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Introduction
The Cleveland Center for Eating Disorders (CCED) is committed to providing effective treatment for children, adolescents and adults suffering from an Eating Disorder. Our treatment center prides itself on taking the most up to date research and translating it into individualized programming for patients afflicted with Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and Eating Disorder Not Otherwise Specified (EDNOS).  Our treatment model allows us to provide an intensive level of care in a manner that is least interfering with day to day life, and is most cost effective.

Child and Adolescent Programming
Our Adolescent programming draws from three statistically effective treatments: the Maudsley approach for family-based therapeutic services; Dialectical Behavior Therapy (DBT) which teaches skills in effective emotion regulation; and Cognitive Behavioral Therapy (CBT), considered to be the backbone of any effective eating disorder treatment. Psychiatric evaluation and treatment are also provided by our staff Psychiatrist, Dr. Warren.  All adolescent clients will be required to be medically monitored either by a physician of their choice, or one of our allied pediatric physicians who specializes in treating the medical concerns of adolescents with Eating Disorders.  There are several levels of care available for adolescents suffering with and Eating Disorder, and their families.  Adolescent group programming is typically open to children ages 10-18.  Children younger than 10 will be treated with a ‘pure’ Maudsley format, as described below.

Day Treatment Programming (DTP)
The Adolescent DTP meets 3-5 days per week, 5-6 hours per day.  The number of days in DTP each week is determined by the specific needs of the adolescent, however in most cases adolescents beginning the DTP program will start at 5 days per week.  This treatment format allows our adolescent clients to have two meals and one snack on-site, participate in peer support, DBT, and CBT skills groups, and evening programming with their parents 3 nights per week.  Clients and their families will have weekly family meetings, to facilitate the recovery process at home and to support the family during this difficult time.  Clients will also have weekly meetings with the psychiatrist as needed.  At the beginning of the DTP treatment process, parents and their adolescent will meet with our staff dietitian for advice and information on providing nutritionally and calorie appropriate meals.  All meals and snacks are provided by parents.

Intensive Outpatient Programming (IOP)
The Adolescent IOP Program consists of 3 hours of group treatment, 1-3 days per week. The number of days of treatment each week is determined by the specific need of each adolescent. Specifically, treatment includes adolescent peer support, DBT and CBT skills groups, parent participation for one hour each evening, and a Maudsley oriented family therapy session each week. Weekly psychiatric visits are provided as needed. Parents attend twice weekly groups to learn the DBT skills along with their children and thus can help support skill use at home. One evening per week, parents have their own group, led by one of our experienced professionals. During this group parents of all our adolescent clients share support and feedback.

In order to best meet the needs of individual families, a family meeting will be required one time per week to help families generalize the skills taught in group, as well as work through problems that arise while implementing the treatment at home.

“Pure” Maudsley Program:
Some families may opt to address their child’s or adolescent’s Eating Disorder using only Maudsley treatment.  In it’s purest form, the Maudsley method of treating an Eating Disorder suggests that parents are the key to success, and the leaders of the treatment team.  Parents take responsibility for planning, providing and supervising all meals and snacks, with the guidance and support of weekly family meetings.  This method may be most successful for families with young children experiencing an Eating Disorder, families who are interested and committed to a higher level of care in their home setting, families who live a distance from CCED, or for children whose Eating Disorder symptoms would suggest this level of care.

Our treatment program is lead by Lucene Wisniewski, PhD and Mark Warren, MD If you have any further comments/questions or wish to schedule an appointment, feel free to contact us at 216-765-0500, or e-mail info@edcleveland.com.

ADULT PROGRAMMING
Our Adult programming is based on classical, evidence based Dialectical Behavior Therapy (DBT), and includes Cognitive Behavioral Therapy, considered the backbone of any effective Eating Disorder treatment.  Psychiatric care is an integral part of treatment, and is provided on a weekly basis.. At CCED, we have developed an innovative treatment model (Wisniewski & Ben-Porath, 2005?; Wisniewski & Kelly, 2003; Wisniewski, Safer & Chen, 2007) that incorporates Dialectical Behavioral Therapy (DBT) which focuses on the effective management of behaviors and emotions and Cognitive Behavioral Therapy (CBT) considered the backbone of any effective eating disorder treatment;   This treatment provides a non judgemental accepting framework that teaches skills while aiding in change.   All adult clients will be required to be medically monitored either by a physician of their choice, or one of our allied physicians who specializes in treating adults with Eating Disorders

Day Treatment Programming (DTP)
The Adult DTP meets 3-5 days per week, 6 hours per day.  All clients will start DTP at 5 days per week, and days will be tapered down as treatment progresses and the client meets therapeutic goals towards recovery.  During the DTP, clients will eat 2 meals and a snack daily in this supportive group environment.  Clients provide all their own meals, but meet 1-2 times weekly with our staff dietitian who provides meal plans specific to individual client needs.  Clients participate in DBT and CBT skills groups, peer support groups, art therapy, mindful movement/Yoga, and goal setting groups throughout the week.  Clients will meet 1-2 times weekly with an individual counselor who will help facilitate the recovery process.  Clients are encouraged to include family members, spouses, or other significant individuals in their treatment process as CCED believes that social support is essential to the recovery process. 

Comprehensive Intensive Outpatient Programming (IOP)
Our Comprehensive Intensive Outpatient Program (IOP) is designed to provide an intermediate level of care,.  This level of care will be most appropriate for new clients who do not meet clinical guidelines for DTP, yet require the extra support services of our staff psychiatrist, dietitian, and individual counselors, or for clients who have successfully transitioned out of the DTP program.  IOP will occur for 1-3 days per week, 3 hours per day.  The focus is on an introduction to emotional regulation through DBT skills, and meal support of 1 meal per treatment day.

Meal Support
CCED offers current clients the opportunity to eat meals with a clinical staff member.  This may be helpful for clients who are in need of additional support at meal-time.   meal times will be 1-1.5 hours depending on client needs.  Call (216-765-0500) for details.

Our treatment program is lead by Lucene Wisniewski, PhD and Mark Warren, MD .
If you have any further comments/questions or wish to schedule an appointment, feel free to contact us at 216-765-0500, or e-mail info@edcleveland.com.