All of the Mandometer Clinics have an outpatient day program that runs Monday-Friday, and offer other outpatient appointments and follow-up visits.
The Mandometer Clinic at the Karolinska University Hospital in Huddinge also provides acute medical care, has inpatient care facility, and a partial hospitalization program. The inpatient facility has 16 beds and staffed 24 hours a day. The partial hospitalization program has 13 rooms.
Below you care read more about the different treatment options:
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.