Eating Disorder Medical Stabilization Programs And Referrals - Kartini Clinic

We offer in-patient medical stabilization (at Legacy Emanuel Children's Hospital), a step-down day treatment program, and outpatient follow-up services as needed to consolidate therapeutic gains. We accept boys and girls up to 22 years of age.

If you would like to speak to one of our physicians directly please call our front office at 503 249 8851. If one of our pediatricians is not available immediately, we will return your call that same day. We also offer an online referral form, to facilitate direct patient contact.

For sources of referral for patients older than this please go to the National Eating Disorder Association's referral page.

The American Academy of Pediatrics' hospitalization criteria for anorexia and bulimia nervosa can be found here.

Primary care physicians, psychiatrists, and therapists often ask us what warning signs we look for in a patient. The following is not an exhaustive list, but covers some common signs based on more than 1600 patients since 1998 :

• please refer them if you have seen the patient, talked to them and devised a plan, but for several weeks (please note: not months) their weight continues to go down or stabilizes at an unhealthy low number.

• please refer them if the patient’s daytime heart rate is 50 BPM or below in the setting of weight loss and/or a known eating problem, you should be worried regardless of athletic training.

• please refer them if you get a history of fainting in the setting of a child who has or may have eating issues.

• please refer them if parents report a sudden, very large increase in exercise and a decrease in food intake.