Anorexia and Bulimia Eating Disorder Treatment Home


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Frequently Asked Questions

GENERAL (FAMILY, ADOLESCENTS, ADULTS)

How soon can admission be arranged?
The waiting period can be a few days to a few weeks, depending on our patient population and their estimated discharge from the treatment program.

What is the typical length of stay at McCallum Place?
Patients stay an average of six to 12 weeks. We require that patients begin with a two-week commitment for Partial Hospitalization (PHP) and/or a 30-day commitment for those requiring 24-Hour/Intensive Care. Length of stay is determined based on patient need and is graduated according to his or her progress. Level of care is assessed on a weekly basis and adjusted accordingly.

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How are treatment decisions made?
Our treatment team includes care from psychiatrists, psychotherapists, dietitians, nurses, and mental health workers who review the patients progress of the preceding week. Treatment recommendations are based on the patients ability to be successful in achieving their goals. Goals are revised as needed to encourage and support continued progress. Patient and family input is an important part of the process.

How frequently will I hear an update?
Families of adolescent patients are required to attend one of the individual psychotherapy sessions offered each week. This allows for a coordination of continued care with the family and provides an update to the families about the status of their childs progress. Adult patients are encouraged to include their families as needed in psychotherapy sessions.

Who should I contact with questions?
Medical concerns, including medication: Lynn Stark, A.P.R.N., or each patients individual psychiatrist
Program concerns, including outside interruptions, such as times patient will not be in treatment: Lynn Stark
Psychological or overall progress: patients individual therapist
Insurance certification: UR Coordinator
Billing: Chris Colombo or Mark McCallum.

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What supports are available for families during treatment?
A multi-family group is offered once weekly at no additional charge to families of patients on Monday evenings from 5:00 p.m. to 6:00 p.m. This group is designed to answer questions and concerns from family members who have a loved one currently in treatment.

Will adolescents be accepted for treatment?
Our program can accommodate both adults and adolescents. Adolescent programming is modified to address their special developmental needs with a focus on family treatment. Adolescents who require intensive seven-day-a-week treatment may stay with their families.

How large is your facility?
At any given time we can provide accommodations to a maximum of eight patients in residential care. Our Partial Hospitalization Program (PHP) can accommodate 12 patients. The Transitional Living program can accommodate six patients.

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PATIENTS

How are weight goals determined?
Weight goals are set by achievement of at least 90% of ideal body weight. Weight gain recommendations are graduated based on incoming body weight and medical safety.

What is the average length of stay?
The typical stay for patients is an average of six to 12 weeks. We require that you begin with a two-week commitment for Partial Hospitalization (PHP) and a 30-day commitment if you require 24-hour care. Length of stay is determined based on your need and is graduated according to progress. The appropriate level of care is evaluated on a weekly basis and adjusted accordingly.

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How does the McCallum Place staff work with frequent purging?
The small number of patients allows lots of support and one-on-one supervision during the hours after eating. We take into account metabolism changes associated with purging so that weight gain is gradual and safe.

Can McCallum Place accommodate a vegetarian diet?
Yes. However, we cannot accommodate a strict vegan diet.

Am I allowed to go to school/keep my job while in treatment?
When appropriate, we encourage you to return to school or work. Initially, most people take a leave of absence from school or work for anywhere from two weeks to two months to stabilize.

Can I maintain contact with family and friends?
We do not discourage contact with family and friends but require that contact occur outside of scheduled program events. Passes are granted as patients goals are met. Passes outside the facility are offered to those in the recovery phase of treatment but not to those in the stabilization phase.

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Will I be allowed to exercise?
Exercise goals and limits are determined individually, taking into account medical stability. Goals are reviewed and assessed each week. Depending on your readiness for exercise, a variety of exercise options are available, including walks with staff, yoga, dance therapy, and a complete fitness facility.

What can and should I bring?
You should bring comfortable clothing, suitable for participating in active groups, such as dance therapy or yoga. Bring weather-sensitive clothing for outdoor activities. We encourage you to bring comfort items such as photographs or a favorite pillow. Please do not bring items of value or large amounts of cash. Cell phones and laptops are permitted.

Is there anything I am not allowed to bring?
You will not be allowed to bring food of any kind, diet pills, laxatives, non-approved vitamins, or weapons. Because certain magazines can trigger negative thoughts, they are prohibited as well.

Are caffeine, cigarettes, and diet soda permitted?
All of the above are permitted in reasonable quantities. Smoking is permitted only at designated times and areas of the facility. It is our goal to encourage healthy habits that will also be continued once treatment is completed. Therefore, while we do not exclude certain types of food, we do encourage and support finding a reasonable balance in their inclusion in ones diet.

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What if I need hospitalization, intravenous feedings, or tube feedings?
We avoid hospitalization, IVs, and tube feedings unless absolutely necessary. If necessary, the staff will transport you to a nearby hospital until you are stable enough to return to McCallum Place. Dr. McCallum will continue to work with you while you are at the hospital and will coordinate care with other physicians.

What information does the staff need prior to acceptance at McCallum Place?
Before your arrival, you need to provide the following by fax or mail:

1. Blood work from within seven days of beginning treatment, including: CBC, electrolytes, renal function tests, liver panel, magnesium, phosphorus, calcium, protein, TB test, Hepatitis B screening, pregnancy test, and urinalysis.

2. An EKO twelve lead and rhythm strip from within seven days of admission.

3. A complete physical exam and medical history. This physical exam should include a morning weight in gown, height, and postural vital signs. A Hepatitis A shot is recommended for those considering our transition house.

4. A completed admissions interview, which will review your past treatments, goals, and psychiatric history. This interview will also give you an opportunity to decide if McCallum Place fits your needs.

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Are pets allowed?
Although pets may visit, no pets may stay in the treatment facility.

Will insurance pay for any of the treatments?
McCallum Place is not licensed as a Medicare or Medicaid provider.

McCallum Place is a network provider for many types of Blue Cross and Cinga Insurance. If you have some form of Blue Cross or Cinga Insurance, please consult with your insurance company to see if your treatment at McCallum Place will be covered under your individual policy.  Patients who are covered under Blue Cross or Cigna are not required to prepay and we will deal directly with your insurance company for payment for all treatment authorized by your insurance company.

For those patients who do not have Blue Cross or Cigna insurance, some or all of the cost of treatment may still be covered by your insurance company. Patients who are not covered under either Blue Cross or Cigna insurance are expected to pay that the time of treatment. McCallum Place will submit claims on your behalf to your insurance company so that you may receive reimbursement from your insurance company up to the limits of your insurance coverage. You will need to keep your account with McCallum Place current and lack of reimbursement from your insurance company will not be considered justification for non-payment.

We will attempt to pre-certify treatment with your insurance company when appropriate. There is often a delay of several weeks or even months before your insurance company will reimburse you for the cost of treatment. Almost all of our patients receive some level of reimbursement from their insurance companies but insurance reimbursement varies widely by company and coverage type. It is a good idea to consult your insurance company directly prior to admission to determine what level of insurance reimbursement you can expect. 

THERAPISTS

Who is a candidate for treatment?
McCallum Place is available for patients with a variety of needs and concerns. We are able to facilitate weight gain for those who have been unable to gain weight in outpatient settings. We can accommodate anorexia patients needing tube feeding who are not below 65% body weight. Patients with bulimia can use our program to shift away from a cycle of frequent binge eating and purging, and to actively work on changing their relationship with food.

All meals are well structured and closely monitored. Patients who are at risk of purging are monitored after the meal. Our meal groups allow patients an opportunity to begin a more balanced relationship with themselves through eating and builds continuity over the course of several meals, a benefit that often cannot be achieved in outpatient therapy.

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Can I maintain contact with my client/patient?
We encourage you to continue contact with your client/patient during their stay at McCallum Place. With consent, we will keep you informed of progress, including information about treatment goals and a summary of treatment upon discharge. Also, we invite you to attend the weekly treatment planning meeting in person or by phone, so that we can best coordinate care with you.

Will I be consulted in the goals of treatment?
We encourage your input in the initial setup of treatment goals for your client/patient and welcome your feedback during the weekly treatment team meeting.

Will I receive discharge information?
All patients develop a discharge plan during their stay, which includes goals for continued treatment and strategies for relapse prevention. This plan is developed by the client/patient with the support of their primary therapist and feedback from other clients/patients in the program. In addition, we prepare a summary of treatment to acknowledge achievements made during the stay and identify concerns for continued work outside of McCallum Place. This will be mailed to after your patient/client is discharged with patient consent.

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