Extended Day Treatment

This flexible and expertly supervised all-day outpatient program gives participants a wide range of opportunities to practice skills for daily living while undergoing treatment for eating disorders—all in an environment that is structured, familiar and safe. Our Extended Day program is coordinated by a multidisciplinary team of trained psychiatrists, dietitians and clinicians selected to meet each patient’s needs. The program provides consistency by operating six days per week. Patients live at home or in Transitional Living and spend full days at Rosewood Ranch re-acquiring the coping strategies and life management skills they lost as a result of the eating disorder and underlying co-occurring conditions.

Confidence Makes a Big Difference

Eating disorders and co-occurring disorders have a way of crowding out a person’s attention span—to an extent that the patient can focus on little else. As a result, many patients lose the life management skills they once took for granted: Functioning in a work environment, shopping for groceries, navigating interactions in a social setting, maintaining normal relationships with friends and family members, maintaining a checking account. So it’s not unusual for a patient in recovery to experience fear about jumping back into independent lives too suddenly. Patients also face fears about how they’ll cope with trigger situations—many of them food-related—they’ll encounter after treatment. Like how they’ll manage in a restaurant, how to field questions from strangers about their weight loss and medical condition, how to deal with stress in a close relationship. These perfectly normal fears can shake a patient’s confidence at a critical time in their recovery: just as they’re preparing to emerge from an intense period of self-examination and healing. It’s normal to feel fragile and vulnerable, and a loss of confidence at this point can undo weeks or months of progress. Our Extended Day program gives patients opportunities to practice these skills in real-world situations and simulations. The program provides a safe, supportive environment for re-learning the strategies and skills most people take for granted. So they can approach re-entry with confidence. Group and individual therapy sessions are led by Rosewood’s licensed professionals; because eating disorders impact each patient’s family members, family sessions are available and highly recommended in many cases. Other services available from our program psychiatrist include psychiatric consultation and treatment for co-occurring disorders such as addiction, depression and trauma.

Our Extended Day Treatment Program is Ideal for:

• Patients preparing to re-enter daily activities such as work or school and who benefit from practicing social skills and coping strategies in a safe environment.
• Patients who are medically stable and who experience moderately impaired functioning due to eating disorders and co-occurring conditions.
• Patients who don’t need to be in a residential or inpatient program but require treatment that’s more structured than a standard partial hospitalization program.

Sharing the Healing Process With Others

In addition to the gentle guidance and expertise provided by our clinicians, patients also benefit from another important resource: the community of healing that includes other patients on their own recovery journeys. This communal healing environment provides a deeper level of support that enhances the treatment experience. Patients learn not to isolate themselves, to build powerful relationships that last long after the formal treatment ends. These bonds, forged through teamwork and growth, take on added importance after re-entry. Patients know they can count on each other in a moment of weakness, which increases confidence and empowerment. Rosewood Ranch feels less like a treatment center than a comfortable family setting, so patients can feel unconditionally supported while working together to achieve their own goals for lasting recovery.

Multiple Treatment Modalities

A typical Extended Day agenda might start with mindful meditation and/or an intention-setting circle. Based on each patient’s individualized treatment plan, we also offer a combination of group and individual therapy modalities such as:

• body image
• Cognitive Behavior Therapy (CBT)
• Dialectical Behavioral Therapy (DBT)
• nutrition education
• process group
• psychoeducation
• substance abuse education
• trauma workshop

Participants receive a nutritious lunch and two snacks during the day, all based on the patient’s customized nutrition program.

Other Levels of Care at Available at Rosewood:

Inpatient Treatment Program (IP): Our highest level of care for severely compromised patients. Includes continuous monitoring, an intensive care unit, medically supervised detox and other needed services in our licensed on-site hospital. Available at Rosewood Ranch. Residential Treatment Program: For residents who are medically stable, but still need support staff available 24-hours a day. Available at Rosewood Ranch. Partial Hospitalization Program (PHP): Similar to our inpatient program, but in a less structured setting, so residents can practice real life skills. Serves as either an entry point or as a step down from a more intensive program. Available at Rosewood Capri, Rosewood Ranch. Intensive Outpatient Program (IOP): Provides a step-up in support for individuals struggling with their eating disorder symptoms or a step-down for those transitioning from a higher level of care. Available at Rosewood Tempe, Rosewood Ranch. Transitional Living Program: Available at our Capri and Rosewood Ranch locations, this balanced residential program provides resources that help patients rediscover their independence as they re-enter society. Available at Rosewood Capri, Rosewood Ranch.