What services do the Mandometer Clinics/AB Mando offer?
AB Mando is a private healthcare company that provides healthcare service through the Mandometer Clinics. AB Mando is also engaged in healthcare development, technological development and research. We also provide preventive care; delivering lectures and running education seminars.
Where are we?
We have four clinics in Sweden; including three in Stockholm (one at the Karolinska University Hospital in Huddinge, at Sophiahemmet and one at Danderyd’s Hospital) and another clinic in Alingsås.
Our Clinics >
We also provide treatment for overweight and obesity at our Mandolean Clinics.
Learn more about the Mando Group >
The Mandometer Clinic at the Karolinska University Hospital in Huddinge is open 24 hours a day, 365 day per year.
The Mandometer Clinic at Danderyd’s Hospital, Sophiahemmet and the Mandometer Clinic Alingsås are open, 8.00 am to 4.30pm Monday through Friday.
Staff and expertise
All staff involved in patient care at the Mandometer clinics undergo certification in “How to treat anorexia and bulimia” before working independently with patients. All staff participate in a structured training program that thoroughly reviews the theory and practice of ethics, causes, risk factors, starvation relation psychiatry, psychiatric comorbidity, medication use, learning theory, behavioural therapy, clinical overview and comparisons between Mandometer treatment and traditional eating disorder treatment.
A well functioning organisation require strong leadership. AB Mando invests a great deal of time and energy into developing the leaders of the company. Clinical managers participate in weekly management meeting, with the aim of continual improvement.
Number of beds occupied
The inpatient ward at the Mandometer Clinic at the Karolinska University Hospital in Huddinge has 16 beds, one of which is reserved for emergency patients. Beds are fully occupied 85-90% of the time, with the average staying being 6-8 weeks. A good working relationship exists between AB Mando and the Karolinska University Hospital regarding the treatment of these patients.
Number of patients
We have over 400 patients undergoing treatment, and a similar number of patients in the follow-up program.
Number of patients in remission
To this day, we have treated over 1500 patients to remission. These patients are followed up for a further 5 years. Approximately 10% of patients relapse. Approximately 80% of patients participate in the follow-up program for at least half of the appointments.
- Normal eating behaviour and perception of satiety (able to eat 300-350g meal in 12-15 minutes)
- Normal weight (BMI 19-24 for women, BMI 20-25 for men)
- Normal blood samples
- Normal psychiatric status
- Returned to school or work
- Food and weight are no longer considered to be problems
- No binge eating or vomiting in the last three months
Diagnosis and severity
We treat all degrees of severity for the diagnoses of anorexia nervosa, bulimia nervosa and eating disorders not otherwise specified (EDNOS). We only exclude patients with ongoing alcohol and/or substance abuse issues.
Age and gender
We treat all ages and both genders.
For patients from the Stockholm County, we follow the order of priority for treatment specified by the Stockholm County Council.
Acute Medical care
Eating disorder patients with the following symptoms are in need of urgent medical attention:
- pulse rate of 35-40 beats/min and/or body temperature < 36° C
- hypokalaemia: K < 3.0 mmol/L
- hypophosphatemia: P < 0.65 mmol/L
- hypomagnesemia: Mg < 0.7 mmol/L
- ECG – changes with prolonged QTc interval > 450-500 m/sec
- acute dehydration > 6 % loss of body fluids
- suicide risk
Partial hospitalization is an intermediate level of care between inpatient care and the day patient program.
Patients progress from inpatient care to partial hospitalization when their physical condition is stable and the patient no longer is at risk of suicide. However, these patients are often unable to continue their eating training at home, due to difficulties, such as high levels of anxiety or crisis in family relations.
Patients are provided with their own room, which is shared with a relative for patients under 18 years. Patients may enter this program either following on from inpatient or from outpatient care. It has long been established that the learning of a new behaviour is facilitated by practising the behaviour in a new environment.
Patients receive 6 hours of supervised care with accommodation and access to the on-call doctor 24 hours a day. When necessary, patients may spend time in the inpatient care facility after supervised hours. The proximity to the inpatient care facility and access to emergency care gives peace of mind to patients and their relatives. The care needs of all patients in this program are discussed and considered in the daily medical rounds.
The Mandometer clinic has ten rooms with three kitchens and dining areas, and common area with a TV and couches for relaxing.
Day patient program
The day patient program runs from 8am-4pm and includes eating training, heat therapy, and an activity program and provides patients with support and motivation through discussions with Mandometer clinicians. The majority of patients attend from breakfast to the afternoon snack. Most of the patients receiving inpatient care eventually transition to the day program. Other patients may be admitted directly into the day program.
As patients progress, the hours that they attend the day program become less. For example, a patient my attend the clinic for up to three hours per day; eating one or two meals at the clinic and meeting with their case manager.
We monitor our patient’s health status for five years after they go into remission. We measure eating behaviour, physical activity, physiological state, psychiatric state and quality of life at month 1, 2, 3, 6, 9, 12, 18, 24, 36, 48 and 60 after remission has been achieved.
We provide a unique program for pregnant women who need support with food intake during their pregnancy
Everyone who works here has different skills and experiences. We have nurses, behavioural therapists, social workers, and nutritionists. Eating disorders, such as anorexia are complex illnesses with social, medical and psychological consequences, and it is to the advantage of the organisation if employees come from a variety of educational backgrounds.
Jennie Sjöberg, Director and Registered Nurse at the Mandometer Clinic Sophiahemmet.
Referrals to the Mandometer Clinic
We require the following information from referring health care professionals: age, weight, height (preferably weight and height curves for patients aged 18 years and below), physiological state (including heart rate), menstruation, current medications, eating disorder diagnosis, duration of illness, weight loss over the last three months, presence of binge eating, vomiting, excessive activity levels, previous treatment/s and risk of suicide. The referral should clearly state that Mandometer treatment has specifically been chosen.