CPG for Eating Disorders

8.3.2. Criteria for admission to day patient care (day hospital)• From the adult or children MHC. If the patient does not meet emergency medical care oremergency psychiatric admission criteria and does meet any of the following criteria:– The patient is unable due to the psychopathology presented to follow the guidelines inthe outpatient programme: frequency of visits, limitation of physical activity,recommended diet, etc.– There are serious behavioural problems at home, conflicts in family relationshipsand/or family psychopathology that cannot be modified at an outpatient level.– Weight evolution does not follow the rate indicated in the outpatient programme forweight restoration.• From complete hospitalisation (once discharge criteria have been fulfilled). If additionaleating and behaviour management is necessary, but can be carried out on an outpatientbasis. Also in those cases in which psychopathological intensity requires psychologicaltreatment to modify the patient’s image, beliefs, assertiveness and other aspects relatedwith eating disorders.8.4. In eating disorders, what clinical criteria may beuseful to assess discharge from health care resourcesavailable in the NHS?8.4.1. Criteria for discharge from inpatient care (completehospitalisation)• Normalisation of biological disturbances that have led to complete hospitalisation.• Weight restoration as is established in an individualised programme.• Improved psychopathological state.• Elimination of self-injurious behaviour.• Remission of abnormal eating behaviour and compensatory behaviour.• Improved family conflicts.• Improved general functioning.8.4.2. Criteria for discharge from day patientcare (day hospital)In order to refer to outpatient care (adult or children MHCs):• Weight restoration and/or maintenance as established in the ITP.• Completion of group programmes that had been initiated.• Improved eating pattern and compensatory behaviour (if any).• Improved family conflicts and general functioning that enable outpatient treatment.CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS83