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 the River Centre Clinic. 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 the Initial Information Form.
  3. Our Intake Coordinator will contact you confidentially by phone or e-mail.
  4. Schedule an interview and complete medical testing and pre-admission forms.
  5. 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. However, 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 in order to provide optimal care. The waiting list is flexible and may change from time to time.

There are different opinions on this topic; however, the scientific literature is clear- complete recovery from an eating disorder can be attained. 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.  For some people recovery remains elusive and they continue to have mild, moderate or severe symptoms. It is important to remain optimistic since we have seen people who have had chronic and debilitating eating disorders make a full recovery. However, it is important to be realistic about recovery since it is usually not an easy or quick process. But, with the right professional guidance and the proper level of care, it is definitely possible to learn to deal with life and all of its challenges without an eating disorder.

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, which we can facilitate treatment for.

In our adolescent program, we treat individuals aged 10 years old and up. In our adult program, we treat individuals aged 18 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.Some adult program participants who live locally find it useful to begin the program by staying in the residence and then transition to commuting daily from home. These individuals report that the positive effect of social support by peers after program hours is a significant factor in this decision.

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. Family therapy is emphasized, 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. Being a smaller facility, can often provide impromptu sessions. Also, therapists are accessible through the day in groups, in the kitchen during meals/snacks, and provide more casual support and not necessarily a formal therapy session. Also the individual 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 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.

The psychological therapy in the program involves a mix of individual and group therapy. It is tailored to meet the needs of each program participant based on our ongoing assessment of problems and progress. The mix of group and individual therapy is individually tailored to meet the needs of each program participant based on our ongoing assessment of problems and progress. This highly concentrated time with you in groups and at mealtimes allows us to be focused and goal directed in individual meetings. Even though you may feel reluctant at first to talk in groups, program participants have consistently reported that the group format is one of the most helpful aspects of the program.

Our treatment team consists of a multidisciplinary group of therapists, counselors, social workers, psychologists, psychiatrists, medical doctors, registered dietitian, nurses, recovery care specialists, and administrative 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.

Yes, visitation can take place on weekends, Saturday and Sunday, from 3:00 pm-5:00 pm. Typically no visiting during the week. At times weekday visits can be set up (I.E if loved one works on weekends)- ultimately this is case by case and determined by the clinical team.

Absolutely! Family members and friends may send cards, flowers, and gifts; however, they cannot send food.

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 internet use they get from unrestricted access to no access at all.  **Not allowed to 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. Components of your treatment will include: goal setting group, written assignments and journal, social work processing and 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.

Toledo Center does not provide private bedrooms. Generally, two 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 the vast majority of program participants, 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.

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 program participant 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. This being said, it is important to emphasize that we place a premium on confidentiality and family members are contacted only with permission of program participants.

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.  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.

  1. Encourage the person to get professional help. Start with asking them to simply go to a professional who specialized in eating disorders only for an assessment, without making a commitment to treatment.
  2. If the person with an eating disorder is a minor, and 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. 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.
  6. If the person is 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.
  7. Be patient. Recovery from an eating disorder takes time. However, recovery is possible with proper treatment (see section on recovery).
  8. Assure the person that they are not alone and that you love or really care about them and this is the reason for your concern.

We encourage family involvement in the treatment. 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 the 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 not 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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