Roxie Rockwell describes innovative eating disorder treatments at UCSD.

1. Families Helping Families Fight the Beast Roxanne E. Rockwell M.A. University of California, San Diego Department of Psychiatry 858 212-1831 [email_address]

9. Discharge Planning Contracting 4:00 - 5:00 Final Contracting Carers Individual Therapy Family Therapy: Systemic Individual Therapy: Mother Individual Therapy: Father Individual therapy: patient Psychiatric Evaluation 3:00 - 4:00 Parent Coaching Art Family Therapy Systemic Family Therapy: Contracting Carers patient DBT Parent Coaching Individual Therapy: patient 2:00 - 3:00 Family Therapy Family Meal Family Psychotherapy: Contracting Break Family Therapy: Communication Skills 1:00 - 2:00 Parents leave to get lunch Finish Art Lunch on Own Couples Therapy: Parent Coaching Individual: Meditation/ Relaxation Lunch on Own Family Therapy: Meal 12:00 - 1:00 Medication Follow up Parentgetting lunch Art Family Therapy: Psychoeducation Family Therapy: Meal Family Therapy: Cognitive Behavioral Therapy I 11:00 -12:00 Family Therapy: Systemic Family Therapy: Behavioral Family Therapy: CBT II Family Therapy: Psychoeducation: Family Therapy: Behavioral 10:00 -11:00 Family Therapy: CBT III Family Therapy: Psychoeducation Treatment Planning: Clinical Team Meeting Peds appt off site 9:00 -10:00 Parent Adol Parent Adol Parent Adol Parent Adol Parent Adol FRIDAY THURSDAY WEDNESDAY TUESDAY MONDAY TIME

12. 14.5 11.8 193.8 8.7 2.1 2.1 2.0 SD 15.0 99.3 278.4 84.3 15.0 1.1 12.3 Mean NO 4.7 103.8 486 Fluoxetine 40 mg/day 99.1 16 0 13 NOS 18 NO 3.0 101.0 58 Fluoxetine 10mg/day 98.0 18 0 17 NOS 17 NO 2.2 97.2 353 None 94.9 16 0 15 AN 16 NO -6.6 86.6 241 None 93.2 17 0.2 9 AN/BN 15 YES 13.6 102.6 591 None 89.0 15 0.75 13 AN 14 NO 11.3 100.2 129 Fluoxetine 30mg/day 88.9 12 0 11 AN 13 NO 4.7 92.6 157 None 87.9 16 2.5 11 AN 12 NO 12.8 99.5 52 None 86.7 12 0 11 AN 11 NO 14.7 98.2 87 olanzapine 1.25mg/day 83.5 10 0 9 NOS 10 NO 52.0 134.6 738 Aripiprazole 2.5mg/day 82.6 16 0 14 AN 9 NO 7.9 90.2 451 Olanzapine 2.5mg/day 82.3 15 1 11 AN 8 NO 8.7 89.6 190 None 80.9 16 0 14 AN 7 NO 8.9 89.1 66 Sertaline 100 mg/day, olanzapine 5mg/day, trazodone 25mg qhs prn 80.2 15 4 12 AN/BN 6 NO 30.2 107.6 182 Risperidone 0.25mg bid 77.4 13 2.5 12 AN 5 NO 29.9 107.1 393 None 77.2 17 0 AN 4 NO 17.3 91.4 255 Citalopram 40mg/day, olanzapine 5mg/day 74.2 17 8 13 AN 3 NO 40.1 112.1 285 Olanzapine 3.75mg/day, Citalopram 10mg/day 72.0 13 0.5 12 AN 2 NO 15.2 84.4 297 escitalopram 10mg/day 69.3 15 0 12 AN 1 IP @ FU change FU IBW% Days FU Discharge Medication IBW% Age # Mo IP Onset DX ID

16. Multi-Family IFT (MIFT) Schedule 4:00-5:00 Combined Multi Family Groups 3:30-4:00 Final Discharge Planning and Process Family Based Process, Activity and Goals Contracting Family Based Process, Activity and Goals Review and Goals 3:00-3:30 2:30-3:00 2:00-2:30 Parent Coaching Teen Expressive Arts with DT SNACK at 2:00ish Parent Coaching Teens Anxiety Reduction with DT SNACK at 2:00ish Psychoeducation SNACK 2:00ish Parent Coaching Teen Self Esteem and Acceptance with DT SNACK at 2:00ish Parent Coaching Teens Anxiety Reduction with adol DT SNACK at 2:00ish 1:30-2:00 BREAK BREAK BREAK BREAK BREAK 1:00-1:30 12:30-1:00 Multi Family Meal Multi Family Meal Multi Family Meal Multi Family Meal Multi Family Meal 12:00-12:30 Parents get food at 11:30 Teens join DT for Vitals Parents get food at 11:30 Body Image with DT Parents get food at 11:30 Teens join DT for Vitals Med Checks if needed Parents get food at 11:30 Teens Body Image with adol DT Parents get food and Teens join adol DT for Vitals 11:30-12:00 11:00-11:30 Contracting Contracting Contracting Introduction 10:30-11:00 Physiological Effects of Starvation and Medical Consequences of ED Family Based Therapy 10:00-10:30 9:30-10:00 Family Based Therapy SNACK at 10:15 Family Based Therapy SNACK at 10:15 Family Based Therapy Family Based Therapy SNACK at 10:15 Orientation 9:00-9:30 FRIDAY THURSDAY WEDNESDAY TUESDAY MONDAY

24. Multi Family Day Treatment 4:30-5:00 4:00-4:30 Multi Family Group 3:30-4:00 Family Skills Training Break 3:00-3:30 Goals/Snack Goals/Snack Goals/Snack Goals/Snack Goals/Snack 2:30-3:00 Weekend Planning 2:00-2:30 Anxiety Reduction/ Mindfulness Chain Analysis Family Skills Review/ DBT hmwk Body Image/ Anxiety Reduction/ Mindfulness 1:30-2:00 Activity and Weekend Planning Exp. Arts/Movie Process Group Process Group Process Group Process Group 1:00-1:30 Family Lunch Lunch Lunch Lunch Lunch Lunch 12:00-1:00 Homework /Vitals 11:30-12:00 Nutrition Group 11:00-11:30 Diary Card Homework/ Vitals Diary Card Homework/ Vitals Diary Card Homework/ Vitals Diary Card Homework/ Vitals 10:30-11:00 Multi--Family Process Process Group Process Group Process Group Process Group Process Group 10:00-10:30 Family Breakfast Breakfast Family Breakfast Breakfast Breakfast Breakfast 9:00-10:00 Saturday Friday Thursday Wednesday Tuesday Monday