Frequently Asked Questions

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Questions and apprehensions are normal. The Toledo Centre staff can help.

We know that the decision to seek treatment is a difficult one for you and your family. There are many questions regarding what to expect when you enter treatment at Toledo Center. Some of the most common questions we hear from those seeking treatment are listed below.

We are hear to answer your questions. Call us now at 877-212-5457 or complete the the Initial Information Form and one of our Intake Specialists will contact you.

No, a doctor’s referral is not necessary for admission to Toledo Center, unless specifically requested by your insurance company.  If you are transferring from another facility, we will need medical records and recent lab-work to review.

  1. Contact us by phone, or
  2. Complete our contact form.
  3. Our Intake Coordinator will contact you confidentially by phone or e-mail.
  4. Verification for Insurance or Benefits 
  5. Schedule an interview and complete medical testing and pre-admission forms.
  6. Schedule an admission date.

The Initial Information Form is a very brief form that provides us with important information about you, current symptoms, medical problems, treatment history and insurance information. The information on this form is confidential and allows our Intake Coordinator to discuss the most appropriate treatment alternatives with you. Filling out this form does not obligate you to participate in treatment in any way.

The Intake Coordinator will contact you confidentially by phone or e-mail to discuss details of our program and to answer any of your questions. Topics discussed include admission procedures, how quickly you could be admitted, the most appropriate level of care, living arrangements, insurance benefits, treatment costs, lengths of stay and any questions you might have about treatment.

Admission can take place any day of the week and depends upon a number of factors, including a whether there is a wait list, insurance considerations, and the medical condition of the potential program participant.

There is no set length of stay for our programs since treatment is individualized to meet the needs of each program participant. The average length of stay is 6-8 weeks; however, some people need more or less treatment depending on their individual presentation.

A waiting list depends upon the number of patients currently enrolled in the program. We want to make sure that there is adequate staffing for those who are in the program to provide optimal care. The waiting list is flexible and may change from time to time.

There are different opinions on this topic; however, we know that complete recovery from an eating disorder is possible. However, studies have also shown that the prospects for recovery are greatly reduced without proper treatment. Even though a person may have a sincere and determined desire to “do it on their own,” the research just does not support this idea. At Toledo Center, we understand that it is important to be realistic about recovery and know that it is a process. We work with you to understand the underlying issues of your eating disorder and address those issues so that you can find freedom. You are not alone, recovery is possible.

We treat individuals whose primary diagnosis is their eating disorder. However, many of our clients also struggle with co-occurring disorders such as depression, anxiety, obsessive compulsive disorder, and post-traumatic stress disorder just to name a few. Our experienced team of professionals will work with you to customize an individual treatment plan that addresses your eating disorder and any co-occurring disorders.

At Toledo Center, we treat all genders ages 10 years old and up.  

We treat individuals of all genders.

Absolutely not! Serious eating disorders occur with people at any shape or size. Our program participants represent a wide range of body shapes and sizes.

Our Admissions Specialist will work with you, your insurance company, and the Toledo Center clinical staff to determine and recommend the level of care that will be most beneficial for your treatment. We currently have adult and adolescent residential and partial hospitalization programs.

It is possible for program participants who live close to the program to commute each day. The relevant clinical and logistical issues will be discussed after admission. We recommend that clients who live locally begin the program by staying in the residence and then transition to commuting daily from home. There is a positive effect of social support by peers after program hours which is significantly helpful in the initial days of treatment.

At Toledo Center, we provide individual and group therapy using evidence-based treatment modalities. We use a cognitive-behavioral therapy (CBT) model specifically designed for treating eating disorders. It enhances the basic CBT by integrating group and family therapy, applied in an individualized manner for each patient. This model helps patients to identify negative thought patterns and negative core beliefs that interfere with normal functioning and to learn how to modify their thought patterns and behavior to bring about positive results. We also place an emphasis on Family Therapy, especially for adolescents, because parents have the potential to provide powerful directives in support of therapeutic goals. Family involvement is a cornerstone of treatment since eating disorder symptoms typically affect everyone close to the person who is suffering with the eating disorder.

An individual therapist will be meeting with you at scheduled points throughout each week of treatment. The amount of individual therapy will be determined at the time of your admission and may be adjusted over the course of your stay. Since we are a smaller community, we can often provide impromptu sessions. Also, therapists are accessible throughout the day in groups, in the kitchen during meals/snacks, and consistently available to provide encouragement and support. Your individual therapist will contact the family 1-2 x during the week (either phone email or in person) and are available by email or phone if parents have a pressing matter. 

We provide a combination of individual and group therapy that is tailored to meet the needs of each therapist will also work with the family in family therapy to educate guide and support the family through this process and address how the family can be most supportive to the patient.

The client based on our ongoing assessment of their treatment progress. Some clients may feel reluctant to talk during group therapy, however; many clients have found this to be one of the most helpful aspects of their recovery. The time spent in group therapy and a mealtime allows us to be focused and goal-directed in individual therapy.

Our treatment team consists of a multidisciplinary group of psychiatrists, family practice physicians, registered nurses, dietitians, master’s level therapists, licensed social workers, educators, and specially trained residential staff. Our medical director is board certified in internal medicine, psychiatry and neurology, as well as addiction medicine.

Outside of program hours, we have designated time for electronic usage and homework time, we routinely schedule fun outings in the community, and we encourage clients to engage with their peers. In addition, residents can also plan outings on the weekends with guidance from the clinical staff. These are opportunities to practice their learned skills outside of the treatment setting.

Yes, weekend outings can be planned with the guidance of clinical staff, as they progress in treatment.

Yes, visitation can take place on weekends, Saturday, and Sunday, from 3:00 pm-5:00 pm. Typically, there is no visiting during the week, however exceptions can be made for certain family circumstances.

Absolutely! Family members and friends may send cards, flowers, and gifts; however, they cannot send food. Please address C/O, the patients name.

We encourage program participants to dress comfortably in casual clothing.  It is helpful for you to refrain from wearing attire that will draw inappropriate attention to the body, such as tight, skimpy, or revealing clothing that may intensify body image issues. As the indoor temperature may vary, it is recommended that patients dress in layers. Comfortable shoes are also recommended.

Clients at the residential level of care have access to their cell phones in the mornings before breakfast and evenings after homework. They turn them in before bed to staff. Access to electronics is determined upon an individual basis (typically they have access during certain hours). Parents can put restrictions on the level of access of internet use they get from unrestricted access to no access at all.  **Not allowed to have fitness trackers or smart watches.

On the new participants’ first day, we introduce them to many of the staff. We complete the medical evaluation and needs assessment. The Primary Therapist meets with the participant and addresses questions and concerns.  Next, we introduce the person to other program participants and their roommate.  The program participant and family members are familiarized with the program and the policies and procedures.  A detailed meal plan is worked out with the program participant and s/he is assisted in completing meals and snacks.

The activities that you will be involved in vary depending on the level of treatment. Throughout the day you will have monitored meals to practice normalizing your relationship with food. Components of your therapy treatment will include: goal setting groups, learning coping skills, building insights, written assignments and journaling, specialty education groups, experiential and art therapy groups, school/homework.

The adult and adolescent residential units are set up dormitory style. We have aimed to keep the units as comfortable and homey as possible. Each unit has bedrooms, living space, tables, and arts/crafts areas. Our PHP house is separate from the adult residential unit and has the feel of a residential home. It is equipped with a kitchen for individuals to prepare breakfast and their night snack (other meals and snacks provided during program hours).

The adult residential unit is set up dormitory style. Male and female residents board in separate rooms. We have aimed to keep the units as comfortable and homey as possible. Each unit has bedrooms, living space, tables, and arts/crafts areas. The residence also contains a television and a washer and dryer for convenience.

The adolescent residential unit is set up dormitory style. Male and female residents board in separate rooms. We have aimed to keep the units as comfortable and homey as possible. Each unit has bedrooms, living space, tables, and arts/crafts areas. The residence also contains a television and a washer and dryer for convenience.

Both residential units are supervised by our Recovery Care Specialist staff 24/7. Patients are closely monitored throughout the day and as they sleep to ensure safety.

Toledo Center does not provide private bedrooms. Generally, two to four people reside in each bedroom in the adult residences. In the adolescent residential unit, three patients generally reside together.

The Toledo Center charges a flat daily rate for our services.  For many clients, insurance pays for all or most of treatment.  Once you fill out the Initial Information Form on our website, our staff will contact your insurance company to see whether your insurance will be accepted.  For those without health insurance or with exhausted benefits, we will try to work out a plan for self-payment. Learn more about insurance and treatment costs here.

We do not accept Medicaid or Medicare.

We accept cash, checks and credit card (VISA and MasterCard) payments.

Payment plans for the private pay option are set up on an individual basis. You may speak with our Chief Financial Officer to work out a payment plan.

We are not able to offer scholarships as it is a private treatment center.

We strive to keep an open communication with parents. Your daughter’s or son’s therapist or another designated staff member will provide information regarding progress on a consistent basis and will be available as needed. Additionally, your child will have access to their cell phone unless otherwise clinically indicated.

Since your child is 18 years old, s/he would be eligible for the Partial Hospitalization Program or Adult Residential. S/he should contact us to begin the process for admission since s/he is an adult; however, even if a client is over 18, we consider some form of family involvement to be vital except in a small minority of cases. An eating disorder affects everyone in the family and research has shown that those who recover consider family involvement and changes in family relationships to be important factors in recovery. It is important to emphasize that we place a premium on confidentiality and family members are contacted only with permission of the client.

It is a common problem that a person with an eating disorder will fail to recognize that there is a problem and resist recommendations for help.   On one level, those with an eating disorder understand that symptoms are destructive but, on another level, there is often panic about the implications of recovery.  The motivations in favor and against recovery are usually complex.  We encourage you to call the admissions team who are trained to help you navigate this process. Try to follow the recommendations below and take a gentle but firm approach to getting help.

Seeing someone engage in destructive eating patterns is frightening, frustrating and hard to understand. It is common to experience anger, fear, confusion, and guilt. Regardless of how much you want to help, it is important to keep in mind that, if the person is an adult, they must make the decision to get professional help. If you are distressed about the situation and do not know what to do, you can seek help from a professional who specializes in eating disorders. We encourage you to call our intake specialist to discuss this.

  1. Encourage the person to get professional help. Start with asking them to simply go to a professional who specializes in eating disorders only for an assessment, without making a commitment to treatment.
  2. If the person with an eating disorder is a minor, you are the parent or guardian. You should insist that the person with an eating disorder get a professional opinion since you are the person responsible for ensuring their safety and welfare.
  3. Do not blame the person with an eating disorder. A person with an eating disorder is trying to solve a predicament or conflict with their symptoms in the best way that they know how. They need understanding, not blame.
  4. Do not comment on weight or appearance. People with eating disorders usually have heard comments about weight or appearance many times before and your comment will either be ineffective, irritating or will lead to a battle.
  5.  Some people are in extreme danger of death because they are very underweight, or they are bingeing and vomiting many times a day. In these cases, you may have to step in and take control by asking a doctor to force hospitalization. However, this rarely is a satisfactory long-term solution since it may further alienate the person with the eating disorder.
  6. Be patient. Recovery from an eating disorder takes time. However, recovery is not only possible with proper treatment, but probable with proper treatment (see section on recovery).
  7. Assure the person that they are not alone and that you love and really care about them and this is the reason for your concern.

We encourage family involvement in the treatment process. The type and level of family involvement varies depending on the age of the program participant and their family circumstances. Family therapy is one of the cornerstones of treatment for nearly all program participants under the age of 18 or those who are older and living at home. From a practical perspective, parents or guardians are legally responsible for their children who are less than 18 years old and we work with parents to assist in meeting therapeutic goals.

For program participants who are 18 years or older, we strongly encourage family involvement that may vary in intensity from simply providing information to more intensive family therapy meetings. A key point to our perspective is that neither parents nor the person suffering from the eating disorder should be blamed. We see eating disorders in families that are otherwise extremely healthy and functional. We also see them appear in families that have other problems. Regardless, blame is counterproductive. We can schedule family meetings or therapy sessions regularly or periodically, according to the patient’s individual treatment plan. Each patient’s individual treatment plan may change over the course of treatment.

If you or a loved one is suffering from an eating disorder, we can help you get your lives back on track.

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