Current Research and News:  

Compulsive exercise to control shape or weight in eating disorders: prevalence, associated features, and treatment outcome.  OBJECTIVE: The study was aimed at assessing the prevalence of compulsive exercising to control shape and weight in eating disorders (EDs) and its relationship with treatment outcome. METHOD: Compulsive exercising to control shape and weight, defined according to a modified version of the Intense Exercising to Control Shape or Weight section of the Eating Disorder Examination (EDE), was assessed in 165 consecutive ED inpatients entering a protocol based on the transdiagnostic cognitive behavior theory and treatment of EDs. Baseline assessment also included anthropometry, the global EDE interview, the Beck Depression Inventory, the State-Trait Anxiety Inventory (STAI), the Eating Disorders Inventory-Perfectionism Scale, and the Temperament and Character Inventory. RESULTS: Of the patients, 45.5% were classified as compulsive exercisers, the prevalence being highest (80%) in restricting-type anorexia nervosa (AN), lowest in EDs not otherwise specified (31.9%), and intermediate in binge/purging AN (43.3%) and in purging-type bulimia nervosa (39.3%). Compulsive exercising to control shape and weight was independently predicted by the EDE restraint score (odds ratio, 1.32; 95% confidence interval, 1.06-1.64; P = .014) after adjustment for ED; the total amount of exercise was associated with EDE restraint, as well as with the Temperament and Character Inventory reward dependence. At follow-up, an improved EDE global score was predicted by lower baseline values, higher baseline STAI and STAI improvement, and lower amount of exercise in the last 4 weeks. Voluntary treatment discontinuation was not predicted by baseline exercise. DISCUSSION: Compulsive exercising to control shape and weight is a behavioral feature of restricting-type AN, associated with restraint and temperament dimensions, with influence on treatment outcome. Compr Psychiatry. 2008 Jul-Aug;49(4):346-52. Epub 2008 Mar 19.
 

Uniondale, NY: National Eating Disorders Association-Long Island: NEDA-LI 2008 Fall Kick-Off Professional Training Program. "Out on a Limb Series" - Case Discussion Workshops. Date: Friday, Oct 17, 2008 - 9:30-12pm. Location: 50 Charles Lindbergh Blvd-Uniondale, NY 11553 (Lower Level Conference Room). Special Topic: Understanding and Treating Patients Who Inflict Harm on Themselves (Eating Disorders, Self-Injury, Compulsive Tattooing and Piercing). Facilitator: Sharon K. Farber, PHD, BCD, author of “When the Body is the Target: Self-Harm, Pain and Traumatic Attachments” Most clinicians resist treating patients who self-injure. There is a very high comorbidity between disordered eating and self-mutilating behavior, two different kinds of self-harm behaviors. Clinicians with expertise in treating patients with eating disorders have the unique experience that will serve them well in treating patients who self-injure. This presentation will explain why this comorbidity exists, and how to understand it as serving self-regulatory, self-medicating, and other psychic functions. The dissociative and addictive processes will be highlighted. *Continental Breakfast Included for this kickoff.  This kick-off workshop is one of four special topic case discussion workshops that will be held at the same location. Other dates are Dec 5, 2008, Feb 6, 2009 and Apr 24, 2009. Contact hours for professionals. Seats are limited and advanced registration is suggested. For more information call NEDA-LI at 516-794-0415 or visit www.neda-li.org.

SAVE THE DATE! Philadelphia, PA: The 18th Annual Renfrew Center Foundation Conference for Professionals, Feminist Perspectives and Beyond: The Power of Therapeutic Relationships in the Treatment of Eating Disorders. This is a four day seminar for behavioral health professionals and dietitians and offers 22.5 CEUs. The event is taking place at the Philadelphia Airport Marriott, Philadelphia, PA on November 13th - 16th, 2008. Both clinical experience and empirical research emphasize the crucial importance of the treatment relationship during the course of psychotherapy. In order to further theoretical understanding and effective practice in eating disorders, the 2008 Renfrew Center Foundation Conference is devoted to an examination of therapeutic relationships. Topics will include: Therapist Self-Disclosure and Self-Care; Engaging Reluctant Patients; Impasses and Repair; Family and Friends as Therapeutic Agents; Expressions of Caring During Treatment; Psychoneurology and Attachment; Temperament and Genetic Factors; Ending Therapy; Therapeutic Alliance in Outpatient and Inpatient Settings. The keynote speakers for this conference are Jane Fonda, award-winning actress, humanitarian and author of My Life So Far; Christopher Fairburn, MD, author of Cognitive Behavior Therapy and Eating Disorders; Amy Banks, MD, Director of Advanced Training, Jean Baker Miller Institute. For additional information visit the website at www.renfrew.org. 

Southern California: Professional Study Groups: Carolyn Costin, MFT invites all treating professionals to her study groups. These groups cover case reviews, treatment strategies, new literature, research, and other areas related to the treatment of eating disorders. CEU's are given to MFT's and LCSW's. For more information call 310-457-9958. Group #1 takes place the first Tuesday of every month from 12:00 - 1:00pm at the Eating Disorder Center of CA, www.edcca.com. Group #2 takes place the first Wednesday of every month from 12:00-1:30pm at the Monte Nido Treatment Center, www.montenido.com.

Broomfield, CO: Trauma Recovery Training November 8th from 9:00-12:30.  Seminar given by Alison Lammot, Certified Counselor and Trauma Therapist, and Lesley Goth, PsyD specializing in eating disorders. This 1/2 day seminar will include specialized training for working with sexual abuse victims, body memories and applicable handouts that will facilitate practical work in your treatment. A light brunch will be served. Trauma recovery mostly involves the intellectual healing but this training will invite counselors to understand the importance of body memory and how true recovery is a combination of mind and body. Space is limited so please call Lesley Goth, PsyD. to reserve your spot (303)-217-1822. The cost is $100.00. For more information email Lesley at lgcounseling@yahoo.com.

Advocacy:  

Advocacy - The Eating Disorders Coalition for Research, Policy and Action. The EDC, a Washington, D.C. advocacy organization, is preparing to expand its online information about eating disorders among men and boys and other populations. If you know of high quality resources already online, let them know. The EDC would like to link to those pages, or share the information already available. Send suggestions to manager@eatingdisorderscoalition.org. Individuals can join their email list. Hospitals, treatment programs, non-profits, and other groups can become EDC member organizations. For more information visit http://eatingdisorderscoalition.org/involved/involved.html.

Treatment Center Spotlight:  

Arizona:

Wickenburg, AZ: Introducing ReddStone -- A Remuda Program for Boys. Since 1990, Remuda Ranch has provided excellent care to women and girls with eating disorders. Today, 95% of their 9,000 patients remain in good recovery, due to the Remuda Model of Treatment. Recognizing a growing need for treatment options, Remuda has developed a program exclusively for boys. ReddStone offers Christian intensive treatment for boys, 17 and under, struggling with anorexia, bulimia or binge-eating disorder. Utilizing the proven Remuda Model of Treatment, this inpatient program is designed to give boys the solid foundation needed to be free from their eating disorder and help prepare the way for them to become strong, independent and capable young men. If you know a boy who may be struggling with Anorexia, Bulimia or Binge-Eating Disorder, make sure he gets the treatment he needs. Call 1-800-445-1900 today.

California Adolescent Residential Treatment News - Center for Discovery: Center for Discovery's Eating Disorder Program is a comprehensive residential treatment program dedicated solely to the treatment of adolescent males and females suffering with eating disorders. Discovery offers a professional, structured environment with the comfort and nurturing of a serene home-style setting with several locations in California. The individualized and intensive treatment experience and twenty-four hour supervision is particularly effective in identifying and addressing the destructive behaviors and underlying emotional issues of the eating disorder. The Discovery program includes an integrated family approach with one to two private family sessions weekly, a weekly family education and support group and therapeutic family meals. Treatment also includes individual therapy, group education, narratives, expressive art therapy, emotion-management skills training, family support development, medical assessment, psychiatric consultations, and nutritional components. Discovery is a preferred provider to many insurance plans and they will assist families in verifying their insurance benefits as well as creating a financial plan for continued care. For more information call 800-760-3934 or visit www.centerfordiscovery.com. 

Calabasas, CA: Treatment Center News - Monte Nido Residential Treatment Center: Monte Nido combines a beautiful natural healing environment with the expertise of the renowned national expert and author, Carolyn Costin, and the treatment professionals from her company, Community Counseling for Individuals and Families, Inc.  Monte Nido is a very small, intimate facility. Monte Nido only takes six clients at a time. Clients treated at Monte Nido are all women suffering from anorexia, bulimia or exercise addiction. The facility has a family-like environment; their unique level system allows each client to gain increasing freedom and responsibility for her own recovery. By the end of her stay, each client is shopping for and preparing her own food and monitoring her own exercise. This will help prepare her for handling these activities upon discharge from Monte Nido. They also have a unique transition program, Bella Mar, which offers various levels of transitional and independent living situations. For more information call 310-457-9958, visit www.montenido.com or email mntc@montenido.com.

Malibu, CA: Treatment Center News - Monte Nido Vista: Carolyn Costin and the Monte Nido Treatment Center are pleased to announce a new 10 bed residential facility for anorexia, bulimia and exercise addiction. Monte Nido Vista is located in the foothills of Malibu, CA. The residential program is designed to meet the individual needs of clients and their families in a way that gives them an increasingly higher level of responsibility and "teaches" them how to recover and sustain it. The atmosphere is professional and structured, but is also warm, friendly and family-like. The staff members are highly dedicated professionals, many of who are recovered themselves, thus serving as excellent role models. For more information on The Monte Nido Treatment Center or its affiliates visit www.montenido.com, call 310-457-9956, or email mntc@montenido.com. 

Thousand Oaks, CA: La Ventana Eating Disorder Programs – Candy Bartole, M.S. L.M.F.T. is excited to be back in Ventura County as La Ventana’s Clinical Director. Candy has an extensive background treating adolescents and adults with eating disorders, and has been instrumental in the development of numerous intensive outpatient programs. Once again, she has put together a great team of professionals, making La Ventana one of the most comprehensive treatment options available for eating disorders. The program consists of several different levels of care: a transitional living home where newly recovering eating disorder clients have a safe place to learn the skills necessary to achieve a strong recovery; a six to eight hour day treatment with supported daily food therapy; and evening intensive outpatient programs for those working or going to school. Each client is assessed personally by Candy in developing an appropriate treatment plan that is tailored for optimum success. Call 888-311-0188 or visit
www.laventanaeatingdisorderprograms.com

Ventura County, CA: Treatment Center News - Rader Programs: Pacific Shores Hospital is a 30-bed facility completely dedicated to Rader Programs Eating Disorders Treatment. The facility was specifically designed to provide a warm and nurturing environment. The facility is located five minutes from the ocean in picturesque Ventura County just North of Los Angeles and South of Santa Barbara in Southern California. Rader Programs at Pacific Shores Hospital maintains an outstanding treatment team with extensive experience and training in Rader Program's proven treatment philosophy. The Rader Program is a national treatment center with multiple locations. The facility accepts patients from all across the United States. For more information visit www.raderprograms.com, call 800-841-1515 or email rader@raderprograms.com. 

Colorado:

Denver, CO: Eating Recovery Center created by Doctors Ken Weiner and Rick Bishop is a new world-class resource built from the ground up with eating disordered clients in mind. Their mission is to provide treatment that is medically and behaviorally sound in order to facilitate long-term recovery of eating disorders. The Eating Recovery Center aims to ensure each patient’s healthy transition by honoring individual strengths and social support so that nourishing healthy behavior will be sustained. All services are provided in the center’s tranquil environment complete with massage, individual and family therapy, art therapy, educational groups, a spa bath and chef prepared meals. The medical care and expertise of their full-time staff combined with the tranquil environment, provides a balance between therapeutic relaxation and the hard work required for recovery. Their full continuum of care includes Inpatient, Residential, Partial Hospitalization and Outpatient services for adults 17 and older. Eating Recovery Center is licensed as a Behavioral Hospital with 24-hour nursing and medical professionals, individual and family counselors, full-time psychiatrists and internists on staff. Collaboration is a key component found in their weekly team meetings. What sets them apart from other treatment centers is that the patient and the referring professional attend the meetings along with the patient’s entire treatment team. This level of collaboration is vital to achieving long-term positive outcomes and preparing patients to transfer their new, healthier habits to their everyday realities. Toll free: 877-825-8584; Direct: 303-825-8584; Email: info@eatingdisorders.md; Website: www.EatingRecoveryCenter.com.

Colorado Treatment Center News -- The Eating Disorder Center of Denver (EDC-Denver): The EDC-Denver offers a full spectrum of care from partial hospitalization through outpatient to males and females age 16 and older. The Partial Hospitalization Program operates 11 hours per day, 7 days per week and includes supervised meals and snacks. Lodging is provided at a nearby apartment building for PHP patients from out of town. The Evening Intensive Outpatient Program operates 4 hours per evening, three days per week and includes one meal. Most of the Eating Disorder Center of Denver's group/program components are available on an outpatient basis. Services include individual and family/couples therapy; DBT; aftercare; psychiatric evaluation; therapy and medication monitoring; and nutritional counseling by a registered dietitian. EDC-Denver accepts most insurances. Treatment providers are welcome to utilize EDC-Denver's outpatient services as adjunct therapies to their own treatment. Visit www.edcdenver.com for details, schedules and listings for support groups.

Eating Disorder Center of Denver's Support Groups: Call 303-771-0861 to register for any of the groups, except for the Family & Friends Support Group.

Family & Friends Support Group: First and third Thursday of each month 6:00-8:30pm - A group for families and friends of individuals suffering with eating disorders to discuss their problems, concerns and successes. RSVP & questions to Eating Disorder Foundation at 303-322-3373. Meetings are held at The Eating Disorder Foundation, 3003 East Third Ave, Suite 110, basement level, Denver, CO 80206.

Florida:

Miami, FL: Oliver–Pyatt Center Opening Intensive Outpatient Program: The Oliver-Pyatt Center of Miami is expanding its services beyond comprehensive treatment, with the opening of two Intensive Outpatient Programs. For clients 16 years of age and older, there is an evening-based, 16 hour per week program for individuals either stepping down from an inpatient or residential setting, or stepping up from traditional outpatient treatment. The program is designed to allow each patient to integrate daily work, educational and other personal commitments into her recovery process. The Adolescent Intensive Outpatient Program is directed to girls up to the age of 16. This 12 hour a week after school program will focus on personal development and effective skill building. As a founder of innovative treatment programs, Dr. Wendy Oliver-Pyatt, MD, Founder, Executive Director and board certified psychiatrist, will work closely with Assistant Clinical Director Dr. Melissa McLain, PhD, to oversee the new programs. Dr. McLain recently relocated from California, where she served as the Eating Disorder Program Coordinator at Counseling and Psychological Services at UC Davis, and conducted research on eating disorder prevention. She will work closely with referring treatment professionals, who are encouraged to continue outpatient treatment while the patient is under IOP care. Grounded in a thorough assessment of each client, and employing a comprehensive, multidisciplinary approach—hallmarks of the Oliver-Pyatt Centers-- both programs incorporate various modalities, including DBT Skills, CBT, family support, and a meal and snack in each IOP session. The Oliver-Pyatt Centers believe that full recovery from an eating disorder is possible when effective treatment is provided. For more information, visit www.oliverpyattcenters.com or call 866-511-HEAL.

Missouri:

Missouri Treatment Center News - Castlewood Treatment Center: Castlewood Treatment Center offers a comprehensive continuum of care for stabilization and long-term recovery from eating disorders. From the residential level through the outpatient services, this program is specifically designed for individualized care, treatment planning and follow up. The residential level of care is designed for stabilization and restoration of healthy eating habits in a comfortable, homelike environment. The residential program has a maximum of 10 clients. Each client sees their primary therapist in four individual sessions per week as well as one weekly session with the psychiatrist and one weekly session with the dietitian. The program week consists of approximately 40 hours of group therapy. The staff at Castlewood Treatment Center are skilled clinicians who deal with not only eating disorders but trauma resolution as well. Each room is well appointed and uniquely decorated and has its own full bath. There are no more than two clients per room. For more information visit www.castlewoodtc.com.

Oregon:

Oregon Treatment Center News - RainRock: A Residential Treatment Facility for Women, A Monte Nido Affiliate. Executive Director: Carolyn Costin, LMFT. RainRock is located in a former bed and breakfast along the McKenzie River on 3.5 acres of lush lawn, gardens and riverfront. RainRock lives up to its name, evoking the healing properties of both earth and water combined. The secluded park-like setting is private yet expansive with abundant manicured grounds and the constant energy and flow of the river. This facility is an important addition to the Pacific Northwest where there are no residential treatment facilities. Carolyn Costin's 30 years of eating disorder experience and the uniqueness of this property promises the clients a rare opportunity to deal with and find recovery from these very difficult disorders. Carolyn serves as Executive Director of RainRock and The Eating Disorder Center of California and as Clinical Director of the original program, Monte Nido Treatment Center, located in Malibu, California. For additional information on RainRock and The Monte Nido Treatment philosophy, visit their websites at www.rainrock.org or www.montenido.com or call 310-457-9958.

Wisconsin:

Oconomowoc, WI: Rogers Memorial Hospital is expanding to offer specialized eating disorder treatment for children and adolescents. Dr. Tracey Cornella-Carlson, a board-certified child, adolescent and adult psychiatrist, is leading the development of a new program that will complete the quality eating disorder treatment already offered at Rogers Memorial. Primary treatment goals of this new program are nutritional and medical stabilization, family-focused therapy, and comprehensive psychiatric evaluation for identification and treatment of potential co-occurring illnesses. As the largest behavioral health provider in Wisconsin, Rogers Memorial Hospital offers specialized eating disorder treatment. Rogers Memorial provides 24-hour inpatient care, residential treatment and partial hospitalization for men, women, adolescents, and children. They also offer specialized care for co-occurring anxiety disorders and were the first organization to offer a male-specific residential program. Treatment is comprised of small, age-specific groups yielding the most individualized treatment possible. Rogers Memorial uses evidence-based treatment components, including family, nutrition, movement, fitness and cognitive-behavioral therapies, as well as offering substance abuse and spiritual counseling, and one-to-one support. Along with this multi-disciplinary approach, Rogers Memorial also offers a family and friends program that brings loved-ones into the recovery process. Rogers Memorial Hospital has treated thousands of patients and families affected by eating disorders. The staff of over 70 professionals, approach each patient, family, and referring outpatient treatment team, with dignity and respect, and invite them to be contributors to the treatment plan. Rogers Memorial is a specialty nonprofit hospital that has contracts with most major insurance providers in order to provide the best treatment options to the most people. For more information, visit the website: www.rogershospital.org/ed.

Employment Opportunities:

Long Beach, CA: Primary Therapist – Eating Disorders Treatment -- The Eating Disorder Day Treatment / PHP Program at Shoreline Center for Eating Disorder Treatment in Long Beach, CA is seeking a full-time primary therapist. Candidates will have 3 years experience facilitating groups and providing individual therapy. Some of that experience must be working with eating disorder populations. They are a small but growing treatment center with a professional and compassionate treatment philosophy. The right person will enjoy working as part of a treatment team, and also be creative and intuitive in providing therapy. Additionally, the right person will understand the balance between nurturing and limit setting. They are looking for someone who is passionate about eating disorders recovery and who is eager to learn more and advocate for clients. They are looking for licensed therapist, however will consider registered interns who have exceptional experience with eating disorder populations. For more information, please see www.shoreline-eatingdisorders.com. For immediate consideration, please send cover letter, resume and salary expectations  to Rachel Levi, Clinical Director at: Rachel@shoreline-eatingdisorders.com or fax resume to (562) 856-2370.

Long Beach, CA:  Registered Dietitian -- Shoreline Center for Eating Disorder Treatment, in Long Beach, CA, offers a partial hospital / day treatment program, intensive outpatient program, Satori House an Extended Care Residential facility as well as individual outpatient services, is seeking a part-time (16 – 20 hrs) dietitian to join their multi-disciplinary treatment team dedicated to facilitating excellence in eating disorder treatment.  Responsibilities: As the Registered Dietitian for their facility, you will assess, plan, implement and evaluate the factors, which influence the nutritional status of patients. Then, using these factors develop individualized meal plans where appropriate. Daily responsibilities also include: participating in team assessments, supporting patients and staff with guidelines for meal preparations and outings, assisting patients with meal planning and proper portioning, developing and facilitating a nutrition groups including an ongoing intuitive eating group. Individual will also provide nutrition therapy for outpatient clients and all clients in Shoreline programming. Additional responsibilities also include: menu planning and budgeting as well as supervision of diet techs. At Shoreline, they adopt the philosophy of assisting their patients to understand and ultimately implement Intuitive Eating skills as they progress in their recovery. Requirements: The right candidate will be registered with the American Dietetics Association, and have professional experience in eating disorder treatment. Knowledge of Intuitive Eating concepts necessary. Must also be flexible, compassionate while being able to maintain professional boundaries. Some evening hours required. This position is part-time 16-20 hour job. For more information on their programs, please see www.shoreline-eatingdisorders.com. For immediate consideration, please send cover letter, resume and salary expectations to Rachel Levi, Clinical Director at: Rachel@shoreline-eatingdisorders.com. Please put RD in the subject line.

San Diego, CA: Live-In Overnight Supervisor for Eating Disorders Supportive Living Residence. Harmony Grove Programs, Inc. (www.harmony-grove.com) is seeking a mature, responsible person with excellent communication skills and a strong work ethic to live in and provide overnight supervision for their 8 bed supportive living residence for adult women. Working hours are from 8pm-8am - 5 to 7 days per week depending on your needs. The rest of the day is yours to do as you please, work another job, etc. It's ok to sleep through the night, but be willing to attend to clients if needed. All food, rent, and utilities are included, plus a small salary depending on hours worked. Position will start 1-2 nights per week to see how it goes for a couple of months before moving in. Requirements include management skills, excellent boundaries, warm personality, good listening skills, at least 5 years of recovery (if recovered), knowledge of eating disorders, therapy concepts, and/or experience in the field. They are looking for a long term, positive team player to join their dedicated and compassionate company. Please send resume and cover letter to lauriedaily@yahoo.com.
 

Denver, CO: The Eating Disorder Center of Denver is accepting applications for:
1) Primary Clinician
Seeking a Clinician who is passionate and energetic about the treatment of eating disordered patients. Primarily responsible for the direction of care of Partial Hospitalization Program patients as part of interdisciplinary team as well as providing outpatient therapy. Provides individual therapy, group therapy, treatment planning, ensures implementation of the treatment plan in all aspects of programming and plans for transition and discharge. Requirements: license eligible in Colorado, Master’s or Ph.D. in behavioral health field; and experience working with eating disordered clients and dual diagnosis.
2) Manager of Clinical Nutrition Services
Seeking a Manager of Clinical Nutrition Services. Position oversees and implements all aspects of nutritional program for Partial Hospitalization Program and Outpatient Services. Supervises dietary staff (3). Primary responsibilities include meal planning, food service and nutritional counseling. Facilitates departmental performance improvement initiatives and ensures compliance with regulatory agencies and accreditation. Requirements: three years experience and be a Registered Dietitian. Previous supervisory experience and experience with eating disorders preferred. Must be able to clinically conceptualize the treatment of eating disorders and dual diagnosis patients. Position will report directly to the CEO and be a member of the management team.
If you are interested in applying for these positions, please forward your cover letter and resume to Jennifer Hasbrook, Manager of Human Resources and Administrative Services at JHasbrook@edcdenver.com. Learn more about us on our website at www.edcdenver.com.