UPDATE: TAPESTRY NO LONGER TREATS EATING DISORDERS
https://www.tapestryrecovery.com
Tapestry is an eating disorder and mental health treatment facility located in North Carolina and Pennsylvania. It was founded in 2006 as an eating disorder treatment center, but after being acquired by Pyramid Healthcare in 2017 it branched out to also treat mental health and co-occurring substance use.
It has four locations:
- Tapestry Asheville (Behavioral Health Treatment for Gender-Identified Women) – PHP and IOP for mental health, eating disorders and co-occurring disorders. Treats adults who are female-identifying, non-binary or transgender men who are comfortable being in that type of milieu.
- Tapestry Brevard (Women-Only Behavioral Health Center) – Adult residential, PHP, and IOP for eating disorders. Treats only adult women.
- Tapestry Fletcher (Adolescent Behavioral Health Center) – Adolescent residential, PHP and IOP for primary mental health disorder treatment.
- Tapestry Poconos (Mental Health Treatment for Adult Women) – Adult residential for women who struggle with primary mental health disorders. They can also treat clients who have a secondary substance use disorder and/or eating disorder diagnosis, but it is not an eating disorder-specific treatment center.
Updated reviews? Please post in comments below. You can check out the FAQ and Guidelines for suggested questions. Thank you!
Tapestry adolescent program
Q&A
When were you there?
I was there from October to December 2022
What level(s) of care did you do (e.g., inpatient, residential, PHP, IOP)?
I did residential and PHP.
Is it wheelchair accessible?
No.
How many patients are there on average?
There were usually about 10 res clients and 4 PHP
Does it treat both males and females? If so, is treatment separate or combined?
They treat people of all genders in combined treatment.
If applicable: Do they support the gender identities of transgender and nonbinary people?
They respect names and pronouns but are legally required to separate the rooms by biological sex.
How often do you see a medical doctor, psychiatrist, psychologist (therapist), nutritionist, etc?
You saw your therapist for an individual session once a week. You saw a doctor who was both a medical doctor and a psychiatrist once a week. You saw the dietician once a week. You could request to see them on an emergency basis as well.
What is the staff-to-patient ratio?
5 to 3.
What sort of therapies are used (e.g., DBT, CBT, EMDR, etc.)?
The group therapies were CBT and ACT based. There would be different themes on a weekly schedule. We would also have experiential therapies like yoga (2x a week), art (1x), horticulture (1x), culinary (1x), and outings (1x).
Describe the average day:
What were meals like?
The meals were homemade by the BHTs and sometimes the clients got to help prep. They were just standard things like salads, soup, rice dishes, chili, etc. We had 3 meals a day and 3 snacks. Snacks were chosen by the clients but the meals were on a schedule by the dietician.
Did they supplement?
Yes. If you did not meet your completion goal, they would give you a cliff bar or an ensure, you chose, and you were encouraged to eat it.
How did that system work?
You would eat 6 times a day with the other clients. After you finished eating, they would record your meal and water completion on a form for the dietician and check your pockets. Some patients did not have a completion goal.
What is the policy of not complying with meals?
The dietician would be informed and would talk with you.
Are you able to eat vegetarian?
Yes, and they provided great meat alternatives for me.
What privileges are allowed?
Privileges were not earned, but we did lose the ability to do or have things if we misused them/
Does it work on a level system?
No. But movement restriction is sometimes used.
How do you earn privileges?
The same rules were enforced for all residential clients.
What sort of groups do they have?
Groups were on an 8-week rotation so they’re subject to change but while I was there we had groups on grief and loss, anger management, body image, nutrition, culinary, mindfulness, grounding, habits & routines, music, horticulture, sensory, managing relationships, sometimes lunch challenges, process, yoga 2x a week, psychoeducation, ACT art, along with various life skills groups like self-care or career preparation. We went to Panera once so that was neat. For ecotherapy, we went to places like Target, Walmart, dollar tree, thrifting, bookstores, 5below, the park, nature walks, etc.
What was your favorite group?
Horticulture.
Would you recommend this program?
I would not recommend this program. It just made things worse for me.
What level of activity or exercise was allowed?
Only yoga with a trainer.
What did people do on weekends?
We still did therapy but we went out maybe once.
Do you get to know your weight?
They blind-weighed everyone.
How fast is the weight gain process?
It just depends on how much you comply with eating. It was pretty slow for me because I did not.
What was the average length of stay?
6-8 weeks
What was the average age range?
12-17
How do visits/phone calls work?
Everyone got one 15-minute phone call a day and a few hours of visitation on weekends. If you lived 4 or more hours away, you could do virtual visitation.
What is the electronics policy (e.g., cell phones, iPods, Kindles, laptops, tablets)?
Monitored laptops 2 hours a day for academics.
For inpatient/residential: Are you able to go out on passes?
No.
What kind of aftercare do they provide? Do they help you set up an outpatient treatment team?
I’m not sure. They kicked me out with no aftercare or notice.
Are there any resources for people who come from out of state/country?
Yes.
Thank you for sharing this honey! And you did a really really good job writing this, I know it is hard to write a review that still provides information/answers to these questions after having a bad experience at a center, and many people (especially adults) just decide outright not to give any basic facts/info/answers about places they don’t recommend. I am extremely impressed with the balance you walked here, and I hope others can use this as an example!
Only getting to see your individual therapist once a week is way too few sessions for residential, did you feel like you got much actual therapy out of the sessions or was it just more like planning sessions, having a case manager, or being lectured, talking to a stranger, talking to a teacher, etc?
Was the atmosphere with the other patients supportive or competitive?
Were there groups you found particularly unhelpful?
I did get a good amount of time in my individual sessions, but my therapist often got irritated with me and did not respect client confidentiality. It was rather like being lectured and judged. The other patients were very supportive and kind and fun to live with. The groups were supportive especially group process therapy. And the dietician was very good at her job. It was less of the therapy provided, and more of the administration and support that was lacking.
HI! Would you mind talking briefly about how it made it more difficult for you? A lot of your answers seemed positive so wondering what made it more challenging? Thanks!
Sorry, Beth, I’m only now reading this.
It was rather hard getting along with the clinicians because they were rather immature and engaged in heated arguments with me and the other clients. It was especially bad because they kicked me out without notice or aftercare because of a small behavior issue, they often kick people out mid treatment.
Which program were you in?
Tapestry Adolescent Program in Fletcher North Carolina.
When were you there?
July-September 2022
how often do you meet with the medical doctor, your individual therapist, the nutritionist?
1x a week w/ PA & dietician, 2x with therapist (1 for individual and 1 for family session)
what therapies do they use most (DBT, CBT, IFS, EMDR, nature therapy, massage, acupuncture, reiki….?)
DBT, CBT, ACT
what types of groups were there?
Groups were on an 8 week rotation so they’re subject to change but while I was there we had groups on grief and loss, anger management, body image, nutrition, culinary, mindfulness, grounding, habits & routines, music, horticulture, sensory, managing relationships, sometimes lunch challenges, process, yoga 2x a week, psychoeducation, ACT art, along with various life skills groups like self care or career preparation. We went to starbucks and panera once so that was neat. And for ecotherapy, where we went was decided based on popular vote but we went places like target, walmart, dollar tree, thrifting, book stores, “concerts”, put-put, 5below, ross, marshall’s, the park, nature walks, etc.
was it all group based/ any individual sessions? Do they involve family?
1 individual session and 1 family session. Both can be adjusted though as needed depending on the person.
Does it treat both males and females? If so, is treatment separate or combined?
Yes, they treat both males and females. Treatment is combined, the only difference is rooming. Those who identify as male have 2 bedrooms on the opposite side of the hall and those who identify as female have 4 bedrooms.
Do they support the gender identities of transgender and nonbinary people?
Yes.
what were meals like..
what kind of food/brands?
Meals were on a 6 week rotation, excluding breakfast which was the same every week. 30 minutes for meals, 15 for snacks but if you need additional time you will usually be allowed it. Behaviors aren’t really redirected or anything unless you were playing with your food or something like that. BHT’s are present for all meals and snacks and usually they eat with the clients. You are offered 72 ounces of water a day, 12 at each meal and snack. Breakfasts- Oatmeal, Yogurt bowls, Breakfast sandwiches, cereal, pancakes, waffles. Lunches- Varied depending on the week but mostly things like rice bowls, wraps, sandwiches, quesadillas, salads, etc. Dinners- Usually the same as lunches except more casserole/crock pot type meals. The dietitian does 2 grocery orders per week and they’re from sams club and publix. You can also have 2 teas a day but nothing with caffeine in it. The dietitian is good about taking grocery suggestions if they’re reasonable which is cool. They accept vegetarian, vegan, & pescetarian clients. They’re good about respecting your diets and they’re not labeled as a “behavior”.
how was it served (serve yourself buffet style, plated for you)
Your meals are plated for you unless you’re on meal prep (which is very common).
was there a chef?
All meals were prepared by the BHT’s or if you were meal prepping/selecting an alternative meal you would typically prepare your own.
how were the meals decided
6 week rotation
exchange system used?
Yes
did they supplement?
Yes. Supplements were optional but highly encouraged, but ultimately you would not be forced to consume the supplement. Options were ensure or cliff bar with 1-2 Tbsp nut butter.
is there a level system?
No. Movement restriction is sometimes used, but it’s really rare and it never happened while I was there.
did you feel like you were treated well/listened to?
Yes. The staff and clinicians were all very caring and were always willing to do things that made you more comfortable and they were open to suggestions on how to improve your treatment or the overall program.
is there phone/computer rules?
No electronics except computers for school work and sometimes mp3 players without internet if your clinicians approve of it. Phone time was for 15 minutes starting at either 4:15 or 7:00pm depending on the amount of clients. School was from 4:15-6:00 but additional time during groups can be allocated depending on your situation.
did a lot of people come from different states?
Yes.
What level of activity or exercise was allowed?
Yoga 2x a week, just dance, walks are allowed outside, walking during eco, games like football and catch. Most movement was allowed as long as you were not on movement restriction.
What did people do on weekends?
2 groups are led by a clinician on saturday & 1 on sunday. Eco trips on both saturday and sunday. There is also usually a bht led group like self care and cinematherapy.
Do you get to know your weight? How fast is the weight gain process?
It depends on your situation. They did not exactly tell me how much I weighed but at one point they did let me know how I had gained for like anxiety reasons. Weights are done blind. The weight gain process largely depends on your situation and willingness to complete your meal plan, but if progress is not made after a substantial amount of time, a higher level of care will often be recommended. Most people start at XXX meal completion.
What was the average length of stay?
The recommended stay is 6-8 weeks. I stayed for 7 but others left at like 3 weeks.
How do visits work?
Visitation is from 1-3pm on saturdays.
What kind of aftercare do they provide?
The caseworker is wonderful and you will most likely leave with either an iop, php, or some form of outpatient therapy in place upon discharge. You will usually not be discharged until plans are solid surrounding your treatment in outpatient and they’re very dedicated to finding you the appropriate aftercare.
Bathroom policies
You have to count when you’re in the bathroom at all times. You cannot shut the door and you must leave it slightly cracked. You cannot flush. You also have to count in the shower. These policies are enforced regardless if you’re there for an ed or not. You can shower after dinner and stuff and it’s really helpful if you struggle with things like that, or it was for me at least.
Other?
The Fletcher location for adolescents treats most mental health disorders and are willing to work with a variety of clients all with different needs. There are not very strict consequences for actions though behavioral contracts/ safety contracts are increasingly being used. Overall a very relaxed down to earth program. I really enjoyed my time there and the flexibility they gave you with meal times, choosing your own meals and snacks, and just like how the groups went was just kinda up to the clients. They’re very open to suggestions and they will often do whatever makes the clients happiest as long as it’s not a safety or health concern. It’s a very small program which I really enjoyed. The most people there were 8 residents and 1 php, and the least amount of people was just 2 of us residents. They’re not restrictive on what you can have and anything you cannot have will be placed in your box and you can usually use it under supervision like straighteners, perfumes, spiral notebooks, sharpies, electric razors. If you’re in a place where you think you are ready to recover/change then this is the program for you. I would not recommend this program to someone who is not ready for change or not ready treatment as this would probably not be the best setting for you, as your progress is largely dependent on your willingness to change. The program is a lot better now I think than it was in April because management has changed and the program is being reworked.
An average day:
7:00- wake up, get ready, hygiene, and meds.
8:00- Breakfast
9:00- first group
10:30- snack
11:00- group
12:15- lunch
1:00- group
2:30- snack
3:00- group
4:15- academics
6:00- dinner
7:00- showers/ phone calls/ down time
8:30- snack & chores
9:00- meds/ get ready for bed (everyone has to be in their bed at 9:30 if not using the bathroom or getting meds)
10:00 lights out
🙂 I’m happy to answer any questions in the comments!
Hi, if meals were on a 6 week rotation, can you further explain the flexibility mentioned w/ meal times and choosing your own meals and snacks?
They had meals and snacks based on a food exchange system. At snacks, you would have a set number and types of exchanges for each snack. For example, you might get starch and fat, but you got to pick which foods that got to be. As you stay there longer, you start getting to pick your own exchanges.
I’ve been HLOC multiple times at different centers. This was my first time in Residential at Tapestry so I am happy to answer questions beyond this to help with comparisons/differences.
• When were you there? July 2022
• What level(s) of care did you do (e.g., inpatient, residential, PHP, IOP)? Adult RES
• How many patients are there on average? Max 6 in RES … PHP is at meals/groups through PM Snack and that has a MAX of 6 as well
• Does it treat both males and females? If so, is treatment separate or combined? Soley for females.
• If applicable: Do they support the gender identities of transgender and nonbinary people?
• How often do you see a medical doctor, psychiatrist, psychologist (therapist), nutritionist, etc?
• What is the staff-to-patient ratio? There are 1 or 2 BHT’s for each shift. Currently 2 therapists for individual sessions and a 3rd who just leads group. 1 dietitian.
• What sort of therapies are used (e.g., DBT, CBT, EMDR, etc.)? ACT based
Describe the average day:
• What were meals like? There is a dining room with a table for RES (and when it’s large enough a separate table for PHP in the kitchen). A BHT sits at the table for meals and snacks and will eat but not always what patients are eating.
• What sorts of food were available or served? Think typical kitchen foods as if you were home. So simple meals – a lot of chicken and grains, sandwiches at lunch, typical breakfasts, and such
• Did they supplement? How did that system work? Your meal plan will have a supplement amount noted based on completion. You can choose to supplement instead of a meal or supplement if you don’t feel that you can eat what’s plated as well. Supplements are typical Boost/Ensure but also Clif bars and nut butter.
• What is the policy of not complying with meals? You are asked if you need a supplement but it is not forced. BHT’s document your % complete as well as hydration amount. (You have a water bottle with markings to track it.) I always completed, but I believe it just became a conversation with your dietitian and you might have a contract for what you had to do in order to stay in RES.
• Are you able to eat vegetarian? Yes
• What privileges are allowed? They are not any “earned” privileges. However, everyone has tech time after dinner until night snack – so roughly 7:00-8:30 PM.
• Does it work on a level system? No levels
• How do you earn privileges? N/A
• What sort of groups do they have? Process groups, nutrition/intuitive eating groups, culinary group before challenge snack, topic based groups with discussion or journal prompts (boundaries, self-care, trauma etc), ECO – which is outdoors to a park or waterfall, equine, yoga
• What was your favorite group? I enjoyed culinary because I like to bake, but in general, I usually like journalling time and process hearing how everyone was doing. The yoga teacher is also really kind and nonthreatening.
• What did you like the most? I liked the fact that it was a small community and that it was in a house and not a locked unit so it felt more relaxed. The staff were all caring (except for the program director who did my admission and was very aloof and not welcoming). The food was not intimidating because it was typical of daily life as opposed to fancier meals for me that seem more unsafe and tougher to complete. I feel like groups were varied enough to not be 100% handouts – but that definitely did happen. You were able to mix foods normally – like your PB fat into your oatmeal at breakfast – or cut/use a fork normally without it automatically being a behavior. So eating didn’t feel quite as intense in that way.
• What did you like the least? I struggled seeing behaviors not being addressed in the moment and just personally was not a fan of equine. I also didn’t like the dead time for people to have smoke/vape breaks after every meal and snack. It seemed excessive. I was mostly upset about not having COVID measures in place due to my OCD, but that’s a personal situation as well. I also would have liked more than 1 30-minute session weekly with the dietitian, as I had 1 hour weekly outpatient and more happens in RES.
• Would you recommend this program? This program would be a good fit if you are motivated enough to really want recovery. There are not a lot of immediate consequences for behaviors so you have to be motivated to keep trying. I would recommend this program if you feel able to push yourself (with support of course) and are focused on not being sneaky to go around rules or use behaviors secretively.
• What level of activity or exercise was allowed? We had 2 yoga groups a week but no other exercise other than when we walked during ECO. Some people were on movement restriction so that might limit what would happen in ECO.
• What did people do on weekends? The same schedule happened 7 days a week. There was one therapist on Saturday who led all groups and one therapist Sunday who led all groups. One group on Saturday was cinema therapy and one group on Sunday was ECO to go to a park or something similar.
• Do you get to know your weight? No. Blind weights with vitals every morning before showers.
• How fast is the weight gain process? I wasn’t told but based on my meal plan I would say it is not a quick as other places I have been to.
• What was the average length of stay? If I had not left AMA due to COVID, my stay would have been 4 1/2 weeks. But others were staying 6 weeks or more. So I think it depends.
• What was the average age range? When I was there, the range was 18 – 54. Mostly mid-twenties though.
• How do visits/phone calls work? There were not visitors while I was there. If there was something urgent, they would allow you to check your phone during breaks between groups and meals but otherwise calls were just during tech time in the evenings.
• What is the electronics policy (e.g., cell phones, iPods, Kindles, laptops, tablets)? Tech time is from 7:00-8:30 PM. The wifi is horrible, but you can have a phone and a laptop or tablet during that time. You can have a Kindle during the day if it does not have wifi.
• For inpatient/residential: Are you able to go out on passes? Those were not offered to anyone while I was there and didn’t hear of any conversations about that.
• For PHP/IOP: What support do they provide outside of programming hours? I was not in PHP, but the girls could text the tech phone to get support in the evenings, and I know a BHT came over once in the evening to spend time with them while I was there. (PHP patients stay in a condo next door to the RES house.) PHP patients also had transportation for a grocery trip since they had dinner/night snack on their own.
• What kind of aftercare do they provide? Do they help you set up an outpatient treatment team? I left AMA due to experience of a COVID exposure from a staff member and have strong OCD fears about that, so I did not have an aftercare transition. (I already had an outpatient team fortunately.) I do know that one of the BHT’s is going to become a case manager, so I imagine there might be more support and structure for patients moving forward upon a normal discharge.
• Are there any resources for people who come from out of state/country? There was a patient who came from KY and was picked up at the airport. When I was there everyone was else was from NC where the center is, and I was from SC and only 1 1/2 hours away.
• If applicable: How is the program responding to COVID? (Less patients, virtual programming, no visitors, masks, social distancing, etc) There were no existing COVID safety measures when I got there. (**The website did say that many existed, so I came in assuming I would be safer than I was.) When we were informed of the COVID exposure, everyone started wearing masks. I left that day, but we ate outside for the remaining snacks and meals I was there for. I heard afterwards that patients were not COVID tested until 5 days later. I’m not sure what else was put in place.
• Other? Tapestry is located in Brevard, which is a small town in the mountains in Western NC. So there is definitely a different vibe than centers I’ve been at in bigger cities (Denver, CO; Durham, NC). Things were more relaxed and a bit slower-paced; the schedule runs mostly on-time but it is certainly not rushed and there are awkward break times so some may really appreciate the slower pace depending on personality. As I said before, because there are not strict consequences (although there are definitely rules and things you can’t bring etc!) and you are not earning privileges or advancing to levels, you will be successful if you have internal motivation and want to keep trying. But if your eating disorder is so loud that you need really intense monitoring, you will be more successful in a more clinical setting. For me, having done the clinical route before, this was a helpful environment to get the reset and break in behaviors I needed. The packing list is less restrictive than other places, so that might be a comfort for others as well … you could bring pens, markers, pencils etc and have a binder and spiral notebooks, fidgets etc.
Thank you so much TAH! This is extremely helpful. It has been quite a while since we’ve gotten a full review of Tapestry here, and the time and effort you put into writing such a thorough review shines through. I am deeply grateful for the great resource you have gifted your EDTR community.
Did they allow you to add items to the grocery list?
Can you get silk yogurt?
If you can’t eat dairy, can you supplement dislikes and such w/ Cliffbars rather than ensure?
Do they have art or other expressive therapies?
Do they offer body work?
How well do they do w/ encouraging a recovery-oriented atmosphere w/ clients?
Did you witness any administrative discharged or referrals to higher level of care?
Hi!
Yes, you can absolutely add to the grocery list each week!
The exchange list does have a gluten free section and a vegan section if approved by the dietitian. So I imagine Silk yogurt would be an option, because we did have almond and soy milk.
And yes, they do let you supplement with Clif bars or nut butters and you can get Orgain supplements approved, which would be plant-based option/no milk.
There was not a specific art therapy group but we did art as part of groups very often. All groups are in what they call the art room 🙂 I have never seen that much paint in one center! Otherwise, no groups specifically music or psychodrama etc.
Some of the information I was sent about Tapestry mentioned body work like massage and reiki, but those were not happening when I was there. Not sure if it was just staffing … the information was definitely outdated though.
I felt the environment was recovery-focused. I was not part of any behaviors-related conversations. There were posted rules about things inappropriate to discuss. We never had an issue with the patients I was with, but I feel that would have been addressed by the BHT’s. We also had process group daily and we would have conversations about how much to share and what we could do if someone said something that triggered us. I felt like the groups were always focused on recovery – anti-diet, intuitive eating etc. While patients were struggling, the support to stay recovery-focused was there and staff cared about that.
There were no administrative discharges while I was there. There was a patient who left to go to a different center for RES because she was not completing and not supplementing. Tapestry is about autonomy and choosing recovery, so sometimes more rule/consequence systems are needed I think. From what I understood, it would be an ongoing conversation with specific goals to be met to stay at Tapestry.
I hope this helps! Happy to clarify if needed.
Thanks for your review, could you tell me what the bathroom obs situation was ? And do they allow veganism ever?
Sure! They do keep the bathroom doors locked (except for the middle of the night). but you can ask anytime. The staff stand outside the door with it just barely cracked. If you are on bathroom monitoring or it is within 1 hour of eating, they ask you to count. And the staff flush always..
There were not any vegans when I was there but I did see vegan exchanges on our exchange list. So I think it would be a conversation with the dietitian to get it approved. It didn’t seem impossible but I’m not 100% sure. There were vegetarian and gluten-free patients when I was there though. So I imagine your dietitian would approve based on the personal situation.
As of 2023, I was told they can honor veganism.
Hi there,
do you mind if I ask if you think they focused on trauma fairly significantly? I’m looking for a program that offers significant trauma support as well as ED support.
Ask anything anytime! While I was there, we did not have specific groups focused on trauma although there were certainly some that you could journal/art/process those factors. They did ask about trauma in my first session with the therapist. So I imagine you could certainly do trauma work in individual sessions. There was another patient there at the same time who dealt with trauma, and I can touch base with her to get you some more information! I can say though that it felt like the large focus was on ED and other diagnoses were dealt with in individual sessions.
Check out Alsana and River Oaks, both include trauma work as part of their program.
I was told that Alsana no longer focuses on trauma work by their lead clinical director.
Yes, I was just made aware of that recently. River Oaks has a program that deals intensely with trauma and their ED unit is trauma informed. I’ve been to the RO trauma unit twice and I think their program is very good.
All Tapestry programs have either closed or converted to general mental health programs. They do not treat eating disorders.
Does Brevard still take eating disorder patients?!
Oops I need to update the page, sorry about that! Unfortunately they don’t treat eating disorders anymore or accept eating disorder patients anymore. They only treat mental health and substance use disorders now. If you have a primary diagnosis of an eating disorder, they will refer you somewhere else. They may be able to accommodate people with a primary diagnosis that is a mental health or substance abuse disorder who have a secondary diagnosis of an eating disorder, but I don’t know how they determine that.
Do they still treat eating disorders here? I can’t find anything on their website that says anything about treating eating disorders, even as a secondary condition. Their website seems mostly focused on trauma, and their is no mention of eating disorders what so ever, not even as secondary
They do not treat ED’s but can manage it as secondary.
I have been told by admissions that “since the transition”, they indeed no longer treat eating disorders as primary diagnosis. They can address it as a secondary condition, but it certainly could not be an active condition that becomes the central focus of treatment.
They do still have residential and PHP + housing in Brevard, but they focus on primary mental health and trauma services.
Yeah it seems that the only eating disorder treatment specifically from pyramid health care is seeds of hope which only does php and iop
Do they allow visitors? Has anyone ever brought their dogs to visit? How often can you go outside? Do you have to earn going outside?
Has anyone recently been to the adult ED residential program? I’m considering going. What are movement groups like? Do they allow all the patients to go to parks etc. on the weekend or do you have to earn it? Do they allow fidgets and crocheting supplies? How’s the meal support? Are groups helpful? What’s the schedule like? Favorite part? Least favorite part? Thanks:)
admin notes: (1) note that this is a review of a treatment center written by an extended family member of the actual patient, not the patient nor the patient’s parent. (2) note that homicidal thoughts REQUIRE inpatient psychiatric hospitalization on a secure unit. tapestry is an unlocked residential eating disorder treatment facility, located in a house, not a psychiatric hospital or unit.
Tapestry is a JOKE!! They don’t actually help their patients with any form of therapy, they babysit them. My niece was there for a month for mental illness and homicidal thoughts towards my sister. They only did 2 family therapy sessions (virtually) and ignored the issue when my sister brought them up during the sessions. The only thing the therapist wanted her to ask my niece was if she had fun that day. She’s NOT there for fun times, SHE’S THERE FOR THERAPY, WHICH SHE DID NOT GET!!! They released my niece to come back home, without having worked through any of her issues and with her still wanting to kill my sister! They don’t care about their patients actual well being. Find another place that will hopefully care!!
Looking into their adult residential treatment for BED. Is this a good place?
Absolutely not.
Can you explain why, even if it’s just a few sentences? I’m looking at this for BED and wondering WHY it wouldnt be a good place. Especially because so many other places also have bad reviews for BED.
has anyone been to the adult res?
when were you there?
April-June 2021
how often do you meet with the medical doctor, your individual therapist, the nutritionist?
1x a week with a PA and dietician, usually 2x a week for individual therapy, and 1x a week for family therapy
what therapies do they use most (DBT, CBT, IFS, EMDR, nature therapy, massage, acupuncture, reiki….?)
ACT
what types of groups were there?
Mostly ACT (mindfulness, acceptance, commitment, etc); some process, trauma, and substance; relationships/family dynamics; body image; nutrition; weekly culinary group and twice weekly eco groups where clients leave the facility to go to a park or something similar
Most of the ACT groups weren’t that great
was it all group based/ any individual sessions? do they involve family?
2x (ish) a week individual sessions
1x (ish) a week family sessions
what were meals like..
what kind of food/brands?
They shop from mostly Walmart. The food depends a lot on which staff are cooking, but overall much better than other treatment places I’ve been to.
how was it served (serve yourself buffet style, plated for you)
Plated for you at meals (unless you were meal prepping), choose your own food at snacks
was there a chef? like some places you make your own breakfast and snacks and then a chef does lunch and dinner
No, the techs make all the food
how were the meals decided
6 week rotation
exchange system used?
Yes
did they supplement?
Yes, supplements were either ensure plus or a clif bar with nut butter
1 supplement for 50%+ completion, 2 for less than that
is there a level system?
No, but you can be put on movement restriction if not complying or if medically necessary
did you feel like you were treated well/listened to?
Yes, most of the staff were very kind and cared a lot about clients
is there phone/computer rules?
1 or 2 15 minute calls a night, can FaceTime or use WhatsApp on Fridays and Saturdays, computers only allowed for educational use
did a lot of people come from different states?
Some
Overall, I liked Tapestry better than the other residential I’ve been to (Renfrew in Philly) but I was kicked out for s*lf h*rm
RUN!!!! The adolescent program is laughable. They have 18 year olds rooming with minors, techs passing meds, no nurses on staff on the weekends, and kids there without ED’s being placed on exercise restriction. It actually is so much worse than this but since it didn’t happen to me I don’t want to speak for my friend. All I know is the pictures are nothing like what the facility actually looks like. Also the adolescent facility is located off of an extremely busy highway. There is literally NOTHING quiet, healing or therapeutic about the location. My guess is the outreach people get a big o hunk of commission for their admissions, the entire process feels like a giant catfish scheme.
Yes, simply put – don’t walk, RUN from any Tapestry location. From my experience in Brevard there is no possible way in the existence of a business operation that the other 2 locations can be remotely acceptable either. This review mirrors much of what I saw and I’m not surprised by anything I’m reading. My review of Brevard coming soon.
Hey, can you give more details about your experience at Brevard? I’m considering going there and it seems like reviews are pretty mixed
when were you there? May 2021- currently
how often do you meet with the medical doctor, your individual therapist, the nutritionist? Doctor 1x per week, therapist 2x per week, dietitian 1x per week
what therapies do they use most (DBT, CBT, IFS, EMDR, nature therapy, massage, acupuncture, reiki….?) Lots of ACT
what types of groups were there? Equine, relationship dynamics, trauma, act values, culinary, process, mindfulness, etc.
was it all group based/ any individual sessions? do they involve family? Yes, if you want to do family therapy you can
what were meals like..
– what kind of food/brands? They order groceries from Walmart, lots of Tyson grilled chicken, rice, pasta, quinoa, with various veggies. Also lots of sandwiches, and there is always Ezekiel bread which is nice. Snack options are a variety of cereals, crackers, cheez-its, cookies bagels, yogurt, fruit, granola, nut butters/ nuts, dried fruit, cottage cheese, hummus, etc. Lots of great value brand products. Also Clif bars are a staple. You can supplement with a Clif bar+ 1 TBS nut butter or ensure plus or boost plus.
– was there a chef? Nope it’s all staff
how were the meals decided
– exchange system used? Yes
– did they supplement? Yes, but it’s optional
is there a level system? No
Is S** still there? She was my therapist and wonderful.
*name redacted by admin per site policy
you don’t have to supplement?
when were you there?
how often do you meet with the medical doctor, your individual therapist, the nutritionist?
what therapies do they use most (DBT, CBT, IFS, EMDR, nature therapy, massage, acupuncture, reiki….?)
what types of groups were there?
was it all group based/ any individual sessions? do they involve family?
what were meals like..
what kind of food/brands?
how was it served (serve yourself buffet style, plated for you)
was there a chef? like some places you make your own breakfast and snacks and then a chef does lunch and dinner
how were the meals decided
exchange system used?
did they supplement?
is there a level system?
did you feel like you were treated well/listened to?
is there phone/computer rules?
did a lot of people come from different states?
php housing available? prices? laundry?
Can someone review their adolescent program please? I see a lot of mixed reviews about the adult program and I was wondering if it’s the same for the minors.
My daughter was assaulted by a tech a long with a few other girls, there is an ongoing investigation about the sexual assault so I would not recommend this location.
where/how can I find out more about this assault incient?
I am considering this center because I’ve read it can be possible to continue working while there since they allow electronics. Can anyone give more detail on the laptop policy and the times during the day that they allow access? If it’s only in the evenings I don’t think it’ll do me much good for working, but I’m hoping I can take intermittent leave from my job and work reduced hours after a little while of being there. If anyone can speak to this please do let me know. Thank you.
They are not so lenient. A better choice would be disorganized and understaffed.
My youngest daughter spent approximately 4 months in their inpatient programs both in Fletcher, NC and Brevard, NC at the tune $400k counting. After all was said and done. They pronounced her ready to move on with her life. Expressing high hopes and high expectations for our young bright young lady. Our child is struggling once again with weight loss, anxiety and depression. We are aware of other children that went through their system only to move on to the next facility or return to Tapestry. They churn them (children) out like a puppy mill. While charging families and insurance companies outrageous fees with mental anguish. The attrition rate at this place has to be horrible. If they would/could only publish the real numbers, they would speak volumes. At the end of the day, it’s a business. The patients are the ones who suffer the most.
John C.,
As a 45 year old who first started struggling my sophomore year of college, I want you to know my heart goes out to you. I can’t imagine how hard it must be for you to not only watch your daughter go through this, but for you, too to experience this as a parent. I wish my father had supported me back then. I believe it would have shortened the duration of my struggle. Not only did he not believe that eating disorders were real, he sued me to recoup some of the expenses he paid for some of my time at Furman. A real classy guy. Anyway, please rest assured that Tapestry is BY FAR THE WORST residential facility for eating disorders I have been to and that experience was not indicative of what is available. I went there a couple of years ago after having been to 3 nationally recognized centers with multiple locations. I was deeply disturbed by how poorly the place was run. It was so bad I considered suing Pyramid Health. You can read the Google review I just posted. Simply enter tapestry brevard in a Google search and don’t pull up their website but just click on reviews. My name is Marianne. It will be under recent or newest reviews. Tapestry is a complete joke! I’m devastated for your family for the money was spent. Feel free to email me at mbernier831@gmail.com.
I was at Tapestry for two weeks a couple months ago before my insurance messed up, and now I’m finally going back in the morning. I’ve heard and know that a lot has changed. Like my therapist was let go and some techs are being replaced. But I know the premise of the goal of using in recovery is still the same. Recently, within the past year they were bought out by Pyramid Health, which from being someone who there before that happened was there best move. They are still learning and growing. But I’ve been almost everywhere and this is where I think is moving in the right direction of long term recovery, health and happiness.
It’s small, 6 res patients, and only four in PHP/IOP combined. They are very individualized in their approach. They accept guys, girls, trans, pre-trans. They have a sister location for adolescents called Fletcher, it’s in Asheville. They need to improve some communications and hire a qualified therapist and needs to work out some kinds, but it beats all facilities. The only few things to keep in mind, is that they are learning and growing but also listen to the patients and need a little help with taking with insurance. Most importantly, you as a patient HAVE got to be motivated. Healing comes from within, not from being punished because you didn’t complete or you didn’t supplement. They want you to WANT to get better and really learn about the behaviors specifically to yourself. They don’t keep you from going on outings and feeling like a real person just because you didn’t complete. Yes the goal is to eat and all but that’s not the only goal. I was there almost ten years ago when I was 21. I thought it was hell and it was shit. And it was. But then they changed hands and it has dramatically improved. Now I hear the younger ones complain bc it’s their first time in treatment but they don’t understand that most of the other places are way more strict and treat you as a patient and not a person. We all have room to grow, as does Tapestry. But they have made huge strides since I have been there. They have one of the best therapists I know. The dietician has everything personalized, not just a set amount or exchanges. And she is very flexible from person to person. They listen, and most importantly they hear you. We do equine every Monday. We go on Eco outings every Wednesday, we go out for lunch on Wednesday’s, we do a lot of experiential challenges with grocery shopping, going to the mall, you name it. Three weekend outings are an easy coffee one in Saturday and a more challenging one on Sunday. Very layed back and relaxed. If I didn’t believe in them I wouldn’t be going back nor would I give them grace and kind words to the progress they are making.
I’m just a firm believer that not everyone is the same, so all approaches shouldn’t be the same. We all are at different walks of life. And they don’t punish you or not let you have your electronics or go on the outings because you struggled. That’s why it’s really good because it teaches us to be self motivated and explore the deeper meanings of the behaviors or fears. If they need to put outside motivational factors they will but I guess what resignates with me is that I allowed myself to struggle and started facing what I always ran from. I quit completing bc I was in fear of not being able to go on outings with everyone or not get my smokes in. And it was then I realized what I’ve been running marathons to avoid by complying and allowed myself to feel and struggle and really think about the secrets that keep me sick. I began to open up and really learn. Now I did just turn thirty and have been going in and out for a long time and mostly to revolving door facilities. I do have a lot more insight than most. But if someone really wants to get better, even if it’s for a brief moment and they want to take it back, that’s me, this is a great place. You eventually prep your meals. Like from scratch. Depending on person to point some get this privilege sooner than others. But the only thing prepared for you is dinner, the techs make it from scratch and I actually have most recipes on hand. You live in a two story house. Then they have a condo for PHP (five days M-F, you only have to be there for two meals and two snacks but can also stay for all of you need the support) and IOP (3 days a week, and you get to choose what days, for again two meals and two snacks, unless need be more). And you can still go to the house to chill because it’s right beside it basically. I’m actually driving my car in the morning back. Their approach has helped me realized a lot about how my trauma has affected my eating disorder and OCD. Man I flipped out because of someone touching my meal after I said not to and walked out and wanted to leave and then the clinical director brought me a cigarette and let me talk and calm down. But all in all, my point is I didn’t realized a lot of this until I was there and I let myself not be the perfect patient and did deep into my feelings. And I was only there for two weeks and my insurance made shit up and I had to leave. I made more deeper progress in two weeks than I have in fifteen years in facilities. No they aren’t perfect, no place is, but how can anyone expect perfection from anyone less stuff themselves. I can keep letting you in on what I notice and experience when I go back tomorrow, I don’t want to to get a review from someone who was me back in the day where everyone was out to get me, they had a clinical director that was shit to me as well as the dietician, but everything has changed, only one person is left that I knew from the first time 9 years ago and they are making great headway and progress. But as a patient, even if you still think recovery is ludacris, but still have that little glimmer, hell I had no hope and still don’t but I believe they can really help and you aren’t a patient to them, you are an equal with unfortunate situations and circumstances or just struggling to have self care, I’ve gotta want to get better myself and I’m hoping I can get that back here soon.
hi- can you provide more details?
What were meals like? if you in residential are you cooking your own meals? how much time is there for food prep/cooking time? can i buy organic food? what food is available? Did they supplement with ensure, or can i make my own homemade shake?
types of groups? what therapies are used (DBT, CBT, trauma focused)?
how often do you see your individual therapist or dietician?
are there any alternative therapies used? gardens, polarity, reiki, massage, etc?
Hey I would love to hear more specifics about this program, can I msg you priv
if you find more info lmk 🙂 sounds like a potentially good program, hate going in blind
Can somebody please do a decent, in depth review on the adolescent program (residential) that Tapestry provides? Potential admission is looming and I have heard a ton of mixed reviews. Are they as lenient as I have heard? I understand a lot of people get transferred out for non compliance and they don’t enforce a lot of rules.
Hi,
Are there any recent reviews?
My roommate at Tapestry was suffering from orthorexia. We went to the racquet club in Brevard where we were only aloud to do Zumba or walk on treadmills and the resident coInselor Alison told her as long as we didn’t tell she could run for 30 minute
any recent reviews?? looking to go soon. I am motivated for recovery and not in a medically unstable state but I don’t want to waste money!
Recent review: don’t go here, they don’t have their shit together, they don’t actually help people recover- just restore. Take your money somewhere else
DO NOT GO HERE. PLEASE. THIS FACILITY SHOULD NOT EXIST. If you are in dire medical needs, I fear for your life: pease, please go to a hospitalized facility. I came here knowing I needed to be nutritionally restored, not so much physically. They are at BEST lackadaisical about medication, you see a doctor perhaps once a week, vitals are pathetic. The staff is half casual/half idiotic. They will either make you feel like their best friend or a complete mental patient. This is NOT THE PLACE TO GO if you really need help. They are opening an adolescent program which sickens me to think of younger patients at their incapable whims. There are other options. Do. Not. Go. Here. if you really want serious help.
I had heard of tapestry and thought that they sounded as if they could really help me. However they said they wanted me to gain some weight first. I went to a hospital in colorado who were the only ones that could help. They ended up putting a hold on me and forcing me to stay way longer than needed. It was a long battle but after months of fighting from both me and tapestry I was finally on my way there. I payed them $6000 for help and after 2,5 weeks they came to me and said that they could not help me. My therapist, after saying the week prior that she would never give up on me, told me that I had to sign the AMA paperwork and leave immediately. I was on the sidewalk in 30 minutes with no place to go. Her last words to me were if I had enough water with me. I am now homeless in Brevard, $6000 poorer, and I have no idea what to do. I am hurt and angry. STAY AWAY
Can anyone tell me how they handle overweight clients? When I was in treatment before I was anorexic, but I’m not severely restricting and purging disorder, however my weight has gotten really high due to an autoimmune disease. I want to get help but I’m terrified of being the fat one on a weight loss plan surrounded by people who look like I USED to look.
Looking to go soon and would love someone’s email who’s been recently to help encourage 🙂
Rebekah,
Did you end up going to Tapestry? Would love to discuss.
yes and after 2.5 weeks of being there they said they couldnt help me and gave me 30 minutes to pack my stuff and leave. I am now homeless. Literally.
Horrible place!!!! The new director is awful, the nurse is only a open, the house mother is a recovering alcoholic and doesn’t know anything about eating disorders.The kitchen is disgusting and they refuse to fix the one and only dishwasher. The website and the pictures are misleading. All the good staff have quit. Save your money and find a different facility to get help.
hi!
i am going to tapestry tomorrow. so far they have been INCREDIBLY invested in getting me into treatment and working with me (sans insurance) and i am really hopeful and positive about this go around in treatment. i just have a few specific and random (probably petty) questions about the schedule that maybe someone could help me out with?
-do they do weights/vitals everyday when IP or is it 2x a week like they describe on the OP schedule?
-since there is no level system, can you leave the grounds on the weekend right away? also, are you required to do the meal outing right off the bat?
-do they search your things? im not planning on bringing anything contraband obviously, i was just wondering because that was a really off-putting part of admission at renfrew.
-what do they do if you can’t complete a meal/snack? again, not PLANNING on doing anything shady I am just anxious about what i can do on my first day/week and i don’t want to come off as non-compliant/wondering what the consequences are.
-i am a smoker (i know, i know) and i know they allow smoking but is it like a designated break kind of thing or when you have time or…what is the deal?
thank you to anyone who can reply on such short notice. keep up the good fight everyone <3
Good Luck! Can you review when you have done some of the program?
Best Wishes!
Hi e,
Sending you good wishes as you head off to Tapestry. I trust you’ll find it a good place to land and and do your work. Glad to hear you’ve experienced the staff as supportive. I think you’ll continue to find them so. Here’s what i remember from my experience though it’s been awhile since i was there (2012/2013). Yes, vitals everyday while in residential, though the staff does their best to keep it low key. You’re welcome to request a pass whenever you feel ready. Again, the staff is supportive of residents collaborating with their team to assess readiness and community involvement. Yes, to the meal outing, though you’ll find lots of support from staff and your peers. When you arrive, your belongings/suitcase will be gently looked over as this practice is program protocol. While i too thought i would be upset by this step, i didn’t find it too anxiety provoking. If you find yourself unable to complete a meal or snack, talk to a staff member. You’ll find support, every step of the way. As you’re a partner in the process with the RD, you most likely will feel a little more at ease with your meal plan. However, for those times that you might feel unable to complete a meal, your outcome might vary from someone else’s so again, talk with the staff and your RD. You might be asked to supplement with an Ensure or another exchange or come up with another creative way to complete your meal. The smoking residents that i knew felt very comfortable with taking breaks when they wanted, rather than having designated breaks. No shame was placed upon them, from peers or staff. Hope this helps, and again, i hope you find your experience healing and helpful.
j-
e,
Did you go to Tapestry?
Hi there MB,
Tapestry and Carolina House hardly compare. Tapestry is more flexible, respectful, and allows for much more freedom, autonomy, and independence.
The house has wifi and you can access your laptop and cell phone after program hours (when groups are done for the day) and before lights out during the week, with a bit more time on weekends. I’m self-employed and maintained my work on a part time basis while there.
Passes can be for whatever you can imagine to ask for that serves a therapeutic purpose: whether that be a challenge meal w/ a visitor or a night home to test your progress.
While the dinner meal is decided upon as a group, everyone prepares their own protein source, which accommodates both meat eaters and vegetarians. If you don’t like to cook, you can pick out pre-cooked meats from the deli or freezer. The options would be based off what you put on the grocery list.
I’d say avoid an admit on the 1-2 days b4 the weekly group grocery outing as the options become slimmer as the week passes. For example, all the fresh fruit and veggies get picked over first and by Wednesday morning, you might have more boring options left, like bananas and frozen fruits whereas the afternoon of shopping brings excitement w/ an abundance of fresh items: blackberries, pineapple, and seasonal goodies.
Carolina House has fewer choices all around. Some days they mandate you have a certain type of food for breakfast: pancakes or hot cereal. At tapestry, you always get to choose your breakfast and lunch. CH doesn’t elicit the same level of client input Tapestry invites.
CH is more formal and has many more rules, along with a level system. If you prefer corporate, go with CH. if you know you need supervised bathrooms and such, don’t waste your time or resources at Tapestry. It’s a slightly lower level of care despite the two programs being classified as residential. CH leans more toward inpatient in a posh home environment and Talestry would be more like a supervised half way house.
Unless given reason to question you, Tapestry allows you to free roam the house & grounds between groups. At CH, you have to earn the right to access your room during the day. At Tapestry, You can actually even use the house computer and phone during the day if you are quick and not excessively using technology.
I felt like an adult there, considering I didn’t have all my freedoms with it being a treatment facility. It definitely didn’t feel like a controlling environment in comparison to other facilities.
Finally, the primary therapist and yoga instructor that worked there while I was a client have both returned on staff. I don’t know the current RD, but I did appreciate that the RD ate lunch with us during the week. It’s a prime time for Tapestry.
I went to Tapestry twice for residential treatment and attended outpatient therapy for several months there as well. This treatment center saved my life. Despite the program´s growth, Despite its growth, Tapestry continues to be small, offering quality, patient-centered care and individualized treatment. Staff really focuses on addressing each clients needs and I find that this is something that is easily lost in large treatment centers. Tapestry is located in Brevard, North Carolina. It is a place I found ideal for healing since Brevard is a relatively small town surrounded by mountains, forests, and nature. There are equine therapy, outdoor outings and groups offered in the program which is very grounding and healing. Downtown Brevard is small and quaint, filled with cafes and cute restaurants that make it an ideal place to spend time on a weekend or with a family member who may be visiting. The city is also close enough to larger neighboring cities which you have the opportunity to explore while you are there.
Thanks for sharing your experience, it sounds very valuable. I’m looking to admit to either Tapestry or Carolina House in the next few days and find myself torn as they seem SO similar. Do you have any feedback on that at all? I lean to one or the other each day and it’s delaying a decision which is not good.
I have a few other questions and welcome thoughts and thanks for any of your time in advance.
Also, in terms of Free Time (will they work with you as needed if you need to continue working as I run my own business and cannot give it all up and might need laptop to access my systems)? On weekends during free time can we access electronics? Do they have Wifi as Carolina House says no on that.
When can you go out on passes, and what types of passes do they allow?
RE Dinners: what kinds of dinners does the group usually decided on generally i.e. Taco night, Pizza? Also how much actual cooking do patients do each night outside of culinary group? Is it hard to get 6 women to all agree? I imagine it might be. lol
If you admit mid-week, after grocery shopping and meal planning, what did you notice happens until the next week for meals etc.? What’s best day of the week to come in form your experience?
When I spoke with Tina she said bathrooms are open and no buddy system unless something is amiss? AND that there is smoking area on breaks? And are they difficult about discharge when you can only commit to a certain amount of time due to work etc.?
Thanks again for any insights you can share Vanessa.
~M
I was a patient at Tapestry and just graduated the program. In the last year, they have made a lot of staff changes, and I could not be happier with their program. I have been in treatment in the past, and this team was able to get my mindset on recovery. They have an awesome new clinical director (she is an advanced therapist and has extensive training in trauma) and the program is well organized and strongly developed. I really think that this was the best treatment option for me, and I would encourage anyone who is looking for a smaller, and truly individualized treatment, to go to Tapestry. From the moment I made the first call up until the day that I discharged, I really felt like the entire team supported me and aided significantly in my recovery.
Can someone give me the current status of Tapestry?
So I just need to put this out there somewhere for people to be warned. I went to Tapestry in 2012 and again in 2013. I have not been back to treatment since then but I do not credit Tapestry for my recovery. I credit the staff there for helping me in my process but my recovery is more thanks to a sum of all of the treatment centers I have been to (9). Like I said, it wasnore the people thanthe program and unfortunately none of these people are still there. Ileft and not long after a lot went down. The owner is very impersonable and does not treat her amazing staff fairly causing many of them to resign and I don’t blame them. The only problems I have with Tapestry are all related to the owner. They are under a huge staff change yet again right now (i have stayed in touch with many of the staff and still live in the area so I get updates). It makes me sad that they are still trying to treat this very serious disease and they can’t holdtheir program together. I can only imagine what the behind the scenes chaos is doing to the residents who tend to be very sensitive and aware of tension in the environment. I am writing this as a PSA please do not go here for treatment. It is not what it was and lack of a better term, a shit show. If you have more questions please don’t hesitate to ask me. Thank you for reading!
Oh NO!!!! I am supposed to admit there next week. Can you give me some more specifics about the current status of things at Tapestry?
Hi, do you still need feedback? I think I saw an email where you decided against Tapestry.
I’ve been to 30+ programs, mostly IP, PHP, IOP… Honestly, I don’t count anymore and won’t do treatment again. I haven’t ever had residential coverage and will never now that I’m on Medicare. I was able to do the 6 week residential in 2010 and a later admission to the PHP in 2012.
I have since been inpatient again a few more places, but last summer was my final straw after having a nightmare experience at Princeton…which was the only IP MedicAre program that had only glowing reviews.
This was one of the only programs I would ever return to because they weren’t forceful and they are so small, they were able to truly individualize my care. I’ve noticed every website states individualized care and most are cookie cutter groups.
Compared to inpatient, which I believe is utterly useless in learning any real life recovery skills, this was an amaZing, hopeful experience…not because i got well, but because I felt respected and they they went the extra mile(age) for me.
However, I’m back in the same rut I always return to, so it obviously didn’t have long term value with the exception of knowing treatment doesn’t have to be purely hell.
Yes: they have community outings, dining out, and recreational outings built into schedule with a budget they pay. They may have a minimum BMI, but they have taken se pretty risky BMI’s … Must have been stable labs bc they do not have a physician onsite.
The program isn’t locked. They do lock up your keys. They may call the police if you walked out. I never saw anyone committed and people did leave AMA. I heard they had someone transferred to a state hospital once…
I can say I am not impressed with the new clinical director , but only based on how she behaved as a mental health tech prior to receiving her Masters.
This place was a farce. I wanted so badly to like this program, but it was awful. I left as soon as I could.
can you add anything else?
thanks for the info.
Sure. I did PHP, and it was so unstructured. It was run by a woman who was very nice, but she didn’t seem to know what she was doing. They seemed baffled that I would be struggling sometimes, and the therapy was pretty much non-existent. We groomed horses, though, so that was cool, but apart from that, I really didn’t get much out of it. Then I was stuck with a $250 bill from a 15-minute session with the psychiatric NP because it’s outside their system and my insurance wouldn’t cover it. I also had issues with their pharmacy because they didn’t have the correct insurance information. There wasn’t very consistent communication. Some of the girls in residential seemed happy, but PHP was really not much of a program.
Thank you for your feedback. At Tapestry, we are are interested in your thoughts and experience and hopefully using them for our own growth and quality improvement. I would like to add that since the date of the above comments, there have been substantial changes in the PHP (partial Hospitalization Program) or Day Program. Please feel free to contact me if you would like information as I will be glad to expound on the changes.
In addition, as Anon, shares, she did enter the Day Program from a Different Residential program, and this can be a difficult transition, because each program can be very different. However, I would like to thank you for your thoughts and comments and hope that you have found a program that is conducive to your recovery, because ultimately we are about wanting individuals to heal from there eating disorders.
Thank you. I just finished my assessment and was about to put down a deposit, but I think I will look elsewhere. I appreciate the input.
If you are looking at places in the South, Magnolia Creek is decent, and I’ve heard very good things about Oliver-Pyatt.
I can do my best, but it’s been a few years since I was a client and things change…The RD, primary therapist, family therapist, and clinical director are all new hires from my time there.
Hope I can help.
Can you smoke here?
Yes, you can smoke. You cannot drink alcohol or anything obviously…
Do you have any other information to share, or would you be willing to answer a few questions? I would love to know a little more because I am trying to decide if I should go here. Thanks so much.
I will, theyre horrible. Been to TranscendED, UNC, and Tapestry
Thank you! I don’t want to make a mistake. They are asking for money up front outside of insurance, which seems weird to me. Can I ask the admin to connect me to you?
Hi Jessie,
Would you mind speaking to the following issues:
schedule, laptop/cell phone policy, health/weight requirements (do they have a minimum BMI or something like that for admission?), whether you can take some online classes in treatment, how individualized is it, meals/snacks/ foods available and served (can you request items? what items are available? Do they have menus? Do they go by exchanges or calories? are there meal outings or cooking groups or portioning, etc?), exercise (how individualized is it?), outings/passes, appointments each week, free time, community size, adjunct services (do they still offer weekly massage?), whether they ever hold people against their will, length of stay, blind weights?, etc.
Thank you so much!
PS ChronicED – I know it’s been a little while since you were there, but I would love your thoughts on these questions, as well!
would love any more info or recent updated reviews! thanks!
Hi, I noticed you were looking for a recent review and I thought I should reply to tell you to save your time and money! This place is a joke. I was there for five days in August 2014. I had to find somewhere to go quick and there are only three places in North Carolina (where I live). I had already been to one and didn’t like it, and the other one besides tapestry didn’t take my insurance. So I was left with tapestry. I went into the program severely anorexic. I was made to go to treatment because I was medically and mentally compromised. I did not want to recover going in. That is what they are supposed to convince you of during your stay there! I know because I’ve been inpatient before. The first night I was there, I didn’t finish my whole dinner. It was more volume and calories than I am used to eating in a whole day. There were four other patients and nobody could leave the table until I was going to finish my plate (which eventually turned into me finishing my boost). It made me extremely extremely uncomfortable. It was a Sunday evening, and on the weekends we have a lot of free time so the other patients had things they wanted to do but couldn’t leave the table because I wouldn’t finish every crumb of food. Understandably, this made them really pissed off at me. Thanks tapestry. I’m here because I have an eating disorder and you’re treating me like I’m going to eat a 1000 cal meal in one sitting my first night in treatment. And make the other patients suffer because of my eating disorder. So I sucked it up and drank the boost plus. The next day was Monday. Which is yoga day. I was not supposed to have exercise privileges but they told me to do the yoga anyway. Me doing the yoga resulted in pancreas pain which was one of my eating disorder related medical concerns and why I wasn’t supposed to be exercising. It was so bad that night that I had to call the nurse and she wasn’t even aware of any of my medical issues!! When I had told the intake coordinator everything. They had it all but just never bothered to look! I was eating, I kid you not. But since I wasn’t eating every bit on my plate they started to take away my privileges. They took away my phone and computer and wouldn’t even let me call my parents. I am 18 and live with my parents and they were paying for this so they should have let me at least call them and tell them why they weren’t hearing from me! Eventually, I was asked to leave four days later because I wouldn’t finish every bit of food. The clinical director had obviously decided I was going to leave a day or two after I had even gotten there. I know this because she had already arranged for somebody else to take my place before I was even told I had to leave. Literally there was another patient on their way to tapestry the day I left. Every other bed was full. My dad paid $6000 out-of-pocket for this which is not including the tens of thousands of dollars my insurance paid. For five fucking days there and nobody got reimbursed. Tapestry is obviously just in it for the money! Do not waste your time here!
looking for recent reviews!
Tapestry is the most amazing program and I’m so blessed and grateful to have gone here. This place has saved my life.
I’ve been to treatment three other times before and this is the only place that’s actually helped me become free from my eating disorder and prepare for real life. The best part is that you cook for yourself. You prepare all of your own snacks and meals, following your meal plan (which is based on the exchange system), and so going home and living on my own wasn’t such a shock and I was able to continue to prepare my meals without getting overwhelmed.
This is the first place I’ve been to that hasn’t spent all of my time digging up old issues from childhood and really got to the heart of what would help. I finally developed coping skills, the clinical director, is amazing and forced me to get back into writing, which was a huge passion in the past, and built up my self confidence. Because it’s a small program, they really get to know you and the staff all really cares. I don’t have a bad thing to say about any of the clinical staff. The nutritionist is especially amazing and she really listens to you when it comes to creating your meal plan. Food groups you love, she will incorporate into your meal plan more and she really helps come up with challenges. When I first got to Tapestry, I hadn’t really cooked before and felt so overwhelmed with it all and I wanted to leave just due to the fact that we had to cook for ourselves. Leslie sat down with me and came up with a list of easy options to make for all of my meals and from there, I became a lot more confident in the kitchen and prepare really intricate meals on my bulk meal prep day. They also take you grocery shopping and teach you how to make a grocery list which, for me, has been key.
Here, at this program, you are treated like an adult. They don’t treat you like a patient here and you have a say in your treatment. DON’T GO HERE IF YOU DON’T WANT RECOVERY. You have to be really motivated for this program. They don’t have locked bathrooms and you are expected to reach out to a staff member if you’re having urges to purge. You have a lot of freedom and you get to go on a lot of outings, out to dinner once a week in residential and once for snack and once for lunch during the day program. During my stay, two girls were discharged because of the fact that they didn’t want to recovery and one was even using behaviors and because the staff didn’t want it to affect anyone else’s recovery, they were both sent home. It’s only for the motivated people who really want this and they take that seriously.
I really could go on and on and on. This program is the best program out there, I’m convinced of that and I don’t know where I’d be without it. For the first time in my life, I feel like I actually have a future that doesn’t include my bulimia. I highly recommend this wonderful place.
when were you there? what was the schedule like? what kinds of foods were served? exercise? privileges? outings? thanks!! 🙂
Today was my last day in the day program. I started in residential and ive been in the program for two months. The schedule really varies but you have individual therapy twice a week, family therapy and nutrition once. They have dbt twice a week, yoga and art twice a week, passions group once a week, coping skills group once a week and the other groups vary. Foods arent served. You prepare your own food and you make a grocery list with the nutrtitionist and go as a group to the grocery store once a week. I had exercise privileges after a week but it rewlly depends. You normally get them after two weeks. You can go to the gym or go on walks once you get them. There arent exactly privileges because this program has a ton of freedom. You can go on walks by yourself, go on pass and there arent rxactly restrictions in terms of that kind of stuff. You go on a dinner outing and an activity outing once a week and you get to decide on it as a group.
I’d LOVE a full review!!
Can you or someone else please do a full review? Since the program is so small it is very hard to find reviews. Also willing to email or talk. Thank you so much.
Anyone willing to share their experience here?
Any detailed recent reviews?? Thank you so much in advance!
any more recent reviews? interested! thanks!! 🙂
I went there for partial last summer. The partial program has been extended to more hours for longer days, but it is always flexible according to the individual client’s needs. Residential is obviously a lot more intense. They do not have 24/7 nursing, but there is always staff on duty overnight. I think they are special in that they are small and the clinical staff members are very compassionate. I never got an impression that they were in this simply for the business. They really care about the residents!
Random question: Does there equine assisted therapy include riding?
I’d love a full review even for PHP
Can anyone please give a recent review about their inpatient program or is this what you are referring to as residential? Also do they count calories or do the exchange system? How do they set goal wts. do they listen to your med. doctors recommendations? also do they deal with major depression and grief issues? do they tube and do they allow you to select your own food even inpatient? What are dinners like? do he have body image groups and how is the treatment … Typical wtGain factory or do they work on real issue with you? Also wht about follow up if nothing i your area?
I don’t think you have to be a certain BMI or % IBW but you do have to be medically stable before admission.
They do work with people who have food allergies/intolerances. When I was there, one resident was gluten intolerant so we would buy gluten-free foods for her. I would talk to Tapestry though to see if they are comfortable with your issues.
They do allow you to take supplements/meds from home as long as they are approved by the nurse. When I was there, one resident took digestive enzymes that she normally took at home. Again, I would talk to Tapestry to make sure they are comfortable with your meds/supplements.
They do not monitor the bathrooms unless someone is found to be purging in the house. If that happens, everyone has to be on a buddy system until the person purging is honest about her actions.
They do allow cellphones/laptops from 8 PM to 10:30 PM. There is also a community computer and land line you can use during the day if you have down time.
I was from out-of-state and there were several other residents from out-of-state also. However, North Carolina is a huge state so even those in-state could be from places eight hours away.
I would recommend the program because they are very individualized and will help you get the most out of the program. You do have to have some motivation, but they are willing to encourage you with everything they can.
You see your individual therapist twice a week for a one-hour session each time. You see the dietician once a week for a one-hour session. You see the family therapist once a week for a one-hour session. Finally, you may see the EMDR therapist once a week for a one-hour session.
They get bulk items at Sam’s Club but the weekly shopping trip is at Ingles, a common chain in NC. It is not whole foods but they do have a variety of choices.
Unfortunately, yoga is done right after breakfast but when you are eating six times a day it is hard to find a time when you have an empty stomach.
They are pretty strict with exercise privileges. You have to be doing well in the program to get them in the first place and when you do get them, you can generally only do yoga on your own or go for a walk.
Going here sunday..any recent reviews?!
hey, could you maybe do a more recent review? i am interested in this place…thanks!
I went to tapestry for 6 weeks and honestly REALLY wish I would have gone to a different facility. The staff, with the exception of one ‘houseparent’ and my individual therapist, spent much more time working against me than with me. Of course this was to help combat my ed but it got to the point it was entirely unhelpful as I couldn’t trust them or tell them what I was truly feeling. I was accused of doing things that I honestly NEVER did and while I was at a very overly emotional place in my life (recovery is super hard!!), I felt like I was an unwelcome burden to almost every staff member there. I got out and did outpatient with a therapist who specialized in eds and a wonderful internist and that is where I improved the most. I would not recommend Tapestry although the fellow residents and I got along well- it’s the staff who have the most power over your recovery and self-esteem. While they pride themselves on being affordable- which is very apparent in the house, and activities that were extremely limited (everything, even the art materials, were super cheap and there was no genuine investment in things like art therapy, equine therapy (happens once every 5 weeks or so– not exactly going to help when it only happens once!), and I think it would have been much better to have individual meetings more than 2 hours per week! Also, at around $1000 per day, it wasn’t that much cheaper than the more renowned programs that are well-equipped with resources. Also, there was a therapist there that was extremely thin that was supppper triggering for me.
When were you there: Feb-Mar 2010 & 10 day re-boost in Nov 2011
Describe the average day:
7:30 vitals; 8:00 weight twice a week & breakfast prep; 8:30 breakfast & 2nd table; 9:15 Group; 10:15 Snack; 10:30 Group; 11:30 Group: 12:30-1:30 Lunch Prep & Lunch; 1:30 Free Time or individual (therapy, nutrition, massage); 2:30 Group; 3:30 Snack; 4:30 Group or Free Time; 5:30-7:00 Dinner Prep / Dinner 7:30 Group or Free Time ***Individual therapy is twice a week; Individual nutrition is at least once a week; family sessions available in person or by phone on Saturdays; Massage or Bodywork once a week. EMDR is available 1-2 times a week. There is an coffee outing, usually on Sunday mornings and a group recreational outing on Friday or Saturday. Dinner out once a week. They pay for the activities and dinner out.
What were meals like?
Everyone has a meal plan that is posted on the fridge (embarassing that everyone gets to see your meal plan though). The best part is you get to select anything from the kitchen to meet your exchanges for breakfast and lunch. Dinner is eaten together family style, but everyone selects their own protein (to accommodate vegetarianism, which is honored at Tapestry). Dinner meals are selected together as a group during on Mondays during Menu Planning with the RD. RD = amazing! Snacks are also free to choose for most, though some may be on Ensure or Cliffbars. Following each meal, you have “2nd Table” and discuss urges, triggers, and ask for any support that you need. There is “culinary group” twice a week where you prepare challenge foods or recipes that take longer to make.
What sorts of food were available or served?
They will purchase almost anything that is not “diet” food. You just need to make sure you add it to the grocery list before Grocery Shopping on Wednesday. Some staff goes to Sam’s for bulk groceries and the residents join the RD at the grocery store as a group. I wanted coconut milk and coconut milk yogurt and they were able to accomodate that. Vegetarian proteins: nuts, soy nuts, nut butters, soysage, Quorn, Morningstar Farms, Tempeh, Beans, Tofu, Eggs, etc..Almost anything you can think of. Meat eaters, you anything you want. Fruits: fresh pineapple, strawberries, blueberries, apples, clementines, bananas, frozen fruit, dried fruit, etc…Veggies: Anything and everything Fats: nuts, nut butters, sour cream, avacadoes, coconut oil, ice-cream, dark chocolate, dressings, butter, etc…Dairy: Almond Milk, Coconut Milk, Soy Milk, Cow’s Milk, yogurt, soy yogurt, coconut milk yogurt, cheese, veggie cheese, ice-cream, etc…Starches – unlimited. The food is the amazing b/c you get to eat what you would at home, so long as it meets meal plan and isn’t “diet” food.
Did they supplement? How did that system work?
One girl had them order Resource for her.
Most people on weight gain elect to drink Ensure or eat cliffbars. They usually add this to snack and in extreme cases, meals as well. I was able to make supplement alternatives with REAL FOOD that equated to the same calories, but I hate supplements
What privelages are allowed?
Exercise – Aside from yoga 3 times a week, it is very hard to get exercise approval. You will see “gym” on the schedule, but they rarely have anyone go. I never got it and I don’t even have an exercise abuse problem. You get your cell phones and laptops at night after programming is done for the day…a little more flexibility on the weekends. There is a group computer you can get on any time during the day to conduct business, aftercare planning, submit school assignments, etc, when needed.
Does it work on a level system?
No
What sort of groups do they have?
The schedule is online, but they have: yoga x 3, DBT x 2, culinary x 2; community intention (goal setting and schedule signup), meal planning, modules, education, process group, library, women’s circle, art therapy, body image/body balance, house mtg (bring up house issues & weekend planning), & deep clean (there is no made service! LoL)
What was your favorite group?
Yoga & Art therapy
What did you like the most?
Freedom to eat real food, EMDR, yoga
What did you like the least?
If you return to the program, they are A LOT harder on you.
Would you recommend this program?
Absolutely!!!! Been lots of places and this was the best program for me. However, you must, must, must be ready to let go of the ED or it will not work b/c there is more freedom here than most places. For example, they don’t lock the bathrooms so I would suggest being honest with yourself if that will work for you.
What level of activity or exercise was allowed?
Very little – yoga three times a week / walk to library once a week / sometimes the weekend outings were active. It’s VERY HARD to get exercise approval aside from that.
What did people do on weekends?
Dinner out, coffee outing, free time, family sessions, clean, homework, alumni group, outings: asheville, rock climbing, national forest, go-carts, movies, shopping, etc…
Do you get to know your weight?
Not usually until d/c.
How fast is the weight gain process?
They shoot for 2-3 lb. a week. I was there for 6 wks the first time and gained 4 lbs including water weight and was at 3500 kcal when i left. They thought I was cheating the program or exercising in secret, but I wasn’t.
What was the average length of stay?
Min 45 days / Some women stay in resi and day treatment for over a year if they have good insurance and need it.
What was the average age range?
18+ I think 40′s was the oldest while i was there.
What kind of aftercare do they provide? Do they help you set up an OP treatment team?
They have an alumni group and an online alumni chat once a week, but you have to graduate from the program and cannot leave AMA. They want you to have an aftercare plan set up and they are good about responding to calls and emails when you need support after you leave.
How many IP beds? How many patients in PHP or IOP?
6 beds in residence with 1-2 PHP (more if fewer in residence).
Tapestry was my first/only treatment experience but it has been positive and supportive 100%. As I live in the neighborhood, I still go to Alumni groups once a week and to the grocery store with the residents/dietitian as needed. Tapestry saved my life. The 6 bed residential facility made it feel like a customized program and the clinical director was really careful in constructing the program to suit my needs and customize my program. The nutritionist is one of the happiest and nicest people I have ever met. Residents meet with her individually once per week and engage in groups like meal planning, where residents get to chose what meals they want to cook for dinner each week, Culinary, where residents explore and try new recipes and learn to incorporate cooking meals into following a meal plan and learn or re-learn to love cooking and develop a positive experience with food. The clinical director is wonderful and leads several groups including “community intention” where residents set intentions for the week and encourage each other, “passion group” where residents get to share something that they are passionate about and remember what it was like to be good at something, to have a passion and to be given the space and time to share that. There are two therapy sessions/week. I was stubborn, but I learned to LOVE the IP therapist. She incorporates tarot cards into her practice and is great at relating to clients. The program also includes yoga 3x per week (the flow is based on the abilities and limitations of the group and customized to suit the needs of the clients), art therapy once a week, trips to the library, exercise privileges upon maintenance of weight and cooperation in the program. this comes with a temporary membership to the local gym. DBT and EMDR are also parts of the program and were potentially the biggest help for me in overcoming my traumatic issues that contributed greatly to my eating disorder.
The weekends include family sessions with a therapist who has a daughter with an ED. This helped my parents trust her and relate to her. She is observant of the needs of the clients and supportive of challenging sessions. There are weekly “outings” to the mall, roller derby, movie, arcade, arboretum, pottery painting, etc. It is decided by the residents what activities they want to do and the cost is covered by Tapestry. Every weekend there is also dinner out, to teach clients how to eat in public, at restaurants and meet their exchanges. The restaurants are also decided upon by the group. On Sundays, clients get to go out to coffee at a local coffee house, and have the option of going to church.
The program is focused not just on getting to a healthy weight, but teaching clients how to transition into the “real world”.
All meals are followed up by “Second Table” where clients report any behaviors and urges to engage in behaviors they are having, report fullness level, anxiety level, how was supportive meal helpful, and what the community (residents and counselors) can do to ensure your safety after the meal or in the future. Bathrooms are closed for 30 minutes after meals, although exceptions can be made with the accompaniment of a counselor.
What I really liked about Tapestry was that is was a voluntary program and required a commitment on my part. It was based on my honesty, and my willingness to recover. It is a voluntary program. Clients will be asked to leave if they refuse to follow the house rules (respect staff, don’t talk numbers, be committed to recovery).
A PHP program is in the works right now. Currently it is integrated into the IP program, but as more and more clients are looking for a “step down” option (like I did) they are looking to have a second kitchen added with a full time staff member there to support as you get acclimated to life outside of Tapestry.
You are required to eat 3 meals and 3 snacks every day. The goal is to achieve a healthy weight and maintain it. Not to make you fat, I promise.
The psychiatrist visits once a week and a nurse is on call 24/7 for emergencies. The primary care physician that Tapestry took me to is a doctor I trust and she is very sensitive in the ways she communicates with clients.
Upon graduation from the program, the staff works with you to create your treatment team and your intentional support system including dietitian, therapist, family/friend support, psychiatrist, support groups, etc.
I was a resident at Tapestry for 7 weeks, then stepped down over another 5 weeks learning to spend more time on my own and following my meal plan without the accountability.
I did slip up 4 months out of treatment upon the death of my grandmother and going back to school, but the staff was welcoming of me back into the program for PHP and worked around my school schedule.
As I still live in Brevard, I see the clients frequently and try to get to know every person that comes through the program. Tapestry also has an alumni network page on facebook where alumni can chat, get support, etc. Once a week, we all sit down at our computers and have snack together and chat about our weeks and what kind of support we need.
Tapestry helped me through some of the hardest times of my life and I truly believe that I would not be alive today if it were not for the support of the Tap staff.
The OP therapist and nutritionist are also amazing and go the extra mile to help me with challenges and support me no matter what.
I was actually really impressed with the groups. A few of the evening groups are led by the resident counselors, but I found it refreshing that everything wasn’t always so clinical. Some of the evening groups are a little more activity based, but I wouldn’t say they were disorganized at all. Hmm…maybe that feedback was referring to the DBT group. it’s always very organized (handouts ready etc…) but the group does tend to start late often.
They actually have a great staff to client ratio. With only 6 clients, during Monday-Thursday there are up to 6 staff working at any given time during the day. Nights staffing goes down to 1. Weekends are less staff as well, and you will have more free time Thursday-Sunday whereas there is hardly any free time Monday-Wednesday. If this is a concern, you can sign up for your individual appointment on Thursday in the afternoon (the women get to sign up for their own appointment times).
Because Tapestry is such a small program, it is incredibly individualized…which sounds like you might be looking for. Individual appointments are as follows:
Individual Therapy – 2/week
Nutrition Therapy – 1-2/week
EMDR (option) 0-2/week
Bodwork – 1/week
Family Therapy – 1/week
Doctor – 1/week
You will have 6-9 individual appointments a week between the different therapists. BTW, the staff are so amazing, I was wondering how they found them and convinced them to come to such a small town (Brevard, is a cute little mountain town in western carolina).