https://www.uclahealth.org/medical-services/eating-disorders/eating-disorders-programUCLA Eating Disorder Program is an intensive hospital-based treatment program for children, adolescents and young adults of all genders. It starts with inpatient hospitalization and progresses to partial hospitalization (PHP). UCLA specializes in weight restoration, medical stabilization, and co-occurring mental health conditions.
Eating disorder programs include:
- UCLA Neuropsychiatric Eating Disorders Therapeutic Inpatient Program (up to age 18)
- Medical Stabilization Program for Disordered Eating (MSP) at UCLA Santa Monica Hospital (ages 25 and under)
Nourish for Life Outpatient Program (NFL) at UCLA Mattel Children’s Hospital (ages 26 and under)
Note: Although UCLA used to have an adult ED unit, as of the last few years they no longer do. However they still will treat young adults up to age 25 for medical stabilization in Santa Monica.
Any updated reviews or information? Please post in comments below. You can check out the FAQ and Guidelines for suggested questions. Thank you!
I was a patient here in the santa monica msp program and ronald reagan in summer of 2023! im writing again but just a more detailed and thorough one! approximately 2 months or so. here is my honest review!
Santa Monica Hospital MSP Program (Summer 2023)*
initially came in through the ER and waited 6 hours came in at 3pm and got a room in the pediatric unit until 1am, i had care partner immediately and was on bedrest for 3 days i didn’t get out of my bed for 3 days which meant i couldn’t shower, only time i got up was to use the commode which was on the left side of the room, there was no curtain or privacy, yes my care partner was watching me while i used the restroom which was very uncomfortable. they gave me a 5 minute shower and the curtain had to be halfway open and if you spent even 30 seconds longer then the 5 minutes a care partner would barge in and check to see if you were doing anything “bad” in there. after meals you have to wait 30 minutes as a resting period, which means no getting up whatsoever even if its an emergency to go to the bathroom. this led to me peeing my underwear a bit on some occasions, yes you can ask if you can go but they told me no and i had to hold it.
with the meals it was 3 meals a day and 3 snacks a day. you get to pick 3 no foods, you can tell them what you would like and what you prefer but they take little consideration, you will probably only get 2 of those plates in one week. the food was ok, and no there wasn’t a lot of variety but what can you expect it is hospital food. my mom stayed with me the whole time and i had no privacy whatsoever to talk to her alone, i would raise my voice just a little and my care partner would immediately call the head nurse handling the floor, many times i would break down and cry in the room. not sure if this is normal for msp program but there was one occasion where i was participating in eating disorder behavior, *possible tw: brief description of ED behavior* yes i was hiding food, specfically in my underwear, gross i know but at the time was the only thing allowed under the hospital gown not even undershirts, anyways i was putting food in my undergarments and i thought i was sneaky doing it but i wasn’t, the nurse caught on told me to get up because my ekgs kept disconnecting, which they were not and the nurse went behind me and stuck her hand in my underwear to see if i had food there and yes i had french toast in there, *end tw* shame on me for doing that but i wasn’t in the right headspace at the time. I started crying because i didn’t expect her to stick her hand down my underwear and was extremely uncomfortable i just thought that maybe she could have asked me to take it out myself? anyways most care partners are not ed trained they make remarks that could trigger you, talk to you a lot during meals or stare at you uncomfortably while eating meals then when you dont finish they question you. all the supplements are ensure plus or max or whatever ive seen the bottles before because a nurse accidentally brought the supplement with the label and everything and also they block the mirror with some kind of paper which gives you no where to have a mirror to look at, i just put the paper to the side when i wanted to look at my face otherwise i had to use the phone camera. at the end of treatment this was my first time at a hospital for a ed, they sprung the inpatient 2 days before they transferred me and i thought i was going home, i had a mental breakdown not because of the nourishment i was about to get but because it was so far from home and i was 14 and attached to my mom and of course i was not expecting this whatsoever and they had the audacity to say my eating disorder was taking more control of me.. i got transferred in a van on a gurney very early in the morning to ronald reagan inpatient psychward. (continued below)
Ronald Reagan Inpatient Eating Disorder Psychward (Summer 2023)
when you get there they weigh you, you have to strip all your clothes off and they will question any little mark you have. they didn’t make me squat and cough. It was very uncomfortable atleast it was 2 female nurses. once I arrived to the day room made a bunch of other people also in the same treatment as you when I was there it was all girls from the ages 13 to 17 and they were all leaving the day room is honestly a mess tables are scratched, chairs are old they have some leather chairs that are kind of miniature and a TV in front all the leather had rips and scratches towards the end of my stay they were all sent for repair not sure how they look now I haven’t returned since. If you didn’t want to be in a certain part of the room like a main area and you maybe move the chair to another space they would get mad at you and if you would stay standing for a long periods of time even 30 seconds they would tell you to sit down and honestly I don’t exercise as a form of eating disorder behavior. you can’t even do a simple task and they will note it and tell your assigned psychiatrist!! yes there is a nurse at the table and you’re with other kids. If you don’t finish your food on multiple occasions or just leave the whole dish they will put you to eat in your room by yourself with one nurse if you don’t finish it you get some nasty supplement I forgot the brand but they only have one flavor and at the time it was just vanilla if you are unable to finish the supplement after they will resort to feeding you by tube in your room alone. they do have room observation I’m not sure what this is for but there was some people on it, they never came out of their room whatsoever. You have to get the ability to leave the unit and go to the art room and [name redacted] one of the art therapist there would sometimes let us go down to where the cafeteria was at the very bottom floor of the hospital and knit outside on the grass which was very nice of him he was probably one of the best therapist there. In the day room you have zero privacy and I mean zero privacy everybody will hear your conversation in the room and so will the nurses it is right in front of the nurses station in the telephone is shared by many if the telephones are in use the nurses don’t do anything about it even if you have an emergency to call someone there’s two telephone so there’s one in the hallway as well if you don’t have any privacy there the nurses eavesdrop on you one time I was having a small argument with my mom and I was crying on the phone the next day my psychiatrist told me what that was all about. also just to remind you she wasn’t even there at the time which points to the nurses reporting this. Yes there is bathroom observation if they do notice you have a history or they notice you have been using the bathroom too frequently especially after meals the bathroom observation is very uncomfortable I do think there is a curtain but depending on the nurse they will probably not use it if they don’t use it it is very uncomfortable they stare at you while you wipe yourself they watch you pee and even poop and they don’t let you flush even after they watched you the whole time. Some nurses were very weird there was one nurse that would hit me in a playful way and along with some other patients there and she told me that if I kept calling my mom and then I would send her to the psychiatric hospital one time she moved me to a different unit just like a room I think it was a conference room just to talk to me about what I have been telling my mom. some of the nurses are rude and show favoritism towards other patients. If you don’t have anything to say to the psychiatrist aka your therapist they will start to get suspicious and think that you were hiding things from them, sometimes i would have to make stuff up just to have something to talk about. the bathroom was a bit dirty I would constantly find grains of food around the toilet seat or on the floor or even the sink and sometimes I would find blood from other patients menstrual cycle. there was a patient using this type of behavior in the restroom and they immediately blamed me because I was the one that reported it and they put me on observation and not that patient that was doing that behavior and that patient just kept doing it. I couldn’t take it anymore and had my mom take me out early. I know some patients were there for as long as seven months luckily I was only there for two. don’t get me started on the dietician yes she was sweet and yes she was kind but she gave me an obsession with calories and counting numbers, yes it’s kind of ironic before I came into the program I knew nothing about calories I’m being so deadass after this program I haven’t stopped looking at labels. I would always make my menus with her for the weeks. she left shortly after my discharge and she informed my mom that I had become obsessed and she took the blame for it. nurses would also ransack rooms from top to bottom. (continued below)
Santa Monica Hospital MSP Program (November 2023)
Third experience at santa monica hospital for the msp program in november 2023, i stayed for a month. the program was a bit run down, nurses were careless, would say triggering things to you, and would break protocol. night nurses were sleeping at night while they were supposed to be watching me and they were eating nutter butters while watching shows. they even started to snore sometimes. also one time in the middle of the night while i was asleep i wake up to a whole set of med students in my gown fixing my ekgs on my chest, this was veey uncomfortable as i had nothing underneath my gown and they had unbuttoned it revealing my upper body completely while i was asleep, especially because there was 2 males and 1 female (im a girl). I would have preferred to be woken up. there was a nurse that would wake you up at 4:30 to get vitals instead of 6:30 because it was beneficial towards her to get out for shift change quicker. i did not like that. this time around i got 10 minute showers after 2 weeks, and at the end a maximum of 30 minutes to walk outside or inside with your care partner. one time the care partner offered me her wingstop leftovers and i declined lol that was funny though. i was sent home to wait for a spot in a inpatient or residential and i never went! now im 3 years since this experience and i haven’t gone back at all and i don’t plan on it, im recovered now! program was more rundown in november but overall it was ok i wouldn’t go back to ronald regan but atleast they saved my life at the time but overall i did not benefit mentally from this at all, if anything it made me worse (the inpatient)
*admin note: MSP stands for Medical Stabilization Program
I’m here now as a adult and could answer questions
Update (08/21/2024): I just discharged today it’s actually an amazing program I was afraid with all the reviews but the rules are not as strict as described the doctors are so kind and sitters are nice I’ve been every where and have so much trauma but I was treated with so much respect and knowledge
Thanks Nat! Which location are you at? Are you doing one of their Medical Stabilization Programs/MSPs? What was the admissions process like?
Medical stabilization in Santa Monica on the pediatric unit. I’m 25 though. The admission was fast sadly lol my doctor called and because I am set up with ucla and the Ed doctors it was within an hour. If you have never met the Ed doctors it might be different they might suggest you go through the emergency department but we have like so many beds no one is here right now so it could be within a day
hi, I was a patient at Ronald Reagan in the summer of 2023, I was transferred from santa monica msp. this is a review for the eating disorder adolescent unit when I first came you can tell the day room isn’t well taken care of. The chairs in the dayroom are all torn up and you can tell they aren’t very sanitary. God knows what happens in the bathroom of the eating disorder units. There’s probably tons of adolescence with bulimia in the unit. Of course the staff has to do observations on those who have the tendency on vomiting. Throughout my stay, I would find pieces of food on the floor, and you can tell they were in the sink. I would find grains of rice or bits of salmon I would continuously report this to the staff and it seems like it was never taken care of. It was very clear that there was a certain someone in the unit doing this to the bathroom and suspected as well except the staff. do you wanna know something funny I am an anorexic and I have no tendency of vomiting nor do I ever rely on it, yet the staff put me on observation and questioned me about why I reported and why I had a flushed the toilet twice.. observation here is super uncomfortable. There is one specific nurse that is young she would stare at you in the eyes and watch your every move when you were in the toilet for observation yet I never vomited. I never purged. I asked her kindly if she could maybe step behind the curtain or maybe try to look somewhere else while I was doing my business, but she said that the whole point was to look at me. I totally get that. This is their job and this is what they have to do, but they took it to another level most of the time. There is a lot of weird staff in this facility and their actions are very questionable. There was a specific senior nurse in this unit that would pretend to hit you sometimes and would actually hit you confusing but she would hit you as a joke sometimes. I thought it was funny at first, but it kind of became a continuous pattern. The same nurse would sometimes bring me into another room and tell me why I shouldn’t be calling to my mom about all my problems and that she can go to the psych ward herself. Sometimes I would call my mom and tell her if she can take me out of there and if she could come and visit me or I would tell her that they had put me on observation and I clearly do not purge. When I was in this unit, my mom was the only support system I had. My dad is out of the picture. I don’t know who else I could rant to about. I was very scared how the nurses would hear your conversation and you would talk to them right in front of their station. I raise my voice a little bit to my mom and my psychiatrist questioned me about it the next day. It felt almost as if I had zero privacy, and I couldn’t have a normal conversation with my mother. Everybody in the room could also hear your conversation as well. There is another phone in the hallway, but that isn’t even safe either I argued with my mom some of the time on the phone in the hallway and nurses would come out to peek and see what I was talking about. Also, with the psychiatrists, I always felt like I had to make up something to tell them because if I didn’t have any issues that I was currently struggling with, they would assume that I was keeping to myself. R** is a wonderful occupational therapist. I have never had an issue with him. He is very kind and he tries to make the best out of his time with you. He would take us out of the unit so we can crochet and create things it was lovely we could be out of that psych ward for sometime. Also, all of his games are epic and I would get a laugh out of his groups! another complaint that I have is how the nurse wouldn’t let you stand up for not even two seconds. I get it that a lot of eating disorder treatment centers have this protocol of not being able to stand up for long periods of time. however, I was not standing up for long periods of time. My eating disorder never relied on exercise for weight loss. my intention for standing up was never too lose calories or burn calories. It was simply to be doing a task or whatever. They also punish you if you stand up for too long I was there for almost 2 months and out of all that time I never got to be in my room I always had to be in-the day room. My tailbone would constantly hurt me, and my butt was very sore. The chairs there are classic psych ward chairs they are very hard and very heavy. They are very stiff as well. I still have bruises on my butt to this day. Also, my tailbone would become numb and so would my entire bottom. I 100% get it once again this is protocol. Right after I left this facility, K** not sure if I spelled it right she is a Dietician that was there for a couple of months, she did apologize for this matter, but I began to obsess over numbers and calories. I began to know everything on the menu and the numbers on the items like the back of my hand. I’m not blaming her. I’m not blaming her I’m blaming her technique and approach. Before the hospital stay, I knew nothing about calories. I didn’t even know what the nutrition label was. I just thought it was a bunch of numbers. I suffered from an eating disorder for a couple of years now and never never have I known about calories until the Ronald Regan inpatient program. after my stay I become very aware of everything I was eating every single thing. which I didn’t even know what that was before, pretty ironic huh? Overall I think something that needs to be addressed as the day room being remodeled and being well taken care of by the adolescence. Also, the bathroom needs to be seriously taken care of. Everything is just from my perspective and everybody has different opinions. I don’t mean to bring hate to this facility, but it’s not the best approach sometimes. there is a lot of good things in this facility. Some of the staff are definitely nice. R** needs a raise if he hasn’t retired yet. If you read my review, thank you I know it’s long lol
** names redacted by admin per site policy
i was at ucla santa monica in may for 2 weeks and i just wanted to let everyone know that currently the program is in shambles and i would def recommend torrance memorial or choc instead, the nurses are amazing but the cnas… i had a overnight cna come into my room reeking of idk if i can say this but green leaf! and she was eating and on the phone with her boyfriend. it was a supper uncomfy situation and honestly just one of the few bad situations i had this last time. this was my 2nd time there and ive also been to the ronald regan psych program it but this time it was so bad. they didnt call my mom for 6 days or give her any updates even though im a minor. they say the doctors see u everyday but it’s like once a week if your lucky also if you participate in any ed behaviors they will label you as “manipulative” and it rly messed up me going into res because of them saying that. for reference the “manipulative behaviors” was me standing in the shower and then saying i didn’t know it was supposed to be seated (i genuinely did not know) anyways if your dying it’s def a option and they will refeed you but if your choosing a impatient to actually stabilize u then go to a diff program
Hii :3 I was admitted to the UCLA health medical stabilization program in the Santa Monica Hospital in 2023 and I would like to share my experience because I think that its valuable information to consider if you or a loved one is struggling with an ED. Anyways here are some stats about my stay
When was it/how long did I stay for? – It was in late august to early september (approximately from August 24 – september 2) I was there for about 10 days, techincally it was 8 but I was stuck in the ER for 2 days so I would like to count it. I would like to note that my insurance did not allow me to be directly transferred there (regardless of what the pediatric specialist said) and I had to be admitted into the ER first.
What services do they provide?What sort of tests did they perform and what was their frequency? – They offer medical stabilization (which is an ED recovery strategy that relies on making sure that you are medically stable). It is important to note that that is all that they did. They do NOT offer any sort of psychiatric support or mental support at all. Being hospitalized is an extremely terrifying thing for me and they did not do anything to accommodate for that. They kept me on an EKG monitor 24/7 and they did not disconnect the wires while I was using the bathroom. The only exception being when I was allowed my 2 minute shower. They performed blood tests on me every 8 hours for the first week and after that they did blood tests every 12 hours. They also kept an IV tube in my arm during my whole stay. That was extremely strange because they gave me IV fluid once and then they refused to take it out even after it was starting to get infected and gross. They also required a urine sample at 6am every morning along with their morning weight checks.
How was the hospital staff? – To be honest, some of the nurses and doctors that I saw were very nice and kind people. Because of my boredom I spent a lot of time getting to know my nursing staff and the doctors that had rounds (for better or for worse). Some of these people were very informed individuals that shared a lot of medical information to me which made me feel comfortable and helped expand my understanding of my body. BUT A LOT of the nursing staff were extremely rude and horrible at their job and as people. The CNAs changed shifts every 12 hours so I had new people watching over me for the most part and a lot of the CNA’s did not do their job. One nurse actually let me see what was on her computer when I asked and I was able to find all of my weights during my stay, the labs, etc. That definitely did not help my “recovery” at all because I am very sensitive towards my weight. One of the nurses yelled at me because I wanted my anti nausea medication within the hour. (The instance I am referring to was I had just [involuntarily] puked about X times and I still felt nauseous so they put in a request to the pharmacy for that medication. But over an hour had passed so I was getting impatient, rightfully so because I hate puking and being covered in vomit. And so the nurse yelled at me for being “impatient and inconsiderate, because my head nurse was performing chemotherapy to a 7 yr old girl in the room next to me.”)That same nurse also decided not to send in a cleaning request to clean up the vomit stained floors, and the floors ended up getting cleaned after TWO days. For reference I was a 17 year old girl at the time of my hospitalization and I was less than 3 months away from turning 18. And one common practice that the nurses did was undress my hospital gown while I was asleep without my consent or while I was half conscience. They would change my EKG stickers out without asking me to do it myself which I easily could have done. This felt extremely violating because I already have body issues and I do not like being undressed by strangers. Also this taught me a very valuable lesson, that minors do not have medical rights in the slightest. On the day of my discharge, they had a team of med students come in and undress my gown and put on extra EKG stickers that were located on parts of my chest that they have never tested before. I found out that they were demonstrating to the med students how to properly use the EKG machine. I did not consent to letting these med students practice tests on me, and the aspect of this that made me the most uncomfortable is that these students are very close in age to me. I am also a university student (undergrad) so these people could have graduated a year or two before me. I would also like to note that the nurses varied in strictness so some nurses were very chill individuals and would bend some of the rules for me but some of them were extremily strict. Also some of the nurses were just very weird people like there was this one lady that was adamant that we watched all of the lion king movies which I did not want to do at all. Also they were understaffed and not well equipped for eating disorder patients despite specializing in that. They constantly did not have enough nurses there to take care of the children who had other chronic illnesses and I. That is very understandable due to the nursing shortage but this was reflected in the quality of my care and the efficiency of how quickly I received medication and treatment.
What was the meal schedule? – They had me on an extremely strict schedule consisting of : 8am – snack, 10am – breakfast, 11am – snack, 12am – lunch, 3pm – snack, 5pm – dinner, 7pm – snack, 9pm – dinner, 11pm – snack. These meals were extremely intense especially if you have a restrictive eating disorder. Their policy for meals were, you had 30 minutes for meals and 15 minutes for snacks and if you did not finish your meal in the alloted time then they took it away (regardless of if you were still hungry). Whatever you did not eat, they would supplement with a liquid supplement like ensure. If you did not drink the amount of ensure that was given in the alloted time then they would force an NG tube down your stomach and make you eat the rest. I [accidentally] found a loophole for this system though which [description redacted]. If you are trying to recover then I do not recommend you do this and I [did this] purely as a reaction from my body (not [by choice]). They also had very weird rules and rituals around eating (if you are trying to recover and rituals are a thing you struggle with I do not recommend this place). But their rules were, you were not allowed to talk while eating, you were not allowed to look around while eating, you were not allowed to move while eating (besides moving your utensils), you were not allowed to sit in an “odd” way while eating (you had to sit with your two feet on the ground.If you got chair privileges). You could not listen to music while eating. You could not watch a show or go on your devices while eating. You were not allowed to use the bathroom while eating (fair). 15 minutes before/after a meal or snack you were not allowed to use the bathroom. They also were very strict on eating during the set times, I found myself very hungry at the end of the night yet I was not allowed food or supplements at all which was strange. They also required me to drink about 2 bottles of water a day and they always used a vague threat to force me to drink all of it but I realized quickly that [redacted] if I didn’t finish it. If they saw that I drank all of the water given to me within the day, then they would increase it by 1 extra water bottle. It didn’t matter if the number of bottles got to a ridiculous number they would still increase it. The most amount of water they wanted me to drink one day was FIVE bottles (not including the water they gave me to make me pee).
What privileges were you allowed? – You were allowed to have any sort of electronic devices with you to pass the time, the only exception being that devices were not allowed during meals. I was allowed to have anyone visit me including friends and if I didn’t want my family to visit me then I was allowed that right. During the first day, I was strictly on bedrest, but after the first day they gave me chair privileges (which meant I could sit in a chair during meals). On the third day I was given shower privileges which meant that I could get 2 minutes to shower. On the fourth day I was given walking privileges which meant that I could walk around the unit for 5 minutes. After a week had passed, I was allowed to walk outside ranging for 5 minutes to about 20 minutes (on my last day). As much as walking was refreshing to me, it felt extremely dehumanizing because they controlled my ekg monitor and it felt like they were walking me on a leash. If I wanted to walk in a certain direction, then I couldnt because they were controlling my ekg machine. They gave me a lot of arts and crafts projects which was nice and there was an abundance of kid related activities I could do (like playing minecraft on the play station, making bracelets, using a fidget spinner, etc). One privilege that I was allowed that most patients will not be allowed to receive was that I was allowed to use my computer during a meal once because I had a timed deadline for my university enrollment. If I did not enroll for my classes during that time then I would simply not have classes for the fall and would have to wait until the winter to go to Uni.
How were the doctors? How accomodating were they with food restrictions? – I rarely saw the “team of doctors”. Apparently there is a team of doctors that are in charge including the infamous Dr. R** but I had met with her once my whole entire stay. The one time that I saw this team of doctors was during my first day at six in the morning. I was half asleep so a lot of the conversations that they had with me were not registering. I never saw them again, and when I asked why I was met with a lot of snarky remarks from nurses. Including ” Dr. R** has a life and children so why are you expecting them to work on their day off. How inconsiderate.” UHM excuse me, but I also have a life and I have never met with this person besides that one time. I had a doctor check in on me once a day to take my vitals and listen to my heart and he was extremely nice and I loved meeting with him. There also is an appointed social worker that meets with you twice a week approximately and she did absolutely nothing. The only thing she would ask me was if I was being fed at home, abused, etc. I met with a dietician twice a week as well and they were pretty accomodating. I am not allergic to anything but I would assume that they wouldn’t feed you certain foods that you are allergic to. They also allowed me two foods that I “hated” that they would not give me. This was refreshing because we all have food preferences and I personally do not like hard boiled eggs so it was nice that they didn’t expect me to eat that.
Any final notes? – I would like to mention that every single thing that you do was recorded, a nurse informed me that every 15 minutes, they would write down every thing that I did whether it was writing on my computer, or coloring, or peeing, etc. Overall, I think that this experience was THE WORST hospitalization that I have ever gone through. It may be the right program for some people but it definitely did not help me. For reference I am anorexic (I have been since I was 11 and I currently still am) and it did not help me at all. It actively made me fear around eating a lot worse and it made my body issues worse. I have severe body dysmorphia so it made me feel absolutely horrible about my body. I developed a fear that [*TW*] every time I ate “excessively” I would vomit because of how many times I vomited in the hospital [*END TW*]. They offered me no counseling whatsoever and I immediately lost all of the weight that I had gained during my hospitalization. I would rate that stay a -infinity/10000. 😛
***a couple descriptions redacted by admin to be safe. note that no rules were broken & OP did a wonderful job writing this review – simply a precaution by admin to avoid accidentally giving others ideas
woahhh our stays at the MSP overlapped!! i agree with u on so many things, i bet the nurses don’t have a lot of experience in mental health or eds
Hii i recently discharged from the inpatient unit at the ronald regan location and i don’t see any recent reviews for that program so i thought i would write one.
first off i want to say there treatment approach is not for everyone at all.
that being said this program completely saved my life and i truly would not have been here if it weren’t for that program.
the treatment approach is very unique and to my knowledge it is the only unit that operates this way in the country, the average length is around a 4-8 weeks, but i stayed longer and got discharged at around 12 weeks due to my insurance cutting.
the program has a radically open approach and they tell u EVERYTHING they will show u ur weight, however you can choose to not see. they also tell you the exact amount of calories your eating and how many calories are in each item. you do menu planning on saturdays with a 1 hour time limit and a group on tuesdays to finish with the dietitian. there are only exchanges on the menu and no calories but there are calorie amounts for each exchange ex. 1 grain is [blank] calories. for snacks the calories are left on everything and if your doing well u will be put on self select where it is ur responsibility to get items that add up to ur calorie total and staff checks it to see that it’s right.
they do offer some type of msp but most people transfer from a msp [medical stabilization program]. in my case i was actually denied from all medical stabilizations in california and they made some exceptions for me, such as iv, extra vital checks and more medical support. they do also ng tube, however they do it VERY VERY DIFFERENTLY they actually put the tube in and take it out after every feed, if u need a feed for every meal they will take it out and put it in every time. that being said they are very against tubing and if u become to tube dependent they will transfer /discharge you. they also give incentives to not being on the tube, like going to the amazingggg art room off unit, getting sharps privileges, getting physical RT and more. you have to be completing 100% of your meal plan to do this but u can do it all in supplement and get the privilege. the groups aren’t centered around ed’s except one on fridays but the rest are RT/OT but some days can be very boring where you have alot of downtime.
the staff are overall super amazing, and give a lot of privileges. the unit itself is still apart of the psych ward and has alot of the same rules. but are a lot less strict and as the staff gets to know you they give you way way more privileges and u can even use the computer and have contraband.
THIS IS ABSOLUTELY THE BEST PROGRAM IF U HAVE DUAL DIAGNOSIS (depression/anxiety and eating disorders)
it’s also great for people who failed treatment centers or who were denied from a lot of treatment centers like me.
however like i said at the beginning this treatment center is definitely not for everyone so i would def consider if u think this would be right! the admin coordinator is also the OT and so amazing so def talk to her!!!
im def missing so so much more but pls comment and i’ll try and answer all of your questions! you can also dm me on insta @taylorluttrelll if you want to talk more about the program!
I am discharging from UCLA tomorrow so thought I would write a current review of the Medical Stabilization Program 🙂
When were you there?14 days, 6/4-6/18 2023
What level(s) of care did you do (e.g., inpatient, residential, PHP, IOP)?Medical stabilization unit (separate from UCLA’s regular inpatient program, this one is in Santa Monica)
If applicable: Is it wheelchair accessible?Yes, I rode in a wheelchair downstairs, around the unit, etc. It is on the general pediatric floor of the UCLA Santa Monica Hospital so very accessible however they do seem to have a wheelchair shortage…
How many patients are there on average?I was told the max is 7. While I was there I asked and they said they had around 3. You don’t see other patients so not entirely sure though.
Does it treat both males and females? If so, is treatment separate or combined?Males and females, treatment is VERY separate. You are in your room all the time except for if you get permitted for walks you can walk around the unit or get patio privileges and walk in a pretty outside area. They try very hard to avoid patients seeing each other and make sure no two MSP patients are ever outside of their room at the same time.
If applicable: Do they support the gender identities of transgender and nonbinary people?I would assume so, I saw pronoun stickers at the front desk and lots of nurses with pride stickers and things like that.
How often do you see a medical doctor, psychiatrist, psychologist (therapist), nutritionist, nurse, etc?Nutritionist around 2x week, medical doctor often different ones 2-3x per day, your assigned nurse throughout the day, psychologist you only see in rounds with the team- no individual therapy since this program is solely focused on medical stabilization.
What is the staff-to-patient ratio?I know nurses have max 3 pt’s each. MSP patients are monitored 1:1 by Clinician Care Partners, which are sometimes nurses but are more often students in nursing school. You are never alone in your room and they are with you 24/7 and are the ones doing vitals and monitoring meals and things like that.
What sort of therapies are used (e.g., DBT, CBT, EMDR, ACT, exposure therapy, somatic experiencing, etc.)?No actual therapy. This was explained to me when I asked as because at this level of medical stabilizing therapy doesn’t actually stick, so there isn’t a point. I don’t really agree with this.
However, services provided are normal pediatric hospital floor therapies such as therapy dog visits, art supplies/activity supplies provided as requested by “Child life services” who check in and ask if you need things to do, and they will give you meditation techniques if you want also.
Describe the average day:
What were meals like?Meals were OK some were better than others. The MSP patients got different meals that I would guess are higher quality than the general hospital population.
What sorts of food were available or served?Burgers and fries, salmon/chicken and rice and veggies, tikka masala, salad, soup, sandwiches, French toast, eggs, bacon, muffins, cereal/cream of rice/oatmeal, lots of good fresh fruit. Snacks were different for me because I am gluten free but I had lays, trail mix, fruit, peanut butter, and rarely a gluten free muffin. My snacks got old super fast.
Did they supplement? How did that system work?They supplement with Kate Farms and Ensure, you can pick. I am not sure how it worked, I was told its calorie for calorie of the uncompleted food. Not sure if this differs between patients meal plans but that was mine. However, if you don’t touch your meal I got 2 full ensures which I don’t feel lines up with the above stated guidelines so not sure….
What is the policy of not complying with meals?NG tube. The first meal that you don’t complete your supplement for you are tubed. i have never been anywhere like this where they are so strict with 100% compliance. They are supposed to drop and pull but it was explained to me that they rarely do that anymore and instead will keep the tube in until consistent compliance is happening for a day or so and then pull it. I had mine removed and put back in within 10 hrs due to not completing a meal because my stomach hurt- it doesn’t matter the circumstances they have a zero tolerance policy for not complying 100%. I think this is because its such an acute unit they can’t risk patients missing any nutrition.
Are you able to eat vegetarian? Vegan?I don’t know. but I am gluten free.
What privileges are allowed?Not much, you are expected to be seated at all times except during your walks. The first few days you are on strict bedrest, but then the first privilege you get is chair privileges which means you can eat on a chair out of bed. Walking privileges are possible in increasing time starting at 5 mins up to 30 mins (not all at once). You can also get wheelchair ride privileges instead of walking. Also patio privileges which means you can do your walk outside (this kept me sane)!!
Does it work on a level system?No, its 100% based off of medical stability (vitals, orthostatic, electrolytes, weight restoration)
How do you earn privileges?Medical stability improvement
What sort of groups do they have?No groups
What was your favorite group?n/a
If applicable: Is the program trauma-informed?not really, the intense forcing of 100% compliance is very challenging
What did you like the most?How well the doctors know their stuff and are so fact and research informed with their treatment and recommendations. Also how much the program really does work to stabilize. Also the nurses are great and very kind.
What did you like the least?No wiggle room for not completing, a lot of the clinical care partners had no idea what they were doing/said they had never worked with MSP patients before and just kinda stared at you if you cried during a meal or asked why you weren’t hungry or uninformed things like that happened almost every day
Would you recommend this program?Yes I would recommend this program if you are in need of a lot of physical restoration, or are being turned down from regular IP programs due to instability.
What level of activity or exercise was allowed?Walks stated above.
What did people do on weekends?Nothing. Pretty much the whole day every day besides meals is downtime so I slept, watched tons of TV, knitted, did art, etc.
Do you get to know your weight?No
If applicable: How fast is the weight gain process?I believe its pretty fast, I accidentally saw my weight once and it had been a rapid weight gain (were talking 5-6+ lbs per week)
What was the average length of stay?10 days
What was the average age range?11-25 is what they accept
How do visits/phone calls work?Visitors can come 24/7 and same with phones. Only 2 visitors at once though.
What is the electronics policy (e.g., cell phones, iPods, Kindles, laptops, tablets)?No electronics policy- you can have whatever you want
For inpatient/residential: Are you able to go on outings/passes?No
For PHP/IOP: What support do they provide outside of programming hours?What kind of aftercare do they provide? Do they help you set up an outpatient treatment team?Yes, they won’t let you leave until you have a stable aftercare plan for where you are going for further treatment. They let me stay an extra few days until I could be accepted into the program I am going to.
Are there any resources for people who come from out of state/country?I am from out of state, I do not know of any specific resources.
If applicable: How is the program responding to COVID? (Less patients, virtual programming, no visitors, masks, social distancing, etc)Masks in the hallways, staff wear masks
Other?I would reccomend this program 100%. Even though it was extremely hard mentally because there is not much mental support, I believe that it saved my life and thats what it is there for.
Hi, has anyone been to UCLA’s inpatient program in Westwood recently. Specifically since they switched directors?
My son is supposed to go to the medical stabilization program we were supposed to be there today but we had issues with transportation so we are going in the morning and we are also being told to go through the emergency room my son is 9 years old he has a mild form of autism and he has been diagnosed with afrid ….my son is very sensitive, he’s a very sweet boy and I am one of tbose moms that make it clear ..there is no way that I will allow anyone to treat him as described, had a referral to go to Stanford as well but UCLA’s referral was approved and processed first and I’m really considering not going after reading these reviews I’m considering pushing for Stanford I do not plan on having him go to an inpatient facility after his medical stabilization I plan on him getting family based therapy but they’re requiring that we do medical stabilization first my question is were any of you there at the time that a younger child was present and being treated for msp and if so based on that can you give me your personal opinion and advice should I just skip going down to UCLA
i would not recommend UCLA for afrid. they quite literally do not treat it, they only stabilize medically. they have 1:1 sitters, very strict rules (5 min shower, no patient interaction, no therapy whatsoever, etc.) . i also would not recommend stanford. i spent time there recently and their arfid treatment is not optimal . i have arfid and have been to both hospitals extensively and can’t say they helped me much at all
Yeah I’m really I don’t have a adequate program for treating arfid I don’t think any of the approaches allow for the inclusion of sensory issues and the responses that individuals may have my son has a gag responses and those are non-self determined responses and the treatment programs all seem to focus only on the components of the disorder that are self-determined but in many cases they are self-determined based upon a reaction to a reaction that is not self-determined they have no control over and that makes me really feel like there’s a incompetence in the protocol that’s been lined out for treatment of afraid as far as related to individuals like my son who who has autism and sensory issues and has had a trauma all of these things played a part in his developing afraid and therefore he’s kind of in this gray area between and eating and feeding disorder but the components of his feeding disorder are included in the diagnostic criteria of afrid therefore they should also be treated within the diagnostic criterias definition accounting for each component of what can be relative for an individual and I’ve yet to find anything that accounts for this even at the best rated facilities but luckily Valley Children’s told me I could bring him home instead of doing the medical stabilization he’s here at home I’m going to attempt to to treat him here I will follow many of the the actions as far as being strict on meal time and I will require that he drinks you know his his nutritional drinks and in two weeks I will take him back to be tested to see if we are at a decent level but I didn’t do the UCLA thing I’m not doing the Stanford thing I just I feel like I could do a better job at home and it sounds like maybe you could as well.
I just discharged today it’s actually an amazing program I was afraid with all the reviews but the rules are not as strict as described the doctors are so kind and sitters are nice I’ve been every where and have so much trauma but I was treated with so much respect and knowledge
Hi! I’ve been to the msp program at Santa Monica UCLA and my team has mentioned going to the inpatient center in Westwood. I’m curious if they tube there? I know they do in Santa Monica.. also if anyone has any recent reviews of the inpatient that would be great. Thank you :))
Perfect timing because Taylor literally just submitted a review a few hours ago and it is up now! It’s right below your post.
Can I contact some one
I saw in the most recent review that they offer Kate Farms at the MSP. Does anyone know if this means they accommodate an ethical vegan diet? I need an msp to be eligible for any lower level ip or res, but there doesn’t seem to be anywhere I can find that will honor a vegan meal plan. Thank you!
I was pretty much vegan while there but had either an egg or yogurt at least 1x daily- if you wanted to be an ethical vegan you could always just supplement that one small thing with kate farms and they wouldn’t care.
Thank you so much! That is very reassuring
im not exactly sure about santa monica but ik they transfer from santa monica to the la location a lot and at the la location they can accommodate to a certain extent, im vegetarian but i also have a small dairy allergy and they were very accommodating! there is quite a few vegetarian menu options and most of the items don’t contain any dairy, and because the meals are made specifically for the program they are able to make it specifically with no cheese and soy milk options. however they do not have almond milk and will push u into trying meat/ dairy esp if ur not allergic. i was at the la location and they did provide medical stabilization for me as santa monica denied me due to past history, the program completely saved my life and there is so many amazing staff, however there still are some bad ones and the program is def not for everyone! it’s EXTREMELY open, and they will tell u calories weight and sometimes the staff aren’t very ed informed and will say things, and put triggering ppl with u at meals. overall they should accommodate you if u have a good reason!
Thank you so much for sharing! It sounds like a phenomenal program 🙂
I am currently here at UCLA (I made the last post and then was admitted) so I can write a review after I leave since it seems like this page really needs one!
Yes please do!
Can anyone provide a recent review of the inpatient medical stabilization program? I am 24 and looking at a rapid transfer from the facility I’m currently at to a stabilization unit. Some questions I have are:
-How are they with treating patients who are technically at a healthy weight but have lost significant weight therefore are in need of treatment?
-How fast are they to tube?
-What is the average length of stay?
-For weight restoration, do they go off of your personal set point weight or just based off of BMI guidelines?
Thank you!
Hopefully someone else will be able to provide a review or at least answer the rest of the questions, but the average length of stay at the medical stabilization program (MSP) at UCLA Santa Monica Hospital is 10 days
Hey!
– if ur medically unstable they treat u as if you’re any human with anorexia.. ur plan will be devoted to stabilization.
– first day, first meal if u refuse supplement they tube. Note- it’s a voluntary program so they can’t technically force you but then there’s no point in you being there in the first place…
– average length depends on each person and if you have a plan in place going forward.
– for weight they go off your personal percentile … Unless you never were at a healthy weight which they then use IBW.
I am trying to find a program to help an extremely underweight young male with Sensory Processing Disorder/Picky eating. He appears to have ASD and his sister’s psychologist thinks so, but he does not have a formal diagnosis. I know you all have an OT, which is encouraging. It would be traumatic for him to be in a traditional eating disorder program where they force people to eat tons of different foods and take away basic decent treatment if the person doesn’t eat. He never got treatment as a child, and has a very limited diet. His BMI is around XX* and needs help. I called the hospital program for eating disorders in Denver, and they said they wouldn’t take his Sensory Processing Disorder or Picky Eating into account, indicating he would be expected to eat the variety of foods they offer. He, of course, needs to eat a bigger variety and needs professional help with this, but he needs help gaining weight without being traumatised, so he can stay alive. Can UCLA do this?
*number redacted by admin per site policy
hello, I would take him to a feeding specialist and to a psychotherapist that specializes is sensory processing disorder. Hospitalization doesn’t sound ideal if he would be further traumatized by tube feeding.
I was admitted to the psych ED program, and honestly, the program isn’t the best, it has a lot of room for improvement, some staff break rules and put triggering people with us during meals even though that’s against the rules. When someone spoke up about it they were told to deal with it, some staff is really rude while others are so kind and make your time there easier. Meals are 30 minutes (once you reach a certain amount of calories you get 5 extra minutes.. X calories.) and snack times are 15 minutes. There are two snacks and three meals. You have to go to groups throughout the day, two or three groups a day. You have to be sitting the whole day until you get to a certain weight, then light physical activity is allowed with a therapist. The unit is separated from the other psych units (at least in the adolescent, but I think there’s no longer an adult Ed program) and you don’t really bump into the other kids unless you’re out on the deck, there are single rooms, three of them I believe, and two double rooms, so Seven patients is the usual. And although you’re not in the regular psych units all rules apply to you too. So no shoelaces, bracelets etc. one thing I didn’t like was there really wasn’t much talk about feeling anxious during meals afterwards or anything, if you complain about feeling anxious they’ll just give you meds. They say the program is from 6-8 weeks but in most they’ll keep you until you get to your goal weight.. so it’s different for everyone.
there’s a comment that is incorrect– there is both an ed psych ward (up to age 18) at their main hospital and a medical stabilization program (up to age 24) in their santa monica location.
any recent 2022 reviews for here?
Nurse [redacted] and nurse [redacted] really made my time here traumatizing. the program has alot of flaws.
*** names redacted by admin per site policy
what’s their names because I was there earlier this year and I’m curious if your thinking the same nurses email me who it was at [redacted]
They only have a medical stabilization program now and it’s basically only a refeeding program.
this is the worst treatment center i have ever been to. All they care about is that you are another patient to write a research paper about. The unit is basically a psych ward and there was way too much down time.
are you able to post a full review for me on your experience?
Are you able to tell me about your experience and how the program works?
any recent reviews for here?(2021-2022?)
We would love an updated review too! I actually need to update this page; I was actually just looking at their website a couple days ago and saw that they now offer a few medical stabilization options in addition to the adolescent/young adult IP ED unit and the outpatient treatment options. , I’m pretty excited about this, because UCLA’s program has been around forever and contributed a lot of research and knowledge to the field of evidence-based treatment back when they were larger, so I’m glad they have stuck it out. I used to visit a friend in their adult IP back in 2008 (back when they had one), and it was a pretty intense program, but they let us go for walks around the grounds together, and I was even able to join her for a snack.
I love that they let her join you for a snack while she was in the program, are you aware if they still offer an adult ip program as I am 25 and looking for a Southern California inpatient hospital, I’ve been to Torrance before and while I did love it I relapsed right after (as soon as being discharged) and I would like to see if I can find another program that may work for me better, a little less intense. The fact it didn’t work for me was because it was just too fast and way too intense and didn’t give my mind the chance to catch up with my body. I did well in the program but i feel that was because I was trying to find a quick way out and put on a show. Not to mention that I was not receiving correct therapy, and the dr commented on my body changing several times (not helpful) I do well in individual settings (room based) if you can recommend hospitals that accommodate that in so cal 🙂
For anyone looking at this as of Oct 2018: I was referred to their Eating Disorder Outpatient team by health services (yes, I go to UCLA lmao) and although they did close the adult IP they still have PHP and outpatient services, I believe. The “adolescent” (and young adult) IP unit also still takes people on a rolling basis, it doesn’t seem like they have a strict cutoff–I was told the oldest was 26, and they wanted me to go into IP for med stabilization and I’m 23. So if you’re older and want to have a go at IP/treatment, don’t discount this place–so far, the staff I’ve met all seem very competent and caring. I’m not going to IP as of right now since I need to finish school, but just wanted to let people know that is an option.
UCLA Resnick Neuropscyhiatric Child and Adolescent Eating Disorders Program
Level of care (IP, Resi, IOP, PHP, etc): Inpatient
When were you there? August 2015
Is it co-ed? Yes. There were two other boys when I was there.
How many patients were there? A maximum of 10. When I was there it fluctuated between about 6 and 10.
What was the admissions process like? There are two ways to be admitted: through the ER or a planned admit. Because my therapist works for UCLA, I had a planned admit. My mom and therapist talked to the admissions coordinator many times to give a summary of my ed. I also had to have blood tests and an EKG before I could be admitted. Once I arrived on the unit, I was shown to my room and unpacked after a nurse went through my belongings. My mother and I were then taken to a conference room. There, we met with my case coordinator/psychology intern, my psychiatrist, my nursing staff, and the nutritionist. I also was weighed and had a physical.
Describe the average day:
700: Wake-up and Weigh-in (Mondays and Thursdays only)
745: Breakfast
830: School
1000: OT or RT or CBT or Body and Soul
1100: Mindfulness or Nursing Group or Coping Skills
1200: Lunch
1300: OT or RT
1400: School
1530: Snack
1600: Process Group or Coping Skills
1730: Dinner
1800: Visiting
2000: Community Meeting
2030: Snack
2100: Back to Room
2200: Lights Out
You also meet with your case coordinator everyday for an average of 45 minutes.
On the weekends, there was no school. Instead there was a nursing or relaxation group. There was also visiting from 1400-1600
The schedule depends on what time of year you are there. If you are in the hospital while LA Unified School District is in session, then you attend school twice a day. Otherwise you get free time or nursing groups.
What were meals like? You were given 30 minutes for meals and 15 minutes for snack. Some days were very quiet, others we played mind/concentration games. There was almost always music playing. (the same hits of the 00’s playlist).
What sorts of food were available or served? Did they accommodate for dietary needs or vegetarians/vegans? For breakfast there were eggs, pancakes, sausage, breakfast burritos, cereals, yogurts, fruit, muffins, toast, oatmeal, nuts, spreads, bagels.
For lunch there were sandwiches, salads, rolls, chicken, fish, tofu, corn, rice, beans, vegetables, fruit.
Dinner was similar to lunch, but there were more plated entrees and less sandwiches and salads. You could get stir-fries or pastas, chicken or fish with different sauces.
For snacks there were things like toast, bagels, nuts, yogurts, nutrigrain bars, nuts, spreads, cottage cheese, fruit, chips.
For all meals and snacks there were juices, milk, and soy milk, but you had to have 8-12 oz of water.
They did allow vegetarianism, but no veganism, as dairy and protein (only from tofu, chicken, fish, and cottage cheese) were required.
Did they supplement? How did that system work? Yes, with Ensure Vanilla flavor. The nurses would calculate how much was left on your tray and give the respective number of calories in Ensure. You would be taken to a separate room to be replaced. If you refused replacement, then you were not allowed to leave the ward or attend groups. If you continued to refuse, then there was a small possibility of being tubed or discharged AMA.
What privileges are allowed? You could have people visit you everyday. You could also have an iPod or bring in an instrument from home to play. As you progress, you eventually begin to earn passes to have meals with family, go to the cafeteria, or attend cooking group.
Does it work on a level system? Not really. However, when you first arrive, you are placed on Total Ward Restriction, No Sharps, Dayroom Status, and 3 hr Obs. You also have to eat all meals and snacks at the monitored table with a nurse. You can then discuss with your case coordinator to have some of those restrictions removed. You can then earn privileges to go back to your room, go to the art room, attend cooking group, go out to the deck for visits, have more family meals, etc. Once you are within 7 lbs of your target weight range, you earn physical RT privileges. You can then play Dance Dance Revolution, do core workouts, go to the track, or go for walks around the college campus.
What sort of groups do they have? CBT, DBT, Mindfulness, Body Image, Distress Tolerance, Process Group, OT, Social RT (board games and such) Physical RT, Art Room, Cooking, Spa Group, Relaxation, Nursing Group, Nutrition
What was your favorite group? I really enjoyed all of the groups. They were all either very informative and helpful, or fun and a good distraction. The art room was fun because there were a lot of different crafts you could do, build bird houses, paint, make friendship bracelets, draw, do origami, make candles, or sew. The Spa Group was fun! The nurses would buy face masks and let us soak our feet in warm water! The DBT and Body Image groups were very helpful. I got a lot out of them!
What did you like the most? The groups, the staff, the nurse to patient ratio (1:2), the other patients. You get a room either to yourself or with one roommate and you have your own bathroom. You are also on a different unit from the other psych patients.
What did you like the least? Family meetings, and the big one was the fact that you are in a huge medical center, but also you are on the psych floor! Everything is locked down and high security. The doors are all huge metal doors. You can’t have any device that has a camera, or cellular or wifi connection. You also can’t have anything with glass, batteries, or anything sharp. They also make you buy a watch lol.
What level of activity or exercise was allowed? It depended on your weight. It ranged from absolutely nothing, not being allowed to stand for more than 30 seconds, to being able to run miles.
What did people do on weekends? Mostly people would visit with family members as the visiting hours were extended on weekends. If you didn’t have visitors, you would get to do art projects, watch movies, read books, or play games with other patients in the day room.
Do you get to know your weight? Yes. It is up to you and your case coordinator to decide this. You can even go in on your treatment planning meetings!
How fast is the weight gain process? The expect a weight gain of 2-3 lbs per week. However, I gained 4 lbs a week towards the beginning of my stay.
What was the average length of stay? If you intend to transition to their PHP program, then about a month. If you live too far away to participate in the PHP, then about 2 months.
What was the average age range? 13-16
What kind of aftercare do they provide? Do they help you set up an OP treatment team? They have the PHP program. They make sure you have a therapist, nutritionist, and psychiatrist set up before you discharge.
Would you recommend this program? ABSOLUTELY!! It’s a great program. It is not at all just about weight restoration. You make a lot of psychological progress!!!! The staff is all very knowledgeable and most of them are very nice and supportive. You have a huge team rooting for you the whole time!
I loved this place it was the best treatment that I have ever gotten and now its closed well the adult unit closed their doors on August 12th 2014 I was one of the last people there well 5 of use were. Its so sad that they closed. I loved the nurses and all the staff were wonderful and the dietician was great 🙂
Any 2013 reviews for this program?
I was at UCLA’s adult eating disorder treatment program in Nov. 2011. I sure hope things have changed since I was there. I left AMA after being there less than a week. Before I continue with my review, I should add that before going to UCLA, I had been in treatment at Remuda Ranch and Center for Change (both good facilities at the time I was there, and I would highly recommend CFC to anyone. Anyway, to continue with my brief experience at UCLA… I went there very willing to get help and knew I needed help. But for me, there weren’t enough pros to outweigh the cons of the program. The one thing I did like about the program is that each person gets their own private room, although you’re not really in there much until you reach a certain level.
Some of the cons of the program – it felt very much like an IP psych ward (it’s set up just like one) and I felt that the groups were similar to what you get when you’re on a general IP psych unit. The only group that was somewhat helpful was process group, but it was not as good as other process groups I’ve been in at other treatment centers. I did not feel like there were enough groups to address eating disorder issues – basically, we did arts and crafts, did not have body image group when I was there b/c at that time it was only offered to the day patients (and that made no sense to me), and we had too much downtime in my opinion. And overall, I essentially felt caged in b/c even though people were allowed to go for walks on the grounds (I hadn’t reached that point yet), it was for a short period of time. But I suppose my feelings towards being caged in may be related to the fact that the other programs I had been in allowed for A LOT more outside time, and trust me, being in the sun and fresh air helps the mood!
Now, aside from those cons that I mentioned (there were more but those are a few), the main thing that made me leave AMA after only about a week was the meal process and menu planning. When I was there, people sat at tables in groups of about 3-4 people in the dining area (which is in the same place as the common area, it’s not a big unit at all). A tech sat at each table to observe during meals, but despite that people were allowed to do almost every food ritual I can think of. Example – taking everything on your plate and mashing it into one big pile. I found this to be quite triggering and was also surprised that all of these rituals were allowed. The other thing that bothered me about the food part of the program was the meal planning. Each patient picks items from a menu for each meal, and at least when I was there, there seemed to be no rhyme or reason as to what constituted an actual meal. I was accustomed, from other treatment centers, that each meal always consisted of a protein, veggies, carbs, and a fat (like butter, salad dressing, etc). At UCLA there were plenty of people who were somehow having meals that were made up of 3 cups of Jello, some veggies and dressing, and rice. Seriously, that was an actual dinner that I saw a patient have. And there were many more examples of the same thing. Just like seeing the various food rituals taking place triggered me, so did this random “meal planning”. It seemed no one was being challenged to move beyond safe foods, nor were people being taught what a generally basic and healthy meal looked like. Well, perhaps they were “taught” about it but it certainly wasn’t being enforced.
Ultimately it was the issues surrounding meals and meal planning that made me leave. I was there to get beyond my anorexia and although I was committed to the program and getting better, I also know that it would have been very hard for me to not eventually engage in what was going on with meal planning/food rituals. I feel there is a difference between being committed to the program and wanting to be there, and at the same time having to resist this stuff going on right in front of you. I was worried I’d leave there worse off than when I came in. Sure, I would have gained the weight back eventually, but it could have/would have been from sticking to safe foods and not really getting back to normal eating. I realize being there for only about a week wasn’t really giving the program much of a chance, but regarding the meal issues, well, that wasn’t going to change. I had a talk with the program director before I checked out AMA and told him why exactly I was leaving. He tried to convince me to stay and offered some solutions to the things I brought up to him about meals/meal plans/food rituals/etc. But, his solution was to allow me to eat at my own table so I wouldn’t be triggered by these behaviors. In my opinion, an appropriate solution to those issues would have been to speak with the tech table monitors and have them be stricter about this stuff. Not to just stick me at my own table (and who wants to eat alone when you’re trying to gain weight), and just allow this other stuff to continue.
And one last thing – some of the staff was very caring and really nice and supportive, but I found a lot of the staff would hang out in the nurses station for most of the day and their only real interaction with us when they did table monitoring during meals and snacks. The nurses station is behind glass and locked door, so they weren’t exactly accessible either. The few good staff, those who seemed to truly care about the patient, would circulate on the unit with patients (and by circulate I basically mean sit in the common area with us b/c that’s about all there is to this unit – common area that is also used for eating and patient rooms).
I’m sure the program has worked for some people, but as you can see it was definitely not for me.
I was there as an adult for the month of October, 2012. And December, 2011.
WHAT WERE MEALS LIKE?
-
Its either really quiet or someone decides to spark a conversation or music is playing. They don’t explain the rules, all of them, and the nurses aren’t too clear on the rules either so it depends on which nurse is sitting next to your table watching you eat – sooo every meal includes some poor new soul learning in a shameful way what rule they broke. A girls put her cookie in her milk, she was told that was abnormal. I could see why, but most peole dunk their cookies. I only mention this example because it is one of thousands of unnecessary episodes that shoudn’t have happened – oh and I was specifically asked when I wanted two creamers for my coffee “you reaize these have calories in them?†I can name the exact mental health practitioner, not nurse, who made this comment. Plenty more examples upon request.
DID THEY SUPPLEMENT?
Yes, with ensure.
WHAT PRIVLEGES WERE ALLOWED? There are no privileges, you are there to gain weight and smile. Or else the nurses right down how much you weren’t happy and how often you sat alone and you’d be negatively approached about it.
WHAT WERE GROUPS LIKE?
They have a great schedule for groups. Unfortunately, they always start late, they are led by someone with a degree but no real mental capacity on how to communicate to anorexic patients. Every day for one hour before you eat dinner the whole group has a discussion period where everyone reveals all these terrible issues that need time to discuss but we cut off everybody to give everybody a chance to only have a collective of people feeling horrible and are about to eat food, the very thing they fear in light of their troubles the discussion session was supposed to alleviate/make better/solve in some way/have a positive effect on.
WHAT DID YOU LIKE THE MOST? It was clean and the food tasted well
WHAT DID YOU LIKE THE LEAST?

You are a caged bird on constant surveillance, you cannot speak your mind, wrong things happen and are not corrected, the nurses play a scratch my back scratch your back game.
WOULD YOU RECCOMMEND THIS PROGRAM?
To those who need help, every program is different, but this place is for people who need medical, and I mean like you are way underweight and need medical help your so anorexic. This isn’t a place for people looking to get better and transition into the real world.
HOW MUCH ACTIVITY WAS ALLOWED?
Barely any. While inside you can’t do anything but sit and or walk up to get something. You are approached when and if they believe you have been standing for too long. I was told to stop gesticulating so much because it could potentially be a secretive way for me to be burning calories – can anyone find the logic in that?
WHAT WERE WEEKENDS LIKE?
NOTHING. HAPPENS. THE nurses don’t even take the patients outside. Its sad. 7 of us, 7 adults, few had children, begged these nurses, and I mean begged like children after candy to have a half hour outside.
EXPECTED WEIGHT GAIN? It different for everyone I assumed. Calorie increases regularly, but I’m pretty sure its standard across the board.
Let it be known that I did attend before, and I loved it, but the second time I stayed longer and I tried to get better. When I tried they saw they couldn’t help.
In fact I was told they couldn’t help me by four people and I can name all four of those professionals.
Has anyone been to UCLA ip for adults recently that could share their experience?
It was horrible. I came in hopes high, did all my homework, asked so many questions, pleaded, cried, asked for helped, begged, this place is for emaciated tired and heavily medicated patients in need of gaining weight and thats about it. the nurses are nice, but its the kind of nice where they have to smile. two nurses stood over a patient throwing up on herself and didn’t clean her or help her.
I have a few questions about the adult program:
-“They also will not admit or keep you unless you ‘want’ to get well. They sent a few people ‘packing’ while my daughter was there.” –how exactly do they determine this? Do they just ask you to leave after so many days of incomplete meals, symptom usage, or lack of weight gain? How much effort will they put in trying to help you “want” to get well before they just give up on you? Obviously treatment is difficult for everyone, and not everyone will be happily 100% compliant from the get-go without struggles, so I’m just wondering how this works exactly. It would suck to be thrown out right away after a few rough days and then have no chance of getting in somewhere else b/c of having this on your record. :/
-how do they determine target weights? Based on BMI, 5 lbs. per inch method, etc? Are they the same for everyone based on height alone or individualized?
-no laptops or cell phones, but you have access to the internet via a unit computer for quick emails I’m assuming (based on the above reviews)? Do they ever make exceptions for people in school or who have jobs who need to stay in contact with people while away (letting them have more computer time, or their laptop)?
-do they start everyone on the same amount of calories when they first come in? How fast do they increase? Is it individualized?
-will they let me have regular phone sessions with my outpatient therapist?
Thanks!
Hello! I’ll try to answer your questions above. Keep in mind I was at UCLA’s adolescent unit in 2009, so things may have changed since then. Also, the adult unit is very different, but I’ll try to answer your questions as best I can.
Target weights are based on your height and age, I believe using the BMI method. The targets are most definitely individualized based on the patient, taking into account their weight history. UCLA does have a reputation for having their target weights on the low end, and sometimes the range is negotiable.
No laptops or cell phones are allowed, but there was a computer available (for the adolescents it was in the classroom, but I’m not sure where the adults computer is). The unit is very strict about cell phones and laptops for privacy reasons. However, my tutor was allowed to bring my laptop when she came to work with me (since it was supervised maybe?). And there is a pay phone on the unit that is easy to access (as long as it isn’t being used).
Starting point for calories is really based on the individual. It depends on what your intake is pre-hospitalization. I believe the lowest you can possibly start at is 900 per day (300 per meal). That would only be for a short period before they “bump you up”. After admission, your intake and any subsequent changes depend on the progress of your weight gain. After weigh ins, you can consult with the dietitian to decide how the increase will be added to your meals (whether it be meals or snacks, etc).
Once you begin inpatient, you are assigned a program therapist. You would probably be required to have sessions with this person. When I was in treatment, no patients continued to work with their outside therapists. However, once you have completed the program, the choice is yours! I had such a great experience with my UCLA therapist, I still see her three years later!
Sorry I didn’t answer the first question. I don’t want to mislead you with any information (since I wasn’t in the adult program and don’t really know everything that went on there). With that said, we had the same director, and I know he was/is very active in talking and interacting with the patients.
Pre-2012 Reviews
I was there as an adult for May and April of 2010
WHAT WERE MEALS LIKE?
-It depends on the group. There’s usually music playing (there’s an iPod docking station so patients can play their iPods). Sometimes there’s a ton of conversation, sometimes very little depending on how much people were struggling or having a hard time finishing in 30 minutes. Meals were 30 minutes, snacks were 15. There were 3 meals and 2 snacks, but if your calories got high, you could choose to have a morning snack as well. Some staff was really strict on timing, others didn’t care. There were 2-4 people to a table with staff. They don’t eat with you but for the most part don’t just stare awkwardly.
DID THEY SUPPLEMENT?
Yes, with ensure.
WHAT PRIVLEGES WERE ALLOWED?
Not a whole lot. You could get off obs. As you get within 7 pounds of your target range you can get recreational therapy (mostly walks). As you start doing better, you can get passes to have meals or snacks out with family, sometimes passes by yourself to sit on hospital grounds or walk around, and SOMETIMES passes to eat a snack or meal by yourself.
WHAT WERE GROUPS LIKE?
For the most part there was occupational therapy (arts and crafts) and recreational therapy (generally sitting outside and playing games, but there was also exercise RT in the morning if you were close to your target weight). We had CBT twice a week, DBT/skills twice a week, relaxation twice a week, spiritual care group every other week and process group every day.
WHAT DID YOU LIKE THE MOST?
You get to meet with your therapist 5 times a week, 3x for full sessions and twice for a check-in. Process groups were great when I was there and we addressed everything, even trauma, but I was there with an absolutely incredible group of girls. I also loved most of the nurses. The therapists are all fantastic and really experienced.
WHAT DID YOU LIKE THE LEAST?
Probably the fact that calories can get so high. You have to eat everything in food up until 3600 or 3900 calories (I think), but they’ve just started allowing you to add additional increases past that in ensure. There were also bathrooms in every bedroom. They’re locked when you’re on obs, but it makes it very easy to do behaviors if you’re struggling. However, it IS good real world practice–reaching out for help or finding other ways to deal with your urges.
WOULD YOU RECCOMMEND THIS PROGRAM?
Yes. It totally transformed me from completely hopeless and miserable to at least hopeful. I didn’t think recovery was a possibility for me, but during my time there I came to realize that it might happen. It’s also great that you get to see your therapist so much and the psychiatrist also comes every weekday.
HOW MUCH ACTIVITY WAS ALLOWED?
They now allow all patients to stretch 3x a week with the recreational therapist. When you get within 7 pounds of your target range you get RT and can go for walks and use the elliptical, do yoga, etc. You can run once you get in your range.
WHAT WERE WEEKENDS LIKE?
Pretty dull. We usually had OT, menu planning and a visit from the therapy dog on Saturdays and an outing (nails or movies) on Sunday. A therapist ran a group on Sat and Sun.
KNOWING YOUR WEIGHT:
You are allowed to know your weight but can choose to have your back to the scale. You get weighed Mondays and Thursdays.
EXPECTED WEIGHT GAIN?
2-4lbs per week. They’ve had to get pretty strict about this because of insurance purposes.
It IS a hospital setting. The hospital rooms are exactly the same as the rooms on medical. It does feel very sterile, but the dayroom was homey when I was there because we hung paintings and things like that. There IS a TV in each room, and we can have it on whenever we want on the weekend and after dinner or before breakfast on weekdays.
The food was pretty good. We got to pick our foods off the menu. There were things like bagels, bran muffins, cereal, oatmeal, cream of wheat, eggs, pancakes, crepes, english muffins and I’m sure other things for breakfast.
For lunch and dinner there would be a choice of 3 or so entrees and then a whole bunch of other things like jello, ice cream, cookies, steamed veggies, side salads, rice, beans and more. It in theory worked on the exchange system but really, they tell you how many calories are in each exchange and you pretty much end up just adding up to get the correct amount of calories. Bran muffins and garden burgers are kind of a UCLA classic.
You can also have 12oz of coffee at breakfast and 12 at lunch, but you also have to have 12oz of water, decaf coffee or decaf tea, so if you wanted caffeine, you had to have 24oz of fluid.
All in all, I think it is a great program for being an inpatient hospital program. I do feel like people tend to go there more than once (I think at one point 7 of the 8 of us had been there before), but I think that happens largely because insurance is so quick to discharge people. If I were to relapse, I wouldn’t hesitate to go back since residential isn’t an option with my insurance.
UCLA has two totally separate programs, the adult (18+) and adolescent programs. They are separate and as I understand it, very different. The adult program is a voluntary treatment model, they really want you to take control and play a part in your treatment planning. The adolescent program of course different, the parents sign the kids in, many of the adolescents don’t want to be there, so it’s a whole different ball game. I was in the adult program.
When were you there:
Fall 2009
Describe the average day:
You get weighed first thing in the morning twice a week. You can look at your weight, most patients choose to do so. There are three meals and two snacks (afternoon & evening) per day. Monday – Friday, there are several groups per day. You have process group every day, plus one or two other groups: cognitive therapy, DBT, discharge planning, sensory relaxation, OT (occupational therapy, which is basically art). You get to go outside the hospital once a day (plus smoke breaks outside on the patio after every meal and snack, if you want, whether you smoke or not). You can go outside more often if you have RT (exercise privileges, you need to be within 7lbs of your target weight).
You see your therapist every day – 3 full sessions (45 min) and 2 check-ins (about 20 min), and see the psychiatrist when needed (usually a quick check-in every day, depending on if your meds are changing or not). The nurses are always around to talk to (some are awesome, some are not), and at least one will check in with you a day. Weekends are really, really slow – lots and lots of free time. We watched a LOT of movies. You might go out of the hospital once for an outing, and have OT once, and that’s about it. If you’re not in a group (weekdays or weekends), it’s free time and you can do whatever you want – depending on your status, you might be restricted to the dayroom or get to go to your own room. Either way, you can talk on the [shared] phone, read, do art, watch tv/ a movie, take a nap, go to the computers (if there’s a nurse available to take you, there sometimes is – we got to go at least once a day, sometimes twice a day), whatever.
What were meals like?
We sat 3-4 people per table, 1 nurse (or other staff) to supervise. No food talk. They were moderately strict about the rules – not cutting things up into little pieces, no inappropriate food mixing, etc. you order your own food off the menu. they use exchanges. you know exactly how many calories you are on, and you pick whatever foods you want so long as the calories are appropriate and they’re somewhat balanced. that is, you can’t do something like avoid grains, or avoid fats, but you can avoid desserts, or avoid butter, or avoid white bread. which is a good thing or a bad thing, depending on your perspective. you can be vegetarian, but i don’t think you could be vegan. you have to drink 12oz of water (or decaf tea or coffee) with each meal and snack. you can also have up to 12oz of regular coffee or tea w/ breakfast and lunch.
What sorts of food were available or served?
lots of options.
breakfast foods: cereal, granola, milk, soymilk, bagels, toast, english muffins, peanut butter, butter, margarine, jam, veggie sausages, eggs, lots of kinds of fruit, yogurt, nuts, bran muffins, french toast, pancakes, muffins, etc.
lunch and dinner foods: chicken or salmon or tofu (with different sauces or plain), veggie burgers, turkey sandwiches, rice (brown or white), pasta, black beans, vegetables (different options), avocado, cheese, dinner rolls, graham crackers, yogurt, variety of fruits, puddings, jello, cookies, cake.
You also pick your own snacks – options are cereal with milk/soymilk, nutrigrain bars, fruit, nuts, toast/english muffins/bagels, bran muffins, yogurt, cookies, pudding.
Did they supplement? How did that system work?
Yes. You have 30 minutes for meals and 15 for snacks. If you don’t finish within that time, either because you’re refusing or because you ran out of time, you are supplemented calorie-per-calorie with Ensure. There is no tube feeding; if you repeatedly refuse the supplement, they will question your committment to the program and probably kick you out.[the adolescent program does tube feeding]
What privileges are allowed?
No cell phones or laptops, but everyone has access to the unit phone at all time, and you can email once or twice a day. You go outside for smoke breaks up to 5x a day. You go outside the hospital (just to get outside) most days, though if you refuse a supplement you can be restricted to the unit.
Does it work on a level system?
No, but if you refuse a supplement you can be restricted the unit, and if you are close enough to your target weight, you are allowed physical activity. If you are doing well, you are more likely to get passes for on-grounds or off-grounds visiting, or for relapse-prevention passes. But, no official level system.
What sort of groups do they have?
Process group, cognitive therapy, DBT, discharge planning, sensory relaxation, OT (occupational therapy, which is art), RT (recreational therapy, which is just going outside, until you’re close enough to your target weight that you can have physical RT, which is exercise. Bulimics who enter at their target weight often get this after a day or two, once they are determined to be medically stable). The partial hospitalization program also has body image group and cooking group – some people from inpatient participate in those.
What was your favorite group?
Individual therapy 🙂 But in terms of groups, cognitive therapy probably, and process group.
What did you like the most?
My individual therapist, [most of] the nurses, the other patients.
What did you like the least?
I think it’s bad for me to pick all my own food off the menu, it reinforces my obsessive thinking about food. They don’t push you much to try fear foods – it’s easy to go through the whole program and stick to your safe foods only. You know exactly how many calories you’re eating, and that also reinforces my obsessive thinking about food, it would have been a whole lot scarier to not know exactly what was in what I was eating, but might have been good for me in the long run.
Would you recommend this program?
Yes, but you need to be committed to recovery – if you don’t want it, they’re not going to push you. If you do want it, they will support you and help you.
What level of activity or exercise was allowed?
If you are more than 10lbs below your target weight: None.
If you are 7-10lbs below your target weight: Stretching, yoga (you cannot go on walks or exercise otherwise)
If you are less than 7lbs below your target weight: Full exercises privileges, option to go on walks M-F. You can’t go on a run unless you’re in your target range.
What did people do on weekends?
Not very much – watch movies, spend time talking and sitting around, read, do puzzles, talk on the [one] phone, get extra time to go outside and go on the computers, have visitors.
Do you get to know your weight?
Yes.
How fast is the weight gain process?
They aim for about 2-4lbs per week, but most people end up gaining more like 1-2lb/week, as far as I can tell.
What was the average length of stay?
4-6 weeks; a lot of people seem to get kicked out by insurance. Anorexics seem to stay longer than bulimics – they’re hesitant to let people leave when they are far below target weight. people who enter at a very low weight tend to stay more like 6-8 weeks.
What was the average age range?
Most people were 20 – 30, but there was one 18yr old and a couple women in their late 30s/early 40s. [this is for the adult program, obviously the adolescent one is different. that age range is more like 10-17 i think]
What kind of aftercare do they provide? Do they help you set up an OP treatment team?
IP feeds into PHP, and yes, they will help you set up an OP treatment team. The social worker who does discharge planning is great, and she helps you figure out a therapist, psych, nutritionist and definitely wants you to have all that set up before you leave – they do NOT want you to just leave without support!
How many IP beds? How many patients in PHP or IOP?
8 IP beds; it seems to be full most of the time. Up to 8 in PHP, but it’s usually smaller since everyone in partial is from inpatient, but not everyone from inpatient goes to partial (some people go to partial programs in other cities, where they live).
2011
My daughter has been in treatment in both places – UCLA and BHC. Frankly, I think both are good places but each have their pluses and minuses.
What my daughter liked about BHC was that the team were all very caring and relatively competent.
The groups were good and the women were very supportive of one another. She was allowed to use her cellphone and laptop there. On the downside, the place is a bit scary looking in that the bedrooms are in the same unit as general psych.
The food wasn’t particularly great and she felt that the psychiatrist ‘over-medicated’ people. We felt that way, too. What we liked was that the team took good care of our daughter and treated her well while she was there. They were also liberal and flexible about visiting hours. They also offered some decent family therapy and multi-family therapy groups. She was able to have an admission there immediately, while with UCLA she was on a wait list. The food at UCLA was more to her liking; she felt it was ‘healthier’. The program was stricter than BHC’s program, with less flexibility. UCLA didn’t seem that willing to talk with parents, in that my daughter is a young adult.
They also will not admit or keep you unless you ‘want’ to get well. They sent a few people ‘packing’ while my daughter was there.
But both are good programs, really.
I would definitely bring things to do in your free time. When you are first there, they typically make you stay in the day room, which can be very boring. Weekends are slow as well. When I was there I would read, draw, knit, write, play games with the other patients, etc. Also, you can bring your Ipod. They have an Ipod dock so you can listen to music during free time and meals. You are allowed to watch TV after dinner, and on weekends… so any dvds you would want to watch as well.
As far as clothing goes… People wore a variety of things. For me, I generally wore sweats and loose clothing, just because I was so uncomfortable with the weight gain. If you are going to be undergoing weight restoration, make sure you bring clothes that will fit you once you start to gain weight. Sometimes the girls and I would wear dresses, but just for fun! They let you do laundry once a week, so that is really all the clothing you will need. Also, make sure you have closed toe shoes, because you aren’t allowed to wear sandals off the unit (even to the art room). Makeup is allowed. They will lock up anything that has a mirror or glass container though, so keep that in mind. This goes for flat/curling irons and blow-dryers also.