The Columbia Center for Eating Disorders at New York State Psychiatric Institute (NYSPI) is a free inpatient treatment program in NYC. They are known for providing free eating disorder treatment in exchange for participation in research, and longer inpatient stays because patients aren’t limited by insurance or finances. They treat adolescents and adults, and are only able to accept patients who qualify for one of their current studies.
As of Fall 2021 (based on both the link below and on client reviews posted here!), current studies require an anorexia diagnosis, and they can’t take patients on psychiatric medications for other conditions so patients who may be on any will probably have to stop taking them to participate. If anything about this status changes, please leave a comment below and I will update this!
You can find their current research studies here: https://www.columbiapsychiatry.org/join-study/research-clinics/eating-disorders-clinic/research-studies
NYSPI also has an outpatient day hospital program for adolescents called Children’s Day Unit, which has an eating disorders track and runs during school hours. At their outpatient clinic they provide Maudsley/Family Based Treatment for families with children or adolescents with eating disorders.
NYSPI/Columbia is part of a larger network of eating disorder treatment programs in New York City called Metro Region CCCED.
Any updated reviews? Please post! You can check out the FAQ and Guidelines for suggested questions. Thank you!
Hello is there any reviews from this year I’m 29 and idk if they accept adults and I was also wondering if anyone could give me some information on the admissions process
They do accept adults.
I recommend calling the phone number and the intake person will start a screening.
Since it’s research based, the criteria for admission does differ from other IP programs.
Has anyone been recently from Canada? Wondering how it’s worked given the current circumstances. I was there before in 2022 and I need to go back.
What was your experience like, I am admitting soon
I’m not the OP but I do have to say that this program is really good. It’s not easy but worth it! You are worth it!
I have been multiple times if you have any more questions!
Hi!
Does anyone know if they have an age limit?
i am asking for a friend that is in her mid 60’s. She doesn’t want to be the oldest in treatment.
no age limit I have been there and people have been in their 70’s and such
Thank you for your response! If I may ask, were you there recently?
I’m not the person who originally answered, but I was there recently lol
How was your experience? Any older adults?
Hi! Not the original person but yea there were pretty much older adults when I got there (around their 60s). The program is pretty strict but I’d recommend nonetheless
Do they still not allow patients to be on any psych medications?
Hi,
I was on psych meds ( anti depressant) when I admitted last year. I would recommend calling admissions.
I was there last year and only have positive things to say. Open to answering any questions 🙂
Would you be willing to answer the following questions?
Do they allow coffee?
Was water restricted?
How did they handle binge urges?
Phones?
Single rooms?
Bathroom policy?
Veganism/Dairy free supplement?
Of course!
1) Decaf coffee is given at meals + snack, BUT there are opportunities for real coffee!
Every weekend, we had a “challenge trip” to a local Starbucks with other patients and a mental health therapy aide (they’re super chill and nice). If you went, you could have your phone. The only thing was the coffee needed a sugar and milk, but no pressure to finish the drink.
There’s also an activity called “coffee clatch,” where we play a game and eat a small half of a dessert in exchange for real brewed coffee.
There’s also meal passes (this is usually closer to the end of your stay) where you can order as much coffee as you want with your meal.
2) Water is restricted to 2 cups at meal/snack time. If you are thirsty, you can ask the nurse station for water and they will probably give you a dixie cup.
3) I’m not so sure.
4) Phones are taken away at first, but once you hit a higher level, you can leave the unit with your phone sometimes. After dinner on weekdays, you can have a laptop or iPad until 10.
5) This is dependent on availability and level. At first, you will probably have a roommate. As your stay progresses, you move down the hall to a single.
6) This is dependent on individual cases, whether purging is a factor or not. Generally, 1 hour after a meal is called “CO time,” where you can use the bathroom, but the door will be cracked a bit and the MHTA stands outside and listens (not watch). Some people have longer CO time than others, it really just depends on the person.
7) Generally, veganism is not accepted and the primary supplement is ensure. If the issue is lactose intolerance or allergies, they will work with you.
I hope this helped!!!
What kind of meals are served?
Alright, guess what all is offered? Etc what were meals like
They serve a large variety of foods. Each meal has a serving of each food group (protein, fruit/veg, carb, dairy, fat), and they are very open about calories as a means of exposure therapy. Pretty standard meals, but they also get creative with it. The menu rotates every four weeks so you won’t get tired of having same thing over and over.
They also do incorporate desserts and fun foods.
Honestly, the food was pretty good and I miss it sometimes lol. Some meals were better than others.
Also, as you progress in treatment you will have more choices in what to eat- (for instance, chicken or beef, choice of fruit, etc…)
Hope this lets, let me know if you have any more questions.
Hello,
Do you by any chance have a copy of the schedule? The one on the website is from 2018. And, what was the average length of stay? Thank you!
I don’t have the schedule, but it is pretty much the same as the one online. There’s only a few things on it that I don’t recognize. Sometimes patients and nurses make their own little fun unofficial group, like journaling group, movie group, etc.
The average stay is 6-8 weeks.
What is the website that the schedule is on
https://www.columbiapsychiatry.org/research-clinics/eating-disorders-clinic/information-patients under “Inpatient Treatment”
Do you know if they only accept you for treatment if you qualify to participate in their research studies? Or do they also take insurance and go through a more regular admission process?
They do not work with the insurance companies. It’s one of the biggest reasons TO admit here ( aside from being a great program).The stay is not determined by someone behind a desk at insurance.
You do need to qualify for a study. I hope this helps!
Thanks! DO you know where the research studies they have right now are listen, or when one can apply to see if i’m qualified?
Vanessa,
I don’t think they post the current studies anywhere. In the past, one would need to do a screening and they tell you if you qualify.
i recommend calling them 🙂
I don’t know if this is still the case, but I looked into going here a few years ago, and at least, as of then, their current research studies were listed on their website. But I don’t know if that’s still the case. You can check their website and see! But your best bet is always to call because even if their website does list their studies, it could be outdated.
Typically how long is the admissions process?
It depends if there is a waitlist or not, but typically I would say a few weeks ( to get cleared medically etc),
is anyone considering admitting to NYSPI?
I am! Are you currently there/ have been there recently?
Yes, I am. I would be happy to answer any questions you have.
Can you please email me? Rachel please redact after contact.
Kenny_dawn82@yahoo.com
Thanks! I am still in the process of being cleared!
-what is the general age range (if you dont mind me asking, are you a teen or adult?)
-how many patient are there right now?
-is it a locked unit?
-what is the ratio of boys to girl?
-Do the psychiatrists seem good/knowledgeable?
-do they supplement with ensure if you don’t finish meals?
-how do they determine your mealplan? Does it use the exchange system?
-how would you compare this to other programs you have been to, for better or for worse
I was there last year and would be happy to answer any questions.
Could you do a full review with the template by chance?
How much clothes should I pack? What does the storage space look like?
There is laundry on the unit, so I would not overpack. The storage space is bin and shelves. Decent amount but not like a closet.
I am here right now. I can help with any questions you have.
Anonymous,
What is the milieu like?
I have several questions 🙂
-how many patients are currently there?
-do they supplement?
-how would you describe the climate of the milieu? I’ve been to too many places where people don’t really want to get better and act all competitive which gives me the ick
-what are some of the meals like?
-I have really bad PTSD and a strong trauma association with men. Are there a lot of men on staff?
-what is the rate of weight gain?
I can answer your questions, are you coming soon?
I’m still talking to the intake counselors trying to see when I can admit. What are the answers to the questions 🙂
Ok I will answer them. Right now there is 7 of us. They do not supplement if you do not finish the meal but every patient is required to have *TW* 3000 calories *END TW* and drink two ensure plus everyday. Some patients end up having less c*lories and sometimes they add a third supplement if needed. The milieu is very good at the moment, I have been to other places too and I know what you mean. The meals are okay, you are expected to eat 100%. The staff is very good here too! No there are not a lot of men on staff, it is mostly women. The weight gain is pretty quick here if you are eating 100% but everyone goes at their own pace and everyone’s body is different. You are expected to gain 3/4 of a pound every M,W and F when you are on every other day weights. So basically every week you are expected to gain 2.25 pounds. Are you going to admit here?
Can you do a full review by chance using the template?
I was there over a year ago so I can not answer a few of your questions.
They do supplement. Anyone that is on the weight restoration protocol is expected to supplement.
The meals were actually quite decent for hospital food.
There are men on the staff but mostly women.
The rate that is expected is * trigger warning 2 3/4lb- ish * end trigger warning every week. It is a fast paced program.
I hope this helps!
Anyone know if you can graduate from having a locked bathroom? Or if they think you need a locked bathroom, will it stay that way the entire time you are there? I have contamination OCD so I am very concerned about having access to handwashing, but due to ~behaviors~ that (while very rare for me) happen, they want to give me a room with a locked bathroom. Kinda freaking out 🙂
Hi!
Most of the rooms are a shared bathroom with no locks on either side. Rooms are closed during most of the time unless on a higher level ( I believe 4, and nearing discharge). You would not have a private bathroom. The one that is for common use is always locked.
Thank you for letting me know! I feel much better knowing more about the unit.
Please let me know if you have any additional questions! Keep us posted 🙂 Good luck!
I am probably going to admit here, could anyone who is there currently or recently tell me how it is right now? The quality of staff, how the milieu’s level of motivation is, anything I should know? They seem really strict, which is scaring me…
Thanks!
TH,
The program is strict. In my opinion, that is a GOOD thing. Hard, but well worth it. I was there a year ago so can not speak the current milieu. Doctors are top in the field and nurses are great too. Please keep us posted!!!!
Hi, I was there for 7 weeks in the spring and I can say honestly it is far and away the best treatment I’ve ever been to (and I’ve been to a few). It is strict and hard and uncomfortable. But the staff are compassionate and smart and professional, and the treatment is evidence-based and supported by good research. (And the food is surprisingly decent.) The biggest downside for me is that they don’t have an outpatient program, so when you leave you have to transition to some other program, which was really hard. But they do have a transition phase that includes meal passes, days off the unit, etc., so that helps some. The milieu is small (there were just 4-6 of us when I was there) and the tone can change a lot, so that’s a big variable. But everyone is expected to follow the rules and have some level of motivation – the ones that don’t find it to be a good fit generally don’t stay long, in my experience. And again, I can’t say enough good things about the staff – they are lovely and supportive throughout. Good luck!
Thank you for the input! I am officially admitting!
TH,
This is wonderful! Do you know when? The staff is amazing, especially the unit chief (head psychiatrist).
Is anyone there right now?
Hi ! Do you know if there are beds available at the moment? Or how long it takes to be admitted after the medical side is stable and cleared?
thank youu
you can email me
luisanabravopacheco@gmail.com
Disappointing interactions with the admissions counselor and the overall screening process. I felt strung along and was given a false “hope/reassurance”. Unfortunately I’m an adult in my late 20’s who has medicaid NOT Medicare in Massachusetts. The closest outpatient or iop programming is 1 hour away in Connecticut at monte nido and the closest inpatient facility is Walden which is around 2 hours away but MassHealth doesn’t cover resi- only inpatient and php/iop. So that leaves a gap. McLean Klarman is contacted with mass general Brigham MassHealth plan ONLY for their resi program they will not take any other MassHealth plan. And the cherry on top- there are no ed specialist providers in my area who take MassHealth so you have to pay out of pocket/ the very few providers who do take MassHealth are not taking clients/1+ year wait list. All this lead me to Columbias Ed unit. I had two lengthy interviews with the admissions counselor “K****” and was told that i would be a good candidate for the program and she would discuss my case with the clinicians on Friday morning after our 2nd interview (Thursday 5/8) she proceeded to tell me that she would call me the next day Friday afternoon (5/9) OR the following Monday (5/12) then she said if i didn’t get a call from them after Monday, to call Tuesday morning so we could discuss the next steps like getting my lab work and seeing if I’m medically stable to hopefully admit. So i did waited till Monday afternoon and nothing. Left a voicemail at the general units line and the admissions direct line so 2x voicemails and many phone calls for the next few days till today; the next Thursday (5/15) and silence on their end. Nothing. No one picking up the phone or returning my calls. Around 10am this morning i called the direct admissions line and K**** answered- the first time i spoke to her in a week by now- 3 days after i was supposed to be given a call. She told me in a cold tone that im not a good fit for their program at the moment. I had also explained to her in our last two calls my insurance situation and that this is pretty much my last hope and chance really. The language and wording she used during our interviews made it sound like we were moving forward with admissions since she literally used those words/phrases with me multiple times and was asking me about who would watch my son and details surrounding the coordination of an admission.
After she told me i was actually NOT a good fit at the moment she said she could give me referrals which felt like an even bigger slap in the face. I explained i don’t need referrals, i live in a treatment desert! The problem is accessibly due to location coupled with horrible health insurance. I told her to have a nice day and hung up after that. I feel like trash and this whole experience validated that. I don’t deserve help apparently. You only get it if you have money or fit the perfect Ed “mold.”
This is honestly such a disappointing and devastating experience. I feel very hurt. I don’t have any other words. I have nothing left. No other options or avenues. They got my hopes up for nothing. I’m not sure if i don’t have the right eating disorder for their program? (I’m bulimic) or maybe too old (late 20’s). Regardless the whole experience left a really bitter taste and hurt.
Follow up- I had called this morning and asked to be put on a waitlist if they have one and asked her if she could give me the reasons why i don’t qualify. The 2 reasons were because i smoke weed daily she said i can’t smoke like that and i told her i can stop now because it’s not an issue for me, i live in a legal state. Second was that i use too many behaviors? Which is literally so confusing because huh? She then proceeded to tell me to work with my outpatient team; which i don’t have due to insurance and she KNOWS THIS. i laughed and said i don’t have an op team because of insurance and her response was to work with my primary care doctor on behavior reduction…which is also laughable because my pcp is not informed on mental health/not her specialty since she’s an internal medicine doctor not a psychiatrist or dietitian. I’m confused if this program is for people who don’t have good insurance, want to get better and have said I’m out of options there was not a hint of care or concern.
Hi! I don’t know if this is an option for you or not, but I just wanted to let you know that Project Heal (a charity organization) will sometimes pay for transportation costs to and from treatment facilities that are out of state or far away. They will sometimes cover the costs of flights or Amtrak or a greyhound, and will sometimes cover a night in a hotel if you need to stay in a hotel the night before admitting the next day. I think most people think Project Heal just helps with covering the cost of treatment itself, but they also help cover the cost of transportation to and from treatment that is far away or out of state.
Project Heal can also cover the cost of outpatient ED treatment for people whose insurance does not cover outpatient ED treatment, and I’ve heard it is easier to get Project heal to cover the cost of outpatient treatment than it is to get approved by them to cover the cost of HLOC.
This whole situation you are in is just horrifying. I’m literally disgusted to my core. I’m so sorry you have to deal with this. This whole thing is such bullsh*t. A eating disorder is suffering, we don’t need to suffer finding treatment on top of that. You deserve treatment. You deserve to get better. You deserve to be treated 1000x better than you are (even more times better than that). You DO NOT deserve to experience what you are. Your experience trying to find treatment is exactly what led me to working in the ED advocacy and policy world in the first place.
I don’t know if she can help, but can you email esti@ayeleth.org and let her know the situation you are in? Esti is a longtime EDTR community member who is really good at helping people on the East Coast with limited options access ED treatment, especially people with Medicaid or Medicare who are getting denied right and left. Put in the subject line that you are from EDTR. She knows a lot too about how to get Single Case Agreements (SCAs) with treatment centers your insurance doesn’t usually cover when you have Medicaid.
Some places that people here have gotten to do single case agreements in the past with out-of-state Medicaid are Monte Nido (especially their NY locations) and the Emily Program (including the East Coast IP locations formerly called Veritas). ViaMar in FL also does SCAs with almost every state’s Medicaid, although I’m not sure whether they can work with only inpatient coverage. Charis Care in FL has scholarships for people whose insurance doesn’t cover residential treatment. They are a Christian treatment program but accept people of all faiths and don’t try to force religion on anyone. Sometimes Medicaid will cover residential treatment for people in treatment deserts if you can get a SCA. Back in 2014 I got my out-of-state Medicaid from the Mid-Atlantic to accidentally (lol) cover ERC Pathlight Chicago even though I didn’t have residential coverage, but the only ERC I know of that does SCAs with Medicaid these days is Washington state, and I don’t know if they do more than Washington and Oregon.
Hi,
I have a second screening for admission next week. I am nervous about going through the process of admission only to be denied like others recently.
They did mention that capacity is almost full so there may be a wait list. I would be stepping up to. HLOC and stable so am ok with waiting.
I just do not want to be dragged along.
Thoughts?
Having this experience right now. I had my first phone call which was a short 15 minute assessment to see if I’d be a good candidate for their program last Tuesday then on Thursday last week (2 days later) i had the 2nd interview which was around 1 hour and we went over all mental health and ed history and current behaviors. She then said that she was going to present my case to the clinical team and they would call me back with the next steps (either moving forward with admission or denial) the next day on Friday in the afternoon or Monday. She said for me to call them Monday afternoon if i had not gotten a call from them. So i called the main line and the admissions coordinators direct line a couple times with no answers around 4 and left a voicemail on each line. It’s Tuesday morning now and still haven’t heard anything. Kinda weird and feeling like they ghosted me
I am hoping to start the admission process. Is there anyone who is there or just left that can share what the community is like right now? Recovery focused ?
im here rn. and its a pretty good program if im honest. yes meals are challenging but thats just part of the process. the staff is overall really nice and you will have their support the whole way through. the best thing to do here is jus make friends with all of the patients to spend time because it defenitely gets tough.
Hi!
Thank you for the reply. Sadly, I didn’t get accepted. A wait list :/
I’m glad you are getting the support! You can do this!!!
Do you mind telling me what the general age is? Kind of worried about being the oldest one there amongst teens and young adults and being a little left out. Also how are the staff? Are there men that are on staff? Just asking because I have a trauma history and can sometimes have a strong reaction to that. Thanks!
honestly its a number of different age ranges. from teens aged 14 to adults being in the 70s from the time ive been here. there are men on the staff but most are women. everybody is nice.
I was there last year and it was mostly young adults. I was the oldest, ( in my 50’s) but I didn’t feel left out. Everyone was really nice and didn’t see me as a grandmother. Lol. The age range is based on the others that are on the unit with you. It changes pretty quickly( toward end of my stay, there was only a few teens and the rest adults.) I would say average age is mid 20’s-30’s for adults.
There are men in staff, but mostly women… a few nurses, MHTA’s, and MD’s.
Anonymous, I don’t know if you’re still there, but is this inpatient program something separate from the Outlook at Westchester? It’s very confusing on their website because they are connected with NYSPI. Thank you!
NYSPI research inpatient unit and the Outlook at Westchester are indeed separate (and very different) programs.
I finally figured that out…thank you!
What is the difference between the programs? Would you recommend one over the other? Does one have a better reputation?
Elizabeth,
I have been to both programs ( granted the Outlook one was many years ago). The Columbia program is a lot better. I would recommend over many places tbh.
Thank you!!!
You are so welcome! Please let me know if you have any more questions 🙂
Hi ! Do you know if there are beds available at the moment? Or how long it takes to be admitted after the medical side is stable and cleared?
thank youu
you can email me
luisanabravopacheco@gmail.com
Hi ! Do you know if there are beds available at the moment? Or how long it takes to be admitted after the medical side is stable and cleared?
thank youu
you can email me
luisanabravopacheco@gmail.com
I have just gone through a 2 month process to admit into the program. I was eager and willing every step of the way. They said I needed medical stability either in the community or inpatient, and I did so in the community with both my psychiatrist and family doctor attesting to my stability. They then said that I had to do inpatient (even though I was stable) and so I went inpatient and am now even more stable. They called (again – 3 times in total) my outpatient psychiatrist who said I was stable. Now, after two months, they have declined to offer me an admission. And, I am now, stuck in a terrible facility with no other options. Also, you are required to have a chaperone, which i was not advised of.
Anonymous,
I am so sorry that you went through this. I am sure it is frustrating. Did they give you a reason why they said no?
They asked me to bring someone because I was out of state. I think it depends on how far away someone is? I was told at the beginning of the admission process.
Anonymous,
Did you get a reason why they declined to offer you an admission?
*TW*
Hi there, I was wondering if there is a minimum BMI requirement for admission?
*admin note: no numbers per site policy
They never told me a specific number but when I was trying to admit it was a concern and made them hesitate due to low BMI. I think they take lower BMI than most residential places but they’re not a medical hospital like ACUTE or something so there are limitations.
I do not believe there is a minimum BMI. However, if it is too low, they could require some weight restoration prior to admitting.
They are not a medical stabilizing program.
I am currently going through the admissions process. You have to be in the 75 percentile of healthy BMI to be accepted because they are not medically equipped to handle any complications with refeeding. You have to be on a set meal plan and show signs of weight gain prior to coming without complications and be completely stable with vitals, labs, orthostatic bp, ekg, and be cleared for travel. I hope this helps.
Even if you get your weight up, make improvements, and get medical clearance, they may not accept you (even if they say they will).
E,
When are you going in? I would love to hear about your experience.
E,
Did you end up admitting?
Hi Anon,
I still have not admitted. I had a similar experience to Anonymous that posted recently. They wanted me to be more medically stable and go inpatient which I did. Afterwards they told me I need to prove stability in my community which I did. Then they said they had a virus outbreak and closed admissions for a period of time and would call me back when they are accepting again. I have not heard anything back. Funny enough I am doing so well now my outpatient team said I wouldnt qualify for high level of care anymore. LOL
E,
It might have been a blessing that you didnt admit, only because YOU worked hard to get yourself stable without a HLOC. YOU SHOWED YOURSELF HOW STRONG YOU ARE. This is amazing! You deserve recovery and you can do this!
I am sorry though that the program kind of gave you the run around though. It must have been frustrating.
*TW*
maybe this has changed recently, but I can very confidently say that the cutoff of seventy-fifth percentile was not the case a year ago.
Can anyone comment on the groups and therapy? How often do you meet with individual therapist? I just received a copy of the schedule and it didn’t look like a lot of therapy.
I would say that there is not a lot of therapy. You meet with your therapist ( could be a resident) for 30 mins, 3 times week then 10 min check in’s twice a week. Sessions go by really fast!
Having gone to a couple other residential / inpatient programs, I got way more therapy here than anywhere else, which was one of the best parts of the program imo. I met with someone almost every day during the week, sometimes for quick check ins and a couple of times a week a full 30 minute session. The only draw back is you are sometimes assigned a resident as your therapist so they rotate every couple of weeks, which can be frustrating. If you have a resident though, there’s also a regular therapist overseeing them and meeting with you periodically, so there’s a little continuity at least.
H,
How long ago were you there? How are you doing post admission?
Hi ! Do you know if there are beds available at the moment? Or how long it takes to be admitted after the medical side is stable and cleared?
thank youu
you can email me
luisanabravopacheco@gmail.com
I might have the opportunity to go in a few weeks. So so anxious but it seems like a great opportunity. Are you still required to gain 3/4 lb every other day?
is there wifi? Are hoodies, drawstrings, pockets allowed?
I may be going soon too! Any recent updates would be appreciated. Schedule, rules, meal plan, do they do daily labs and monitor for refeeding symptom? Is stretching allowed, do you get your own room? What is the age range? What are weekends like?
Also what do you eat for meals? Examples please. What are holidays like there?
Did you get in???
I did get in! When are you going?
I have to be more medically stable…
that’s great! All the best!
I’m glad you got a spot! When are you admitting? What studies are you doing?
Hi ! Do you know if there are beds available at the moment? Or how long it takes to be admitted after the medical side is stable and cleared?
thank youu
you can email me
luisanabravopacheco@gmail.com
Hi,
Age range depends on who is there at time of admission. I think they only have teen studies open right now so chances of the age range being on the lower end seems likely.
Room availability depends on the community as well. Those that have been there longer ( and don’t need the CO room) so have their own rooms with a shared bathroom.
Stretching is not allowed except in yoga group.
Weekends are very quiet! There typically are no groups so a lot of down time. Electronics are given at 2pm so at least that helps pass the time.
E,
I left in August and would be happy to answer any questions!
Hi!
Thankyou so much!
Here are my questions:
What is the daily schedule?
Is it level based?
What privileges do you have exercise wise and selecting your own food wise per each level?
Do you get to go outside?
Do they have groups or just therapy?
Is there pet therapy?
Do you get to have electronics- phone-laptop?
Do you see a doctor? How often?
Do you see a dietician? How often?
What are meals like? Examples please. Is there variety in their foods or same thing every day?
Do you get to pick your meals/snacks?
If someone needs medical care that comes up during their stay like refeeding syndrome how do they handle that?
Are you on 24/7 supervision?
Are you allowed to shave?
Can you bring clothes with shoe laces, drawstrings, hoodies, pockets?
How many patients are there?
Is it male and female?
What is the age range?
Staff to patient ratio?
What do you do for downtime and can you spend downtime together or does everyone have to be in their rooms?
Do you get to hang out or talk to other patients?
Can people send you mail?
What is the average length of stay?
Do they help transport you there or do you find your own transportation?
Do they restore 100% of your weight?
Are you discharged with maintenance meal plan?
How are staff? Are they kind?
What is your most favorite thing and least favorite thing about nyspi?
Would you recommend to go?
Hi, Here are the answers for you!
What is the daily schedule? Groups Mon-Friday. Sessions with therapists, and meals/snacks. They should provide you with a current schedule.
Is it level based? It is level based. Weight determines level eligibility ( as well as other factors like compliance etc).
What privileges do you have exercise wise and selecting your own food wise per each level? Exercise is limited. Once you are at level 3, you can request to go out on staff walks. All monitored.
Do you get to go outside? Yes. There is a patient park attached to building. Fresh air is given a few times a day. Also level dependent ( as well as stability). At higher levels, they have outings. Depends also on the weather ( can not be too cold or too hot).
Do they have groups or just therapy? Groups. Therapy is limited to 3 times a week for 1/2 hour and 10 min check ins twice a week.
Is there pet therapy? No
Do you get to have electronics- phone-laptop? Yes. In the evening and early afternoon on weekends.
Do you see a doctor? How often? Daily
Do you see a dietician? How often? Outside of group, as needed.
What are meals like? Examples please. Is there variety in their foods or same thing every day? Meals are on a 4 week cycle. A variety and really good for the most part. You do not have a choice on what is served until to get to level 3. Even then, the choice is only like what kind of yogurt, snack etc.
Do you get to pick your meals/snacks? See above. No. Again, at level 3 you will have more choices but still do not pick your meals. They do expect 100% meal compliance.
If someone needs medical care that comes up during their stay like refeeding syndrome how do they handle that? They have internal MD’s available and will monitor. But it is not a medical hospital. If complications arise, you will be sent across the street to the main hospital. This would be billed to your insurance.
Are you on 24/7 supervision? Depends on status
Are you allowed to shave? Only supervised. It was hard to get someone to come watch, so I didnt care to keep up with it. 🙂 LOL.
Can you bring clothes with shoe laces, drawstrings, hoodies, pockets? No shoelaces or drawstrings no pockets in dining room
How many patients are there? Depends. But the most is 12.
Is it male and female? Both
What is the age range? Depends on who is there. It is a mix of teens and adults.
Staff to patient ratio? Unsure and depends on staffing.
What do you do for downtime and can you spend downtime together or does everyone have to be in their rooms? Downtime can be spent in common areas. Not able to go back to room until after snack in PM. Once at a higher level, this changes a little. But mostly, no access to room during days.
Do you get to hang out or talk to other patients? Yes. That was one of the best things was getting to share with others.
Can people send you mail? Yes! And ou can order packages to be delivered ( Amazon)
What is the average length of stay? Depends on if one needs to weight restore etc. A few months is average.
Do they help transport you there or do you find your own transportation? No assistance in getting there.
Do they restore 100% of your weight? They restore to 90% of IBW.
Are you discharged with maintenance meal plan? Yes
How are staff? Are they kind? The head psychiatrist right now is amazing Nurses are wonderful. For th emost part, staff is GREAT. You will have/or see the occasional issues ( this can be anywhere).
What is your most favorite thing and least favorite thing about nyspi? I have been there many times, and honestly, it helped me save my life! Its a great program, but with that said HARD!!!!!! You have to be willing to surrender behaviors and engage in treatment.
Would you recommend to go? I would! The only thing is the therapy part is lacking. BUT, they believe that real work can not begin until ED symptoms are stable. I think I agree. The work is what;s underneath ( at least for me)
Please let me know if you have any other questions!
Thank you anon, very helpful! Still hoping to go!
I really hope you do go!
Did they discuss the studies with you? Personally, I loved doing the research. Felt like I was giving back.
You deserve this opportunity! And will do great.
Thankyou so much for the feedback! I received the schedule. Unfortunately they just got back to me that im not stable enough to go right now either and they want to see a few weeks of stable lab work and weight gain beginning to happen. Im wondering if its still worth going if beginning to stabilize at home without support lol
Also they didnt give me much detail on the research currently happening. Do you know what research they are currently doing and what that entails?
Hi,
The expectation is to gain 2 1/2 lbs a week. Calories are increased quickly as weight restoration is their primary focus.
Wifi is available but not always the greatest. They do have two computers available.
No drawstrings, pockets are ok EXCEPT in dining room.
I hope this helps!
Thank you anon! Did you find the program to be helpful? Would you recommend? I’ve done inpatient so many times and am hoping that this will be different
Grneyes8888,
it is a really hard program but good! The focus is primarily behavior stability and weight restoration. It challenges the ED fast and furious.
if you are motivated, and willing to invest in your time there, it will be helpful! Again, hard but worth it.
Therapy is minimal but the groups are helpful. You get out what you put in so to speak.
Please let me know if you have other questions!
What kind of studies are they doing right now?
E,
I heard that the only studies open right now are for teens. But I would definitely ask them! It could have changed 🙂
Are you still going?
I am still going. After putting in over a month of hard work I just finally got medically stable enough to go. I should be contacted soon by the clinician to get admission date. I am pretty nervous to go seeing it is so far from home and you cant have your cell phone. I am also nervous to face the adjustment process in to the program and just the overall worries that I wont be able to fit in with the other patients there right now.
E,
I’m happy to hear that you are still going! Where are you traveling from? I am in California. When I admitted, they asked me to bring someone to travel with due to distance.
If you have more questions about the program, I would be happy to answer. 🙂
E,
Did you get an admit date?
These are two different programs
I’m confused – are there 2 different NYSPI programs? I see the Outlook at Westchester…is that the same as the Columbia Center for ED? I called Westchester and they said they had a bed but didn’t reference studies. I’m seeing two different sets of reviews for programs through New York Presbyterian one extremely positive and one pretty negative. My daughter is currently inpatient with co-occurring dx in a psych unit that doesn’t treat EDs. She is medically stable, but has SA x2 (one was more symbolic). She is on multiple meds for MDD and GAD. Would that disqualify her from studies? Is outlook different from The research based program?
They are two different programs – honestly the whole NYC system is so weirdly titled, because they are all legislatively linked together by being designated by NYS as Comprehensive Care Centers for ED. This is a pretty good summary (albeit kind of lengthy!): https://www.columbiapsychiatry.org/join-study/research-clinics/eating-disorders-clinic/metropolitan-comprehensive-care-center-eating
Unfortunately for the Columbia research based program, being on medication/s will usually disqualify people from doing their inpatient ED treatment studies, because researchers need to minimize variables that could play a role in study results.
It just occurred to me, you might try giving Klarman at McLean a call again now that your daughter is 17! I know they are an 18+ program now, but they are also known for making exceptions to their age ranges in both directions, especially for patients who are out of options.
After making the initial call, I was just told that there is a wait list ( after she consulted with clinical team) and that I should seek a higher level of care closer to home given my symptoms. They said I could call back in a few weeks to see if things have changed with me. I asked if I have been denied and was told No.
Has anyone else been told similar? Does this mean that I need to get myself in a better place to receive treatment with them?
Anonymous,
This did happen to me the last time I went to Columbia. I was not medically stable enough to go to the program, and had to get myself to a more stable place before I could admit. They are not a medical hospital, but a research hospital, so they would have to send you across the street to receive medical care which depending on where you are coming from, could be a big mess with insurance, etc. Do NOT give up…they did NOT say no, but rather are looking out for your safety so that when you DO arrive, you can start working on the deeper issues related to your ED! Keep pushing forward, I can promise you that getting into this program saved me and provided me with so much that I am grateful for!!
Thank you so much for the response. I guess what was/is confusing is that I haven’t seen an outside provider that has told them ( or me) that I am unstable.
if I may ask- did they tell you a similar thing then you called back and could admit? How much time went by?
I was told yesterday that I would need to be more medically stable and [restore some weight] before consideration
Grneyes8888,
The program is not intended for medical stabilization. If someone arrives unstable, it delays treatment and also could be an insurance nightmare ( having to go to medical hospital). Please try to get yourself stable so you can go! It’s a great program. Hard but really good.
Thanks for your input. Really working hard to get stable to get in. Unfortunately I don’t have medical insurance which means doing the program could be a risk..really want to do it
You can do it! You deserve the help and if being more stable means you can go, try to do what you need! You are worth it!
The program is really good ( hard but good).
Hi ! Do you know if there are beds available at the moment? Or how long it takes to be admitted after the medical side is stable and cleared?
thank youu
you can email me
luisanabravopacheco@gmail.com
Lou,
I would recommend calling admissions. They will be able to tell you if there is a wait list. Generally though, once someone is accepted into the program, admission happens quickly.
Good luck!!! You got this
Thank you ! Waiting today to hear back after my last email yesterday saying “will be in touch tomorrow regarding next steps”. I hope this means something good !
I tried calling but no answer , I really hope they get back to me today !
all the best to you
That’s wonderful! Please keep us posted.
It’s a good program, really good. Hard but worth it!
I am waiting for a call back too after emailing and leaving voicemail
keep me posted on your status!
Hi! I hope you heard back from them.
Did you admit?
Is there anyone in this forum that was discharged, then recommended to return fairly quickly by OP team?
I hesitate to go back only because it’s so embarrassing! Especially if not a lot of time has passed.
I have, numerous times. I’ve come to realize over the years that I definitely projected a lot of my embarrassment and shame onto the treatment team and providers. The people there understand how hard eating disorders are to treat and how high relapse rates are. Every time I’ve gone back they have been so supportive and are just glad that I made it back. Making the decision to go to a higher level of care is hard but takes a lot of courage. I hope you consider it if you and your team think it would be in your best interest! When did you discharge?
Thank you for this reply. It helped.
I left just over a month ago. 🙁
I do not know about going back- seems so soon. I wish I had a better handle on things though.
How much time passed before you re-admitted?
I am not the original poster but my opinion is if you are struggling, it’s ok to go back soon, there is no exact amount of time you have to stay out of treatment to go back. If you need help, you need help. In my opinon I would rather go back before things get so bad, you end up needing stabilization or psych hospital, or even if those things don’t happen to you, you might end up with a shorter stay going back right now rather than later.
anon,
Thank you for this. I just feel like I failed. I worked really hard while I was there and it is almost as if I never went. Mentally, I feel worse off. Physically, it’s “ok”.
I am also fighting the voice that is saying “ you are not in bad shape, so maybe I don’t need to go”.
My wise mind knows it’s crap, but it’s just HARD.
Not to mention, embarrassing. :/
I get it, I had to go back to inpatient three times last year, not because I was medically unstable after the first time, but because of the mental part. And after 5 years of being in and out of treatment (mostly it was that long because I was an adolescent for 3 of those years, and since I was there involuntarily, I refused to get better). I’ve been out of hloc for 8 months! I’ve get how it feels like you failed, I felt that way too, but when you work hard, everytime you come out of treatment there has been some progress. Ed’s are complicated, you might not beat it the first time in treatment or even a couple times. I know no one who beat their eating disorder the first time around. but the fact you are trying is the part that matters. And every step you take is a step towards recovery. You’ve got this
This is SO TRUE! Anonymously, my personal opinion (for what it is worth) is that you should get yourself back there as soon as you possibly can. Like, next week. Frankly, my opinion is that your step-down provider didn’t even give you a chance for success. They promised you one level of support, and then once you discharged IP and they got you admitted to their program, they provided you with a completely different level of support. And there was absolutely no way you could have anticipated that they would do you dirty like that – even with the things that started to look a bit iffy in the days before discharge, you, me, your team, your community here, we all still thought the plan was solid! I would say that they threw you to the wolves, but I like wolves, and even wolves would have done a better job of at least tending to you. More like they threw you into needing IP again. You would have had to discharge nearly fully recovered to be able to succeed with those buttholes. Don’t let corporate greed win. Don’t let profits over patients win. You have an awesome life to live. Get back to IP so that you can get back to life.
Rachel,This post made me cry…not in a bad way. It showed me how much you CARE about people. It really touched me, so thank you.
I am struggling with the idea of going back so quickly. I am not at the place I was when I admitted, and my ED is trying to justify staying home. The thoughts of ” It’s not that bad” and ” if I go, I could lose my job, my insurance etc”. The ED just hold on tight.
Anon, Thank you so much!!!! This really helped. I am still going back and forth with it all, but it isnt surprising. My ED is trying to hold on….
That is so wonderful that you have been out of a HLOC for 8 months! So great! You deserve recovery and a life without ED!!!!!
Did you return to Columbia 3 times last year?
How good is this program at tailoring it to fit your needs? ie I struggle with over exercising and some other specific challenges— do they adjust exposures and therapy to the patient or is it all pretty cut and dry?
It is a behavior modification program. . So this means, when one struggles with behaviors, tighter restrictions are put into place to help support a behavior change. It not punitive at all, but strict. The team is amazing, and will work with you! Key points are being honest about your struggles/ being responsible as much as you can for your treatment I would say that it is individualized, but with a strict program. I hope that makes sense 🙂 I highly recommend it!
Great to hear such encouraging reviews for this program. EDs are tough, and finding a program that is tougher yet still compassionate & empowering to the patient is rare.
It seems like reviews are mostly re: anorexia based care.
Wondering if anyone can speak to the treatment if you are bulimic? Is care individualized to those needs?
If you are normal/healthy weight does the meal plan keep you there?
Seeking,
I do believe it is the same program for bulimia as AN with some differences. If someone comes in the target weight range, then the weight restoration phase is excluded. The care is individualized to an extent ( meaning that the program base is the same for all, which small differences depending on a person’s symptoms, history etc). The structure is a good balance with groups, therapy, time off unit ( level dependent) and relaxation time. ( Not saying it doesn’t get boring at times 🙂 )
I would like to answer your last question but unclear what you mean by asking if the meal plan keeps you there…
Regardless of the diagnosis, and track someone is on, you will get the help you need! I hope this helps!
Thanks for your reply.
I guess the last part of it was if they will adjust your meal plan if you are gaining weight when you don’t need to? I’ve seen programs just have a standard ‘maintenance’ plan and refuse to lower the meal plan despite unneeded weight gain.
Oh I understand! The program does have a target range. If someone is above it for X amount of weigh ins, the team does adjust the prescribed meal plan.
do they accept bulimics?
Yes, there is a bulimia track.
im currently doing the program here and, no lie, i think it’s going to change my life. I’ve been in and out of treatment for the past 3 years (been hospitalized, did Monte Nido residential, PHP, and IOP, Center for Discovery residential, Within health virtual treatment, outpatient — basically every eating disorder treatment program i could get myself into) and this is the first time I’ve felt like i could make it through this awful disease and actually fully recover one day. i really can’t express how incredible this place is :’)
That’s amazing! Thank you for posting! Can you explain what you think is different about this program?
Review- Current!
Describe the average day:
Please let me know if anyone has any questions. I would be happy to answer!
I am so, so happy to see this program is still going strong and patients are responding well! They saved my life, and I was blown away by the amount of insight and support I gained while being there. I have to agree one of the best parts about the program is the research and how knowledgeable the staff are in the field! I also have to agree that it was the HARDEST program I have ever been to, but so worth it to keep working hard every day. Proud of all who are there now, and wish nothing but the best to those who are going soon! The unit chief is absolutely wonderful, and will support you no matter what, just remember to be honest and remember why you want to recover!!
Wonderfully said!
While this program is not for everyone (mainly if one is not motivated to recover), it definitely is the hardest AND the best ( because it is so hard 🙂 ( As much as our ED’s want to hold on, this program shows us that we can be STRONGER and let go).
Thank you for sharing E 🙂
I’ve been interested in this program for years and really am motivated to recover, but from past reviews I’ve read, it seems like there is very little flexibility with food choices. Is that still the case, Bear? I have both anorexia and arfid and the arfid is lifelong, so many foods are not and will never be realistic options for me. In treatment I have no problem completing with supplements, but many places discourage that. I know for some people having no flexibility with food is really helpful for their recovery, but because of my arfid, it’s a dealbreaker- I literally can not tolerate the tastes/sensory sensations of many foods, and I’m so sad that many treatment programs that seem otherwise great are not available to me because of that fact.
Anonymous,
When you first enter the program, there is no flexibility with the food choices. Basically, you get what you get on your tray, and are expected to complete. As one moves through the levels, you can start to make choices, but it is more about flavors of an item, or other small adjustments- such as exchanging a yogurt for another dairy item etc.
I am not well versed on ARFID, so I can not speak to any adjustments to the program. I would encourage you to call and and ask! I do not believe they have a specific track for it but it does not mean it is a definite NO. Everyone is very kind, and the intake team would be advise.
I encourage you to at least call!
My daughter went here with diagnosed anorexia. The start was pretty good then my daughter started to have issue with the food. Come to find out she was additionally diagnosed with ARFID. Which makes sense now looking back cause of the intense struggles she was having at mealtime. unfortunately columbia was not (and still is) unable to treat her. She was asked to leave after 2 months. While they do great with the 2 main subtypes of a eating disorder. They do not AT ALL work with patients with ARFID
What do you mean by there is no insurance involved? Do they not accept insurance? Is it all out of pocket then?
KK,
It is a research based treatment center. So, if you are eligible for some of the research studies they are currently doing, your treatment is free, knowing that you will be participating in some studies. This is all determined on the initial call to see if you are eligible for any current studies. It’s an amazing program, so if you’re interested and they offer you a spot, take it!
I went through all the steps and assessments … was pretty much good to go until they said they wanted me to gain x amount and more stable since I’m so far away! Once I did that I could go… ughh
I had to go through that process too, but if you really want recovery and a chance at a better life without the ED, I encourage you to do the best you can for what they are asking. Since it’s not a medical unit, it really is just a safeguard for you, in the event you would need medical care when you get there. Not only would it slow down your progress, but depending where you are from, insurance may not cover to another state. Hopefully you have a support team at home that can help you reach these goals so you can move on to the program and with your life! Trust them…they are truly the experts in this field.
I know it can be frustrating to go through the process, then be told you need to do some work before you come. It is not a medical stabilization program, and if you need to travel (assuming you are out of state) it makes sense that they would want you to arrive safely. I strongly encourage you to do as they ask ( with support from an OP team!), then come here! It truly is the best program. You are worth it!
It’s a research unit, so you do not have to pay anything.
Do you have to apply for this or are there certain requirements?
You do not have to apply, but you do have to go through their intake process which starts with an initial call to the unit, and they will set everything else up from that initial phone call if you are eligible.
E answered this but I also want to add that one of the biggest requirement, aside from research studies is that you must be medical stable.
It is not a medical stabilization program. If someone arrives and is not stable, they will be sent to the adjacent hospital for care (I had to go across the way and it SUCKED!). All costs incurred at the main hospital are billed to your insurance (incurring personal responsibility for copays, deductibles etc). Just like one would at any other hospital.
They do screen before admitting but it is important to keep this in mind before showing up ( say a week goes by between medical clearance screening at dr’s office and arrival).
I would encourage you to call! It is the best program, in my opinion. HARD but so is living with the ED. They offer alot of support and tools for recovery
Weird question, but I guess. What do they consider medically stable? Labs ?
Not a weird question. Well you would need a physical by an outside provider to attest that you are stable. Labs, vitals etc.
if you arrive and you are not, you will be sent across the street to the ER. Also, the admitting/ intake team will assess before arrival.
I hope this helps!
Do you know, are they currently taking adult inpatient?
Kk,
I would call the center to check, but I believe so. I did hear about a possible wait list. Please let me know if you have any more questions!
If I am weight restored but still dealing with the mindset, will I be eligible?
I’m looking for a place that will teach me to use the plate by Plate approach so that I can get to intuitive eating.
I called there today but the intake person told me all meals were plated by the kitchen but there was 1 cooking group a week.
I’m looking for a place that will teach me the plate method and allow me to plate my own food and learn portioning. Teach me how to make a plate to fit my needs.
Do they teach this here at all?
Hi Cc! Have you looked at Center for Change yet? They do this! Center for Discovery does as well, so does Monte Nido. I suggest making a new post on the Client General Forum describing what you are looking for and asking for suggestions/recommendations, you’ll get good list there!
Cc,
The kitchen plates the meals, even when someone is on menu planning.
As someone gets closer to discharge, they do assist with a meal plan etc. i am not quite there yet so not sure how detailed it is ( or can be).
I hope this helps!!
ps. I think residential programs would be more likely to offer plating. In an IP hospital based program, it is just not feasible. ( generally speaking of course).
CC
The cooking group that happens during the week was a great addition for me. Though we did not get to plate our meals on a regular basis, this group was just enough exposure (at least for me at the time) to make sure I could not only prepare a meal, but also serve myself the appropriate portion. The dietitians cook the meal with you and make sure all the steps are hit! Then when it’s time to eat (lunch meal), you will go in one-by-one and serve yourself. They will tell you if it looks like too much, too little, and help you if it’s challenging to make adjustments to the plate. Patients would serve themselves one at a time, as it can be a stressful environment, but once everyone sat down to eat the meal you prepared together, it was really great! Don’t let this stop you! And if I remember correctly, on Friday’s there was a baking group (Coffee Clutch) you could partake in as well (given complying with treatment), but I am not sure that is still happening. That was the same type of group where you would prepare an item, and then serve yourself. Hope this helps!
Can I ask: how did this help you post discharge? It doesn’t seem like enough practice to me to be able to get the knack of making own plates at home…
This was not one of my primary struggles, but I did find it helpful for exposure purposes as we made things that were a little more challenging (for me at least), and helped to actually follow a “real” recipe versus making tons of substitutions because the ED is scared of certain ingredients. I’ve been able to successfully make meals, meal prep, etc. since being home and with balanced plates. I used to be the queen of throwing my food away after I prepped it, and I do not remember the last time I threw something away because I value food differently now than before, and I think this group helped with that.
I am calling them soon for an intake call. Any advice you can give on how to be eligible for the treatment or what qualifies you for the treatment on getting accepted?
I am glad you will be calling! The main thing is that you need to be medically stable. As far as studies etc, you would need to speak to them.
The program is HARD but if you are motivated to recover, this is a great place to get you on the right track.
?? You deserve recovery!!
Hard in what way? So they provide nutrition education and guidelines on what a good balance of diet and exercise is? [*possible TW for ED thought*] I struggle with the idea of moderation and as a result don’t really include fun foods. [*END TW*]
Sorry for the late reply. I am just seeing this.
They do provide nutritional counseling. Everyone is assigned a primary dietician, as well as having two groups a week to discuss nutrition. They are usually around on the unit, and seem open to ” oh hey, can I ask a question?”.
The program is designed to interrupt behaviors. It is strict and yet caring at the same time. The team really wants people to take an active part in their recovery, and will support you in the ways you need. Part of what makes it hard, it the very reason why one needs to come. To change behaviors. There is not a lot of tolerance for acting out, behaviors etc.( They really support us when we are struggling but do want us to face the ED head on, which means no behaviors!). It is hard work being here, but 1000 percent worth it. They really do care!
The team will help YOU challenge yourself with your above concern. If you are open to it of course. Recovery is about challenging ourselves, and DOING whatever the challenge is, and having the support to get through. The program is great for that!
Keep us posted!
I forgot to ask. What study are you doing?
Do they still require patients to be off of all medications?
I would give them a call! I know it depends on a few factors, so best to ask directly.
Also, do you get your own room or you with a roommate?
Well this depends on a few factors. Teens are roomed together, and adult typically have their own room ( with a shared bathroom in between the two rooms). However, there are rooms on the unit that are doubles( you may or may not have a roommate depending on other patients treatment plans) that have locked bathrooms. There also a single room with no bathroom near the nurses station. The 24 CO room that is usually not a permanent room.
What kind of foods are served. I know you said hospital food but like more details? LOL
As much as I understand your reasoning for wanting to know what types of foods are served, and specifics, I do not think it would be helpful for your recovery. Part of the challenge with going to treatment is stepping out of your comfort zone, so if you’re just looking for treatment centers that provide foods that are more comfortable, and less challenging, that is still staying stuck in some ways. I can tell you though, that the food was very good, and not really “hospital” food per se. The meals had a lot of flavor, good options for when you can choose different flavors, etc. All you can do is try and give it your best shot. You may surprise yourself! I know I did, as I had things I never would have tried before (like a scone and bagel), and now I found I really enjoy them!
Oh I totally get that for sure! I just wanted like a general idea. I’m usually pretty flexible with food options and I 100% committed to recover! I just had my intake call and the big long one will be next week. Wish me luck!!!
I wish you nothing but luck!! And as for a general idea of what’s available, I can tell you that there really was not anything out of the ordinary or “weird.” There was a ton of variety (I felt), and the menu was on a 3 or 4 week rotation, I believe it was 4. You’ve got this!! So happy to hear your commitment, keep us posted 🙂
Thank you! How long does it usually Take for them to make a decision whether you qualify or not after the long call?
Pretty quick, I even believe at the end of my interview/zoom they said I would be a good candidate!
After the second interview, the decision turn around time is usually fast. It does depend on when you can get medically cleared (labs etc). I got an admit date quickly, but had to move it because I am from out of state. Needed to make arrangements etc with work/life things. Just a side note, we are currently on a COVID protocol for this coming week, which likely means no admissions ( I could be wrong but it’s my guess). Not sure if that will impact anyone coming in. Fingers crossed you come!
Oh no!! That stinks!! I hope tht doesn’t effect my admission if I’m accepted! Is it going around up there? Or what is the reasoning for that?
Staff member. It is just extra precautions, but I did hear it delayed admissions for this week. I wouldn’t worry much about it! Please keep me posted!
Bringing up the Ensure… Do we have to do ensure for snack or can we eat snack in stead>??
Ensure is part of the weight restoration phase ( 2 a day) ( until transition phase is reached). The option to substitute one for a snack twice a week is there, however must be at level 3 or above and compliant with meals. Once transition phase is entered, they taper off the Ensure as needed.
Do they accommodate dairy allergies? And dairy free supplements?
I am not sure if they would accommodate. I don’t think so. Also, such allergies might disqualify from a study ( it is a research based program). From what I understand, they only have adolescent studies open now. With that said though, calling is the best way to find out! Good luck! 🙂
Hi,
I am here now if anyone wants an update review, or has any questions. I am happy to help!
There hasn’t been a full review here in a really long time! If you’re able and willing to do one at some point, I’m sure it would be very helpful.
Hi,
How long was the intake process (from first call to admission to the unit)? And what did it imply (labs, ekg, etc)?
Anonymously,
The intake process is fast. It could fluctuate but mine was. They do require that someone is medical stabile prior to admission, ( vert strict about this!) so labs, EKG and Dr’s ( or other provider -NP, PA etc) note indicating you are stable is required. If you are able to get this completed quickly, I would think within a few weeks one could admit.
Again, this is a step process so also depends on schedule of clinical team you would speak with as well as admission coordinators. If you are coming from out of state ( I live in CA), then they also will require a note from provider that you are safe to fly, and require someone to fly out with you. I am not sure this is a strict requirement or is based on an individual case ( Another patient flew in alone- which leads me to believe it is based on which track you are coming in for and other factors. ). Just something to be aware of.
Please let me know if you have any other questions!
Thank you for all the info and quick reply.
I have another question, which could really help me take the first step as I’m very ambivalent at the moment. I’m a mom to young kids and being away with limited contact feels impossible. I read they don’t allow phones on the unit and I assume ipads to FaceTime are not permitted as it has a camera? Do you know if there are any accommodations for moms in my situation?
When you reach a certain level, you are allowed to have your phone and go off the unit (within hospital grounds) for an hour (I believe) a day. At that time, you are more than welcome to talk to family, FaceTime, etc. When I was on the unit, I had my laptop and was able to zoom/FaceTime my family almost every night (you get computers/iPads after dinner). The only thing you have to make sure is that if you are using the camera, that no one else is in view. You can always ask to sit in the quiet room or go in the library. When I was there, they were allowing visitors again, too! Not sure how close you are, but I hope this helps! You deserve recovery and Columbia is one of the best, so if you have a chance to go, please do so!
Anonymously,
E replied quicker than I could 🙂 We are given our electronics at specific times of the day ( weekends it is 2pm) and during the week 5:50 to 10:30 I think ( I am old so go to bed right after CO :). FaceTime is allowed, but as E mentioned, no recording. They are BIG on protecting other patient’s privacy. They do require that FaceTime calls are made either in a separate patient area, or with the camera facing the wall.
Visitors are welcomes after dinner and before snack during week, and longer times on the weekend. They must leave during Ensure time but can return after.
While they are strict, they also willing to discuss adjustments to a patient’s plan ( within reason). For example, if a patient has children that are in school all day and go to be bed early, and the time does not align with our electronics time, I could easily see them making an accommodation. Dont quote me :), they do really try to have the treatment be more of a “conversation”. Life does not come to a halt in treatment, I would be happy to give you my email if you would like to discuss further! I am happy to help!
I can’t thank you enough for taking the time to alleviate my anxiety ? I would very much like to get your email if new questions arise.
I would be happy to answer any further questions you might have. I totally understand wanting to know as much as you can about a place. 🙂
equinephotos4@gmail.com
I am confused on the phone policy. Some reviews say you can have them and some say you can’t?? So we can use Cell phones just as long as we don’t take pics?
kk,
We do not have access to our cell phones ( with the exception of VERY brief access to obtain information ( such as a two step authentication number etc)- and only in front of a staff ( no texting or emails). Once level 4B 4A is reached and are allowed off unit unaccompanied, you can take your phone. Must be checked in when back on unit.
I hope this helps!
Hi!
I am being admitted next week into this program.
i have been there before but it’s been a while.
I have a silly question- what is their policy on toiletries?
I received a list of approved soaps, shampoos etc. It’s quite limited and items I do not use at home. Having my favorite items is preferred ( fully knowing it might not be an option). Of course, it does not impact treatment but having small things from home could really help!
(The list provided seems dated…)
Has anyone been there recently? Would love to know how the experience was.
any recent reviews with all the basic questions answered?
If you scroll through the thread, there are some recent ones. 🙂
Does anyone know how long it takes to hear back from them after you sent an email?
I would call! Good luck !
How intense is the therapy of this program? how many times a week do you meet with your therapist etc?
Hi!
Does anyone know if this program is accepting new patients right now? I read that all studies were on pause at NYSPI.
What is REACH program?
It’s an after discharge study. Must go inpatient in order to participate.
any recent reviews on this program?
If you scroll down, the reviews are posted. I will say that it is an amazing place!
I’ve been vegetarian for 15 years, will they let me be vegetarian. I’ve seen a lot of people saying I need to eat meat.
This Is accurate from what I understand. It is a great program though!
Interested to know how others are doing after discharge. Was the program helpful, if so, what in particular?
I didn’t do REACH, and really wish I did. It’s their 6 month relapse prevention study. I didn’t do it because it was either do reach or see your own team, you couldn’t do both and I elected to see my own team.
I’m struggling, things aren’t where they were when I admitted, but they aren’t great. I was able to do more and get further at this program than I ever did in the 12 admissions to programs here in Canada.
Maybe reach back out to see if you qualify for it now? Especially if you need more support.
Both my team and I have talked to them and they will take me back again, I’m just trying to see if I can turn things around with either an OP or PHP program first. I’m not quite ready to give up turning it around on my own yet. Thanks for this message!
I recently turned down an admission because I am trying to turn it around as outpatient. I can go in if I’m not able to weight restore, but I have been!
I have been there many times and have been through alot of treatment. It’s an amazing program, but for me, outpatient is working right now!
As hard as is it to weight restore ( recover) it is easier than living in the ED/AN. Recovery is so worth it. You are worth it! Heck, we ALL ARE ❤️
Hi, I am struggling to find a current full review. I applied for the REACH+ study and am moving to the second stage of the process. I am looking for a current full review if anyone has one or can post one? the last one I can find is from 2018 so pre-covid and I am wondering what has changed if anything.
I believe there is further down but the thread. I recently went through admissions so can answer questions. ( Had an admit date but turned it down)
I was just there. What would you like to know.
I left a few months ago. There are recent reviews further down, but what did you want to know?
Welp, I didn’t get into the program. I started the admission/evaluation process months ago and completed several phone calls and virtual evaluations. I even had labs done. One of the clinicians, Dr. H*, left the staff and I believe this effected my eligibility.
Anyway, my point is that if you get into the study don’t procrastinate on anything like I did. I should have completed my labs immediately instead of waiting so long.
Good luck to anyone taking the difficult plung into treatment and thanks to everyone who has answered my questions.
* full name redacted by admin per site policy, but the initial has been retained in this case for important treatment access/advocacy purposes
I am sorry to hear that you did not get in. Did they give you a reason? It is interesting that you would be eligible, then not eligible for a study.
In going through the admission process myself recently, I will say in opinion that they really want participants to proactive in their recovery. I know this from my past admissions, as well this round of evaluations. I am certainly not saying you are not , but perhaps the procrastination was viewed as such.
I would encourage you to not give up. Perhaps speaking to whichever Dr did your evaluation and speak from the heart about why you want to come into their program. It couldn’t hurt! It might also give you clarity on some of the fears, hesitancies etc about treatment.
Just my two cents…
Please do not give up treatment, even if it not Columbia. You are worth it!
Interesting that Dr. H left. I see that her study has also now wrapped up. I wonder if you don’t qualify for any of the studies now.
Dr H went to another program. I believe she said to further education? She did my evaluation then I was transferred to another doc.
She’s now an assistant prof at a university in Virginia and doing research there. However, she either wrapped up the research study she was doing at NYSPI or took it with her. I’m wondering if you maybe just don’t qualify for any of the studies now since that happened. Did they explain why they said no to you?
Laura M,
I do hope you find the right program! I would highly recommend to contact Columbia again at some point. You deserve it.
How are you doing? I hope you are getting the support you need!
Nypsi Columbia free treatment program
what do they offer for those coming from out of state?
Describe the average day:
What were meals like?
What sorts of food were available or served?
Did they supplement?
How did that system work?
What is the policy of not complying with meals?
Are you able to eat vegetarian?
What privileges are allowed?
Does it work on a level system?
How do you earn privileges?
What sort of groups do they have?
What was your favorite group?
What did you like the most?
What did you like the least?
Would you recommend this program?
What level of activity or exercise was allowed?
What did people do on weekends?
Do you get to know your weight?
[redacted by admin]
what do they do if you don’t finish
can you choose your own food
do they allow non nutritive sweeteners, gum , candy, diet pop in moderation
what is expexcted weight gain rate
do they do trauma therapy
How fast is the weight gain process?
What was the average length of stay?
What was the average age range?
How do visits/phone calls work?
What is the electronics policy (e.g., cell phones, iPods, Kindles, laptops, tablets)?
For inpatient/residential: Are you able to go out on passes
—————
*admin note: these were all submitted by the same writer within a few hours so have been combined together with this original one by admin. submitting multiple similar/duplicate posts with the same or similar questions disperses the answers and help between multiple postd, making it harder and harder for the each subsequent visitor to find answers.
Describe the average day:
What were meals like?
What sorts of food were available or served?
Did they supplement?
How did that system work?
What is the policy of not complying with meals?
Are you able to eat vegetarian?
do they require supplemnts
can you use non nutritive sweeteners, candy, gum, diet pop in moderation
what is offered for out of state patients
[redacted by admin]
what is expected weight gain range
What privileges are allowed?
Does it work on a level system?
How do you earn privileges?
What sort of groups do they have?What was your favorite group?
What did you like the most?
What did you like the least?
Would you recommend this program?What level of activity or exercise was allowed?
What did people do on weekends?
Do you get to know your weight?How fast is the weight gain process?
What was the average length of stay?What was the average age range?
How do visits/phone calls work?
What is the electronics policy (e.g., cell phones, iPods, Kindles, laptops, tablets)?
For inpatient/residential: Are you able to go out on passes
do they take you off campus for exposure outings regularly do you have to be at a certain level or compliance percentage to go
—————
what is the time allotment for meals and snacks? What happens if you don’t complete in the timeframe?
Do they give you extra time?
Will they allow for 1:1 meal support?
can you send the menu and program rules/guidelines/structure?
visiting policy
is bedtime strict with lights-out required by a certain time?
what times of day can you shower
how many patients do they take at a time?
do they have programs for severe and enduring anorexia
how. Do they treat trauma, depression, and severe anxiety?
—————
as well as what foods were served and if you get to decide off a menu
are there alternatives
an yu be vegetarian, what are snack options
do yo uknow rate fo weight gain they aim for
If you scroll down, there are posts from within the past year that answer many of these questions.
Hmmm I scrolled really far and didn’t see any really specific andwers
if you have and can answer at least some that would be amazing
Ac, I combined all four of your similar or duplicate posts that were all submitted within a few hours of each other into this original one. Part of the reason you have to scroll down so far to find answers is because when one person posts the same thing or variations of the same thing multiple times in a row, it pushes down review posts and posts with answers and makes them harder and harder to find. Posting 3 additional times before community members get the chance to respond makes it harder for them to reply and also pushes down 3 other earlier replies/reviews from people who have been there.
Here are some earlier threads that answer most of your questions:
https://edtreatmentreview.com/nyspi-columbia/#comment-19794
https://edtreatmentreview.com/nyspi-columbia/#comment-19810
https://edtreatmentreview.com/nyspi-columbia/#comment-19776
https://edtreatmentreview.com/nyspi-columbia/#comment-17616
https://edtreatmentreview.com/nyspi-columbia/#comment-17411
https://edtreatmentreview.com/nyspi-columbia/#comment-21374
I hope those help!! You got this! Recovery is so worth it.
Does anyone know if you decline admission (maybe you aren’t ready, or are trying to stay outpatient – actively trying to recover) if this impacts your ability to go inpatient if needed? I am beginning the admission process but part of me is not sure it’s needed or if I’m ready. I also have alot of decisions to make regarding it. I do not want to “blow” my chance though if offered admission. I hope this makes sense. I am a little overwhelmed.
Hi all,
Has anyone gone there ( either first time or readmission) as an older adult? Like over 50.
Has anyone gone back not that long after discharge? I left early a few months ago and my team already wants me to contact them about the chances of me being able to go back. I’m so embarrassed/ashamed about this.
This is my exact current situation. I have been there twice since my first time in 2021. I got out this past April and have ended up exactly where I was when I went in the second time, if not worse…I hope you can connect with them and that they have a study for you to participate in. I’m trying to go back as well, but I have done all the studies possible at this time. You can do this, make the phone call!
Did you do REACH? That’s the one I want to do but didn’t after this admission. I’m just not sure if that’s enough for me to be able to go back. I’m not at the point where I went in, but behaviourally things aren’t good. I only left in November. I did talk to the social worker M last week, but it turned out it was her last day so I need to call the number she gave me. They did have new studies that started when I was near the end and a few more they were talking about starting soon, hopefully you are a fit for them.
Oh my gosh, I’m so sorry to hear M left…I loved her so much! And yes, I did REACH so unfortunately that’s not an option either. I think that would be enough for you to go back, so definitely try!
Has anyone past the age of 40 had an effective experience with the program? I’m 43 and considering joining one or more of the studies. I’m concerned that I won’t fit in with the other patients because of my age. I’m also very concerned with the amount of free-time in the schedule.
Yes! During my first stay, my roommate was over 40 and she is doing well even still in recovery. She really committed herself because she knew she had a family to get back to. So I think depending on how motivated you are, despite the age gap, you can have success. I was always worried about the age too, I am 31, but sometimes the kids were a breath of fresh air and just so carefree when I was too uptight.
Thank you! Was the free-time difficult for you? I believe I read that no devices are allowed.
No phones until you are on level 4 and can take it off the unit. This is near the end of your stay. You get laptops/tablets at 5h30 during the week and either 2 or 3 during the weekend.
I was there when I was 45. I felt comfortable with the age range and didn’t feel out of place. There is a lot of downtime but being that the number of people on the unit was small, we all watched stuff together and I brought books to read.
Hi LauraM,
Did you end up admitting? I am older and nervous about being the oldest one on the unit.
Hi! I’m moving very slowly through the process. I’m having a few issues getting labs and a few other things completed because of my sleep schedule but mostly it’s procrastination. I’m terrified but committed to doing the inpatient treatment study.
I am glad to hear you are still planning on going. I have an upcoming admit date and have conflicting feelings. Have you been before?
No, but I’ve been to a similar program at Johns Hopkins hospital in Baltimore in 2010 and it was rough. I know it’s going to be extremely difficult and I’m trying to just throw myself into it without thinking about the discomfort.
That’s a great mindset. Focusing on how hard it will be, discomfort, will only make it harder.
I am looking at admission myself soon. It won’t be easy, but neither is living with my AN. We all deserve recovery!!!!
Well tomorrow I have my final interview for the clinical evaluation so I guess I’ll be headed into treatment soon. Ugh. Nervous and excited I guess. Anyone have any advice for this place? Or general recommendations on things I should bring with me? Thank you!!!
Is there anyone who has been there years ago and been there very recently to compare how things have changed. I was there in 1999 and then again in 2014. My experiences were similar with the program itself but I did fare better the first time (second I struggled a lot more with behaviors). I spoke to someone recently who I knew from 2014 and she had been there last year and said there were a lot of changes in personnel and wondering if that impacted treatment experiences for people?
I was there in 1999! I was admitted several times in the 90’s, and experienced quite a few changes in the personnel. It did change the day to day, but not the overall program.
From what I hear, it sounds pretty similar today as it was when I was there.
I do know it’s a great program. Way better than the others I had been to.
I hope you return if you are needing more support!
Crazy to come across someone who was actually there back then! I am thinking about it but know compliance is a must and I need to make sure I would be ready to commit to it. Thanks for your input.
It is crazy! I wonder if we crossed paths there??
I agree, compliance is a must. I understand why, as hard as it is. Recovery is not easy but worth it! Columbia can truly help, if one allows it to 🙂
Did you end up going back in? Just curious about your experience this time?
Can someone please email me the information too? Elainewu124@gmail.com
Does anyone have recent program information that they can email me? Like schedules, meal times, if vaping is allowed, if adults would be able to do online school while in the program, rules, etc? It would be greatly appreciated!
my email is erlangley18@gmail.com
please email me too
Acb2586@email.vccs.edu