The past two decades have seen rapid growth in residential treatment centers for eating disorders. These behavioral health treatment centers arose in the 1990s as a response to the advent of managed care and resultant pressures to curtail inpatient lengths of stay and hospital treatment costs. In contrast to academically affiliated hospital programs where a majority of patients previously received specialty care, these residential programs are free‐standing facilities, often established as for‐profit entities, with lower daily treatment costs than hospital‐based programs. The number of residential beds expanded substantially in the wake of increased coverage for eating disorders treatment following passage of the 2008 Mental Health Parity and Addiction Equities Act (MHPAEA) and the 2010 Affordable Care Act (ACA). This increase was buoyed by a large influx of cash from private equity companies as investors identified behavioral health in general, and eating disorders treatment in particular, as an undervalued growth industry (Attia, Blackwood, Guarda, Marcus, & Rothman, ).Interest in outcome measurements as a quality standard for behavioral health treatments is growing (Attia, Marcus, Walsh, & Guarda, ). In the eating disorders field, treatment outcomes depend on weight restoration and the reversal of starvation in anorexia nervosa, the normalization of eating
Clinical Psychology: Science and Practice – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ; ; ; ;
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