Kartini Clinic for Children and Families

Pediatric Eating Disorder Treatment Program

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971-319-6800
  • Eating Disorder Treatment
    • Anorexia Nervosa
      • Signs & Symptoms: Anorexia
      • Causes and Triggers: Anorexia
      • Treatment: Anorexia
    • Bulimia Nervosa
      • Signs & Symptoms: Bulimia
      • Causes and Triggers: Bulimia
      • Treatment: Bulimia
    • Food Phobia
      • Signs & Symptoms: Food Phobia
      • Causes and Triggers: Food Phobia
      • Treatment: Food Phobia
    • ARFID
    • Treatment Overview
      • Inpatient
      • Partial Hospitalization (PHP)
      • Intensive Outpatient (IOP)
      • Virtual Intensive Outpatient (VIOP)
      • Outpatient
      • Cost of Treatment
  • Eating Disorder Resources
    • For Referring Providers
      • Hospitalization Criteria
      • Direct Referrals
    • Kartini School
    • For Parents & Guardians
      • Top Tips for Parents
      • Understanding Your Insurance
      • Talking to Your Employer
      • Insurance FAQ
      • Mental Health Parity Law
      • Family Housing Information
      • School During Treatment
      • Give Food a Chance
    • Research & Resources
    • Eating Disorder Treatment Videos
    • Glossary of Eating Disorder Terms
  • About Kartini Clinic
    • Why Kartini is Different
    • Will Treatment Work?
    • Our Staff
      • Julie O’Toole MD MPH
      • Naghmeh Moshtael MD
      • Shanna Greene
      • Morgan O’Toole
      • Megan Maples
      • Sherrill Gandsey RN
      • Leslie Weisner LMFT
      • Steve Nemirow
      • Amy Stauffer
      • Alex Garcia MA
      • Lisa Peacock LMFT
    • Contact Us
    • Careers at Kartini
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Treatment Overview

The first step in deciding on care for a child or adolescent is getting a thorough assessment, establishing a diagnosis and making a treatment recommendation.  From the first assessment through all levels of treatment at Kartini Clinic parents are informed and involved.  This is consistent with our conviction that parents do not cause eating disorders and, in fact, are essential treatment team members.  With the assistance of our pediatric nurse, one of our Board certified pediatricians will do a complete physical, family interview and eating disorder assessment for your child.  Their conclusions and recommendations will be shared with you and with any providers you specify.

Kartini Clinic currently has four levels of care. Each level is designed to lead to the next, lower level of care; combined, these four levels of care are designed to complement each other and support lasting recovery.

  • Inpatient

  • Partial Hospitalization (PHP aka day treatment)

  • Intensive Outpatient (IOP)

  • New! Virtual Intensive Outpatient(VIOP)

  • Outpatient

How Long Does Treatment Take?

This is a perfectly reasonable question. However, as with any medical illness the only honest answer is: it depends. And as with treatment for any illness, the highest standard is to treat to an outcome, not a deadline.

However, it is also necessary to try to give some idea of an average length required at each level of care. For example, an average length of an Inpatient stay is around 7 to 10 days; the Partial Hospitalization (PHP) level of care is designed as an 8 week program, but actual length of stay depends on individual circumstances. Intensive Outpatient (IOP) can vary highly and also be dependent on success at Inpatient and/or Partial levels of care. Outpatient follow up is highly individualized.  Most patients can be swiftly and effectively returned to their community providers when their metabolic labs have stabilized, with a plan in hand for continued ordered eating at home. Some patients may need a longer period of follow-up to achieve this, however, and decisions in this regard are made in collaboration with the family.

However, several factors can contribute to an average length of treatment (and this is not an exhaustive list):

  • Age of the child

  • How long a child has been ill

  • Severity of symptoms

  • If a child is medically unstable

Age of patient matters because if left untreated an illness such as anorexia can develop into a chronic condition including irreversible physiological damage to vital organs, cognitive functioning, and bone health. In other words the earlier the (effective) intervention the better.

Related to the age of a patient is the length of time they have been ill. The longer a child has been ill the longer effective (i.e. intensive)  treatment is likely to take.

Like all biological illnesses some cases of anorexia, bulimia, or food phobia are more severe than others, due to such factors as an individual’s genetic predisposition, random variations in human biology, environmental circumstances as well as just plain bad luck. The more severe the case, the longer intensive treatment will likely be required.

If a child is medically unstable this will necessarily add to the required length of treatment.  

Recent Blog Posts

Are social media platforms making eating disorders in children worse?

January 10, 2023 By Morgan O'Toole-Smith

School During Eating Disorder Treatment? Not To Worry

October 13, 2022 By Morgan O'Toole-Smith

Online Reviews

September 23, 2021 By Morgan O'Toole-Smith

New to Treatment? Don’t Panic!

February 10, 2022 By Julie O'Toole

Kartini School: A Success Story

February 9, 2022 By Morgan O'Toole-Smith

Tips for Motivating Kids in School

January 19, 2021 By Morgan O'Toole-Smith

  • Eating Disorder Treatment
    • Anorexia Nervosa
      • Signs & Symptoms: Anorexia
      • Causes and Triggers: Anorexia
      • Treatment: Anorexia
    • Bulimia Nervosa
      • Signs & Symptoms: Bulimia
      • Causes and Triggers: Bulimia
      • Treatment: Bulimia
    • Food Phobia
      • Signs & Symptoms: Food Phobia
      • Causes and Triggers: Food Phobia
      • Treatment: Food Phobia
    • ARFID
    • Treatment Overview
      • Inpatient
      • Partial Hospitalization (PHP)
      • Virtual Intensive Outpatient (VIOP)
      • Intensive Outpatient (IOP)
      • Outpatient
      • Cost of Treatment
  • Eating Disorder Resources
    • For Referring Providers
      • Hospitalization Criteria
      • Direct Referrals
    • For Parents & Guardians
      • Top Tips for Parents
      • Understanding Your Insurance
      • Talking to Your Employer
      • Insurance FAQ
      • Mental Health Parity Law
      • Family Housing Information
      • School During Treatment
      • Give Food a Chance
    • Kartini School
    • Research & Resources
    • Treatment Videos
    • Glossary of Eating Disorder Terms
  • About Kartini Clinic
    • Why Kartini is Different
    • Will Treatment Work?
    • Our Staff
    • Contact Us
    • Careers at Kartini

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How to Recognize Eating Disorders in Boys

https://www.youtube.com/watch?v=PVgVmDIXqHc

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From Our Blog

Are social media platforms making eating disorders in children worse?

January 10, 2023

At least one school district in Seattle thinks so. Seattle Public Schools (SPS) has filed a suit in US DIstrict Court alleging that “defendants [social media platforms such as Facebook, TikTok, Instagram, YouTube, and Snapchat] affirmatively recommend and promote harmful content to youth, such as … Read Post...

School During Eating Disorder Treatment? Not To Worry

October 13, 2022

During the school year, families are sometimes hesitant to have their child enter treatment in the Partial Hospitalization Program (PHP) because they are worried about time away from school. The teachers at Kartini School understand your concern.  Often, our patients are super-conscientious … Read Post...

Online Reviews

September 23, 2021

This post is from Kartini Clinic CEO Morgan O'Toole.  Online reviews have become part of our everyday lives. Who hasn’t glanced at the star ratings when Googling a new hair salon or looking for a restaurant to try out? Most of the time, online reviews are just another useful data point when … Read Post...

New to Treatment? Don’t Panic!

February 10, 2022

Your child has been diagnosed with an eating disorder by one of the doctors at Kartini Clinic. Whether this is a restricting disorder with fear of fat, a bingeing and purging disorder or what we call ARFID (avoidant restrictive food intake disorder), it matters little.  What matters is that the … Read Post...

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The Kartini Clinic Difference

At Kartini Clinic we practice only evidence-based, family-centered eating disorder treatment. Our program is a multi-disciplinary medical and psychiatric treatment model rather than an exclusively psychiatric approach to eating disorder treatment.  read more »

Eating Disorder Quick Links

Anorexia Nervosa
Bulimia Nervosa
Eating Disorder Treatment

Resource Quick Links

Referring Providers
Parent Resources
Understanding Insurance

Contact Us

Tel: (971) 319-6800
Fax: (503) 282-3409

help@kartiniclinic.com

3530 N Vancouver, Suite 400
Portland, OR 97227

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Mon – Fri 9:00am – 5:00pm

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