Who Gets Treated for Eating Disorders in Los Angeles?

Affordable Eating Disorder Therapy

Update June 2021: We are so excited to have our own in-house option for low-fee eating disorder therapy for people in California with our graduate externs.

Eating Disorders Affect People at All Income Levels

This NEDAwareness week (2018), I’ve been thinking a lot about the theme of “Let’s Get Real.” One stubborn myth about eating disorders is that they affect primarily white, upper-middle-class females.

It would take you just one afternoon at my own Los Angeles eating disorder practice to discover how untrue this is. My clients are all genders, ages, and ethnicities. We are proud to accept some private insurance and some public insurance. Among our patients with eating disorders are non-native English speakers, immigrants from low SES backgrounds, and people on public assistance.

The myth that eating disorders affect only the wealthy not only makes it more difficult for patients who don’t meet the stereotype to recognize that they have a problem but also affects the entire system of treatment.

Throughout the US, there is a shortage of publicly funded specialized treatment programs for eating disorders. Specialized eating disorder treatment is usually expensive! The residential treatment complex only serves the economically privileged.

Carolyn Becker, Ph.D. recently brought attention to the presence of eating disorders in food-insecure populations. The research on which she collaborated studied adults receiving food at San Antonio area food banks. Those who had hungry children in their households (representing higher levels of food insecurity) had higher levels of binge eating, dietary restraint, weight self-stigma, worry, and overall eating disorder pathology when compared to participants with lower levels of food insecurity

Los Angeles County Lacks Eating Disorder Treatment for People With Low Income

Within Los Angeles County, eating disorders are a covered diagnosis by the Department of Mental Health (DMH). However, according to a DMH district chief, there are no specialized services for eating disorders within the DMH system. I recently led a training on eating disorders at one of the county community mental health centers and a staff member there told me, “Most patients with eating disorders are seen in primary care and none of us are trained specifically in this… What we need is training in evidence-based treatment.”

A clinical staff member at another DMH clinic said, “Honestly, we don’t have a lot of access to resources for people with eating disorders and aren’t equipped to adequately handle serious cases at this clinic. Referrals have always been difficult and there are no reliable referral sources for our patient population. We have really only been able to connect a few of our most severe cases to any treatment at all.”

I searched the Alliance for Eating Disorder Awareness list of Medicare/Medicaid providers and facilities within 50 miles of Los Angeles but came up with only one Medicare provider and no Medicaid providers or facilities.

This blog post was inspired because as a provider for Anthem Medi-Cal and Carelon Medi-Cal, we often receive calls from county clinics with referrals of other (non-Anthem/non-Carelon) Medi-Cal patients with eating disorders with whom we are are not in-network. So, when faced with a patient with an eating disorder and no insurance in LA County, what’s a provider to do?  Here’s what we’ve been able to find. If you have other resources, we’d love to hear about them!

Low-Income Resources For Eating Disorders in Los Angeles

Hospitals

CHLA takes California Medicaid for patients under age 25 needing medical stabilization.

UCLA takes California Medicaid for patients under age 25 needing hospitalization for eating disorders.

General Low-Fee Mental Health Clinics

Southern California Counseling Center

Maple Counseling Center

The Wright Institute

Cal Lutheran Low Fee Counseling Center

Treatment Scholarships

Center for Discovery and Project Heal provide treatment scholarships. We also provide 2 free spots per year through our membership with Project Heal Healer’s Circle.

Get Low-Cost Therapy for an Eating Disorder in California

Our graduate externs, working under our licensed psychologists provide psychotherapy to adults in California with eating disorders and disordered eating. To get started, complete the contact form on our website.

Learn More About Using Insurance for Eating Disorder Counseling in California

Our staff therapists accept Anthem, Aetna, Anthem Med-Cal, Carelon, Kaiser, and Lyra Insurances for clients with eating disorders in California.

Source

Becker, Carolyn Black, Keesha Middlemass, Brigitte Taylor, Clara Johnson, and Francesca Gomez. 2017. “Food Insecurity and Eating Disorder Pathology.” International Journal of Eating Disorders 50 (9): 1031–40. https://doi.org/10.1002/eat.22735.

Thanks to Rosewood Center Santa Monica for help with the referral list.