environment
- Meal support, nutritional education
- Group therapies
Nursing Staff Members
- Medical monitoring: physical assessment including vital signs, monitoring of intake and output, etc.
- Management of therapeutic environment
- Utilization review
- Group therapy including parent and child group therapy and unit activities
- Communication with school to minimize potential educational and developmental impact from hospitalization
- Weekday classroom work with peers Internal Medicine/Pediatrics Consultants
- Initial physical assessment and medical planning
- Ongoing on site medical monitoring and care when needed
Each patient’s treatment team may also include the following healthcare professionals:
- Psychotherapists with specialized Eating Disorder training including training in Family Based Treatment (FBT), dialectical behavior therapy (DBT) and enhanced cognitive behavior therapy (CBT-E)
- Teacher/ Education Specialists
- Internal Medicine/Pediatrics Consultants
- Treatment for males and females
- Treatment for the whole range of eating disorders, from anorexia and bulimia to overeating
- Specialized meal support including companion meals
- Medical interventions including feeding tubes for more serious situations to help support nutritive rehabilitation
- Open therapeutic environment providing treatment for patients with eating disorders alongside patients with other mental disorders
Lindner Center of HOPE Library: Resources for Eating Disorders
Are you ready to make a change? Patients facing eating disorders and their families can use these resources to better understand and take the first steps toward treatment and recovery.
Eating Disorder Screening
Take this self test developed by eating disorders experts to help you determine if you may have an eating disorder.
Eating Attitudes Test
Take this Eating Attitudes Test for a deeper assessment of a possible eating disorder.
AVAILABLE FOR DOWNLOAD
- Frequently Asked Questions
- Guidelines for Family and Friends
- Eating Disorder Recovery and Stages of Change
- Article: Treating Anorexia with the Maudsley Approach
IN THE NEWS: ONLINE ARTICLES
Brain Image Reveals Eating Disorders
Tuscon and Southern Arizona News
Treating Anorexia with the Maudsley Approach
A recent study found over half of adolescent patients receiving family based treatment for anorexia were more likely to experience remission after a year than those treated with traditional therapy methods. This article provides more in-depth information about the study results and how family based eating disorder treatment works.
100 Questions and Answers about Anorexia Nervosa
Crave: Why You Binge Eat and How to Stop
Cynthia M. Bulik
Diet Survivor’s Handbook
Judith Matz and Ellen Frankel
Eating With Your Anorexic
Gaining: The Truth About Life After Eating Disorders
Health at Every Size
Help Your Teenager Beat an Eating Disorder
James Lock and Daniel le Grange
Life Without ED: How One Woman Declared Independence from Her Eating Disorder and How You Can Too
Jenni Schaefer, Thom Rutledge
Real Gorgeous: The Truth about Body and Beauty
Regaining Your Self: Breaking Free From the Eating Disorder Identity: A Bold New Approach
Ira M. Sacker and Sheila Buff
Skills-based Learning for Caring for a Loved One With an Eating Disorder: The New Maudsley Method
J. Treasure, G.Smith and A.Crane
Surviving an Eating Disorder: Strategies for Family and Friends
Michele Siegel, Judith Brisman and Margot Weinshel
The Beginners Guide to Eating Disorders Recovery
Nancy J. Kolodny, MA, MSW, LCSW
When Your Child Has an Eating Disorder: a Step-by-Step Workbook for Parents and Other Caregivers
Pam Carlton, MD
The Parent’s Guide to Eating Disorders: Supporting Self-Esteem, Healthy Eating, and Positive Body Image at Home
Marcia Herrin and Nancy Matsumoto
When Your Child Is Cutting; A Parent’s Guide to Helping Children Overcome Self-Injury
Merry E. McVey-Noble, Fugen Neziroglu, Sony Khemlani-Petal
Brave Girl Eating, Harriet Brown
Eating disorders screening questions
Please answer yes or no to each of the following:
- Do you ever make yourself sick or vomit because you feel uncomfortably full?
- Do you worry that you have lost control over how much you eat?
- Have you recently lost 15 pounds or more within a 3-month period?
- Do you believe yourself to be fat when others say you are too thin?
- Would you say that food dominates your life?
If you answered yes to 2 or more of the above questions, we recommend that you seek professional advice and consider a formal evaluation.
From Morgan, Reid, and Lacey (1999) The SCOFF questionnaire: Assessment of a new screening tool for eating disorders, Journal of Medical Screening (BMJ), Volume 319, December 4, 1999.