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Oliver-Pyatt Centers

When were you there: April-Aug
Describe the average day:wake up, breakfast at the apartments around 8, go to the center at 9. There are 2 morning groups. Morning snack is in between the groups, usually around 10.30. The pregroup, lunch around 12.30 or 1, post group. from 1.30-5.30 are individual sessions. You meet with the nutritionist 1x/wk, your primary therapist 4x/wk, clinical director 1x/wk, and Wendy Oliver Pyatt 1x/wk. There’s a psychaitrist to fill in for Wendy if shes gone, but she usually handles meds and therapy. Afternoon snack is anytime before 4.30. Pregroup at 6, dinner at 6.30, post group, then an evening group ). After the group the therapist on call for the night does a closing circle to wrap up the day, then we head back to the apartments around 9, have snack there and sleep. oh and you get your vitals done every day.
What were meals like? Positively delicious!!! the chef is incredible. they’re really good about working with you and accomadating specifc needs. Im vegetarian and lactose intolerant and they were extremely nice and helpful. You eat with all the other patients and two recovery coaches, and usually a therapist. Before the meal, you do pregroup to rate your hunger level, talk about any feelings coming up for you around the meal, and set an intention (i.e., enjoy the food, not let emotions take over, be present, etc) and ask for support if you think you need. post group is the same, rating your fullness, and talk about how the meal went for you.
What sorts of food were available or served? oh my goodness, like EVERYTHING. Pizza, tofu, pasta, rice, couscous salad, sandwiches, veggie or turkey burgers, tempeh, chicken, fish, risotto, baked eggplant parm, baked french fries, mac n cheese, lasagna, curry, tabbouleh, falafel, quesadillas, pb&j; basically if you request it, it can be made for you.
Did they supplement? How did that system work? NOOOO supplements, however, if you have a VERY large meal plan, then you can have a shake at night.
What privelages are allowed? you can have your phone and laptop from the begining, then as you progress, you request any privleges you want (like overnight passes to go home, i went to a hip hop dance class) its all REALLY indivualized.
Does it work on a level system? Nope.
What sort of groups do they have?yoga, body image, process, psychodrama, cooking, therapeutic opportunity sharing, music and meditation, self-esteem, relapse prevention, therapeutic opportunity sharing, cbt, art, dbt, or my favorite, yogarhythmics!!! it was like interpretive/freeform dance
What was your favorite group? yogarhythmics! such a good release! we danced like seaweed, the color yellow/orange/purple, with a elbows; it sounds really crazy but you totally get into it.
What did you like the most? how loving and caring everone is- both the staff and the other girls. i learned so much in my time there and the envioronment is so nurturing and it was really different than the many other programs i had been to. its so individualized too, that they really work with your needs and listen to you.
What did you like the least? it took a long time to get anything done, there was no sense of urgency. you have to go through a lot of people for your request to be met.
Would you recommend this program? YESSSS without a doubt!
What level of activity or exercise was allowed? yoga 3x/wk (if youre medically stable) and yogarhythmics 1x/wk. also, we get an outing every day, which is liek shopping or going to a park.
What did people do on weekends? saturday is yoga, cbt, art, we go to the movies, and then after dinner is target/michaels. sunday is spirituality group, and after lunch we have a 4 hour outing to a mall or the zoo, beach,
Do you get to know your weight? definately not.
How fast is the weight gain process? they aim for 1-2 lbs/wk, but there arent consequences if you dont gain. a lot of girls are hypermetabolic, so it can take a while before you gain any weight.
What was the average length of stay? you have to stay a minimum of 6 weeks, but i think about 3 months is average. Everyone’s process is different though.
What was the average age range? 16-40
What kind of aftercare do they provide? Do they help you set up an OP treatment team? you have a 1 wk check in and a 1 month followup check in. before you leave, they help you set up a VERY strong support system/OP team. they wouldn’t let me leave untill i did that.
How many IP beds? How many patients in PHP or IOP? there are 8-10 girls in the program. there are 8 beds at the apartments, and then 2 spaces for girls who live locally who can go home at night.

 

bathrooms are locked at all times except for shower time in the morning. there is no way to purge there and there are no sinks ect. you never gain independence in the bathroom area from the time u arrive to the time u leave. they are always locked at the center. there is very little exercise. yoga and walks once you get to a certain level.depending on ur weight u can’t really walk around or carry your own bags and once in the center u are required to sit on couch. they do not let you know your weight. weight gain per week is 2-3 pounds depending on how much u need to gain. some people only gain like 1 or 2 depending on their circumstaances and how fast they want it to go.
no extra massages even if u pay for them. all the therapists are great. u can’t go on pass by yourself until like the very end and that has to be earned. you can get off building status when u can like go outside and stuff. average length of stay is 2-4 months. yes to family therapy but only if u want it. they do have family weekends. you can’t exclude whole food groups unless it is a medically document illness. there are no supplements unless on huge MP and then they do shakes or am early meals before breakfast. weekend outings are like to the mall, movies, park, nail salon, ceramics, ect.
the food is good. the meals plans are all individualized. there are 4 levels of snacks, orange, blue, green, or pink and u pick from a sheet.
the only snack not eaten as a group is night snack. night snack is in the apartments and the night rc makes it for you and portions it and serves it to you. u just have to eat it before 11pm. staff is always present when eating.

 

Ok outings-yes, you do have to be a certain level to be able to do certain things on the outings…for instance-if you are “level 1″ and go to target, you can only go to get what you need (shampoo/conditioner, etc) and then you have to sit up front and wait with a recovery coach until the other levels are done…also level 1 and 2s have a lot of activity/outside restrictions–like if you were to go bowling on a saturday outing, level 1s couldn’t bowl-just watch…and level 2′s could maybe granny bowl or something…

Levels are based on if you’ve completed your meals and weight primarily…if you have to weight restore, you will probably be on level 0 or 1 for awhile (I’m level 1 still after being here a month)…there are alot of girls then that stay on level 2 for awhile once their weight has started showing improvement…level 3s and 4s are pretty much those who have been here a couple months or who have achieved close to their weight range…

Meals-no choices really…that’s a bittersweet thing…we don’t find out what we are having for lunch or dinner until about 5 minutes before the meal during “pre” when we all go around in a circle in a side room and say what our level of hunger/fullness is and what we anticipate about the meal (“sounds good”…”sounds scary”…”I’m anxious”…etc.-it’s free for all)…the cool thing is that everyone is doing the meal together so you are all in it together-the good and the bad…some days are good and the meal sounds good-grilled chicken salad, wraps for lunch, fish and rice or ground turkey chilli for dinner…and other days suck or seem intimidating…creamy seafood potpie, pasta and chicken, dark meat chicken and veggies with gravy…but after awhile, the food doesn’t become such a focus and you get to try a lot of different things your ed, or you may have never tried before…

as for breakfast-it’s on a rotating schedule:
mondays-english muffin day
tues-frozen waffle day
wed-bagel day
thurs-cereal day
and on…

saturdays-every sat. is pizza night and they order a takeout pizza
and every sunday is restaurant outing night, and one of the girls gets to pick a place from a list of area restaurants to go to (don’t worry, fast food is really not on there)…

movement/observations-RCs are pretty nice and are all about in their 20s or early 30s so they feel more like friends then anything..

sitting outside-depends on your level-level 0-no…but 1s…you get about 10-15 min outside…and as time goes on that becomes more…

it’s a tough program, but in the same way, more lax then Remuda that i went to…it’s no vacation for sure, but you will make it through…the girls are a huge support

i just have to keep reminding myself-this won’t last forever, and i will have an awesome life without ed and not in treatment when all is said and done…

 

Overall, the people are really really nice and seem to genuinely care about the girls. The staff also seem to be great role models of real health..and often times I have to reality check my crazy brain and say-”If they can eat like this…or not workout…and look like that (beautiful, normal)…then I am going to be OK!!”

Yes…alot of sitting around-particularly your first couple weeks if you come in needing to gain weight.

They have movement levels (0-5)…level 0 (that’s me for now) means really NO outings, no outside time, no carrying your own bags.

They are big on being “intuitive” here and self reflection…they emphasize sitting with your thoughts, journaling, talking…

As you gain weight, take challenges, and your labs/medical stuff improves, you “move up” in your movement level…level 1 you can start going on outings and experience minimal movement (walk around 15 min./sit in sun 15 min)…level 2 you are able to actually go on outings like CVS/nails/target/pet co…level 3 you are able to go shopping and actually buy something too (DSW/Forever 21/Nordstroms)…they rarely if ever go to the beach even though it’s in Miami-and you rarely if ever see the city…

As for the food…ehh…it’s treatment so expect, of course, to be challenged…however, most everything is made fresh and the chef is really nice. It doesn’t taste bad, but it will for sure give your ED a run for its money…

Example day:

B- biscuit w/ egg and cheese, juice…cereal, dairy (milk, cottage cheese, yogurt), fruit…bagel or english muffin w/ spread (you choose nutbutter, cream cheese, jelly), fruit, dairy…Saturday is “surprise breakfast”…frozen waffle day w/ spread of choice, dairy, fruit..

S- you get to choose from a pretty extensive list…fruit or crackers paired with one option (cheese, nut butter, hardboiled egg, turkey, nutella, cottage cheese, milk); salty or sweet mixed nuts; yogurt and fruit; yogurt covered pretzels; chocolate covered almonds; ice cream; poptarts…

L- Mediterranean “plate” (falafel, hummus, grape leaves, pita, tomato slices)… tuna melt on wheat and sweet potato soup…pasta, chicken and tomato cream sauce…peanut butter and jelly…chicken on salad greens with poppyseed dressing…

S- (Same)

D-Twice loaded baked potato w/ cheese, chives & smoked turkey…pizza night on Saturdays…turkey chilli…

S- (Same)

Like I said…doesn’t taste bad…but I’ve found it very challenging for me personally with lots of carbs (as to be expected when you are trying to gain weight)…however, when I write this out…it doesn’t seem half as bad as it may seem in the moment when your ED is talking to you!

The nutritionists are super cool and you get a “dislike” list of 5 things…and the option of a “replacement” meal (one of 3 frozen dinner options-don’t sound too appetizing though–veggie lasanga, chicken pot pie, or fettucini alfredo) if you really don’t like the meal being served…

They don’t supplement here-and you just are prevented from going on outings/privilages/asked to leave if you don’t eat your meals…

The living accomodations are great! You live in an apartment with up to 4 girls (there are 10 total girls in your program at the Center)…the apartments are really cute and about 10 min. from the center where all the therapy takes place…it makes the experience seem like real life….

Overall, OPC is no vacation…but the girls in the program and your ultimate goal to say goodbye to ED make the experience justifyable…OPC is the best place I think I’ve been thus far (also been to Remuda and McCallum place–awful experience at McCallum in St. Louis!)…if you have any questions (i know I did!), don’t hesitate to ask!!

Permanent link to this article: http://www.edtreatmentreview.com/2012/06/22/oliver-pyatt-centers-2/

52 comments

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  1. AKASkittles

    I think OPC has a good program intention and there are a lot of positives to the philosophy of treatment here. For example: living space and treatment space are separate, staff at all meals, therapy everyday, comprehensive team at the center that you meet with individually every week, and in general the other women that I met were very kind and nice. Unfortunately, my experience there was not very good. I had 5 different therapists in a three week time period (one left, another was on vacation for 2 weeks, and then during that time I was tossed between three other therapists) While I did not expect to have any therapeutic break throughs while I was there, because I was mainly there for nutritional therapy and balance, it would have been nice to feel supported by the staff through that process. My experience was quite the opposite from feeling supported though 🙁 I was misunderstood by most of the staff, however there were a few that I was eventually able to connect with. And the RCs (recovery coaches), that are a HUGE part of treatment, as they are the one with us everyday (24/7) were on a spectrum from really helpful to actually very hurtful. I had a really bad experience and was threatened by one of the RCs that was VERY unprofessional and really unacceptable (unfortunately the was the head RC of the house I was in, so that sucked). Fortunately, I came in ready and willing to do the work, even if hating the fact that I was in a treatment. I think no matter where you end up at treatment, knowing that nothing is going to be prefect and knowing what you need to do (or at least be willing to take on the things you are afraid of) is what will ultimately lead you to a successful recovery.

    I do think my experience there was not very good, not very supported and thankfully rare. The other girls in milieu were not tossed around to different therapists and in general had more support because of that. Its unfortunate that it wasn’t a positive treatment experience, however that is totally shadowed by the fact that I am finally after 15+ years of struggle and in recovery, so at least it was successful. And I’m proud of myself for taking all the adversity that I experienced in treatment, all the obstacles that were placed in my way (to make treatment, something that is hard enough even harder) and was able to come out in a much better place… so while I can’t really say I am thankful to OPC, I can say I thank them for making me realize my strength and my ability to have recovery despite the other shit that happens in life.

    PS. A funny side note that pretty much sums up some of my experience there: the aftercare provider called me a couple weeks after I returned home and had my name wrong, she asked for me (calling my personal cell) with the wrong name! The whole time I was there, very few people actually saw me for me, and thats why I say the aftercare provider calling me by the wrong name summed up my treatment experience there.

    Was there from May-July (left early)
    Am happy to answer any questions that pertain to treatment or schedule at OPC

    1. Q

      Would they ever court order someone to stay there who wanted to leave early against medical advice?

      Do they share weights with you? And what they set weights at? Is is true that they way overshoot some people?

      Could you do a comprehensive review of the food/ meals/ snacks/ supplements/ dining out/ cooking groups/ ordering in/ grocery shopping/ etc? How do they deal with preferences, vegan/ vegetarian, and allergies/ intolorences?

      Could you post and updated schedule inc things like outing options, massage, dance/yoga class, etc.? Can you get on an individualized exercise plan before goal weight?

      How many girls per house and in the entire center? Did it feel huge? Do you have to show them before you flush if you don’t struggle with that behavior?

      Who was the best therapist and dietitian? Are they hard asses there? Do you meet w/ Dr. Oliver Pyatt?

      Any thing else unexpected/ surprising/ tips?

      thank you!!

    2. Melanie

      What house were you in? Are the houses different? Do they separate by disorder? Is one house more positive then another? Do you ever meet with the Dr who started the center? On average how long are girls there for? It is a revolving door kind of place with readmits?

  2. Elw

    I had a horrible time at opc. They did not control the Amt of weight that I had gained and I came in serve ly underweight and left clinically overweight aka an Ed pt biggest nightmare

    1. Cara

      How long were you there from? My team is pushing for me to go there and what you just posted is what I am terrified of happening? What are meals like currently? Do they serve healthy food/snacks? Are houses divided by disorder or is it random? Would you be willing to answer some questions I have directly? I know things have changed a lot since the program first open and thats when people were saying great things about the program

      1. Elw

        I was there for 4 months. They made me have a waking snack at 4 am which was horrible and never would tell me when I reached my weight range. They do serve healthy food but lots of it. I wanted so hard so love the program bc the therapy is amazing but I have been in many many treatment centers and never experienced this much weight gain even after many months. I was at Avalon a few times and they are responsible in getting ppl to weight range and keeping them there. At OPC they said lets just see where your weight goes and never decreased me

        1. L

          Why a waking snack?

    2. Me

      What is the rate of weight gain? Do they tell you how many calories you’re on? I’m sorry that happened to you… 🙁 (Hug)

  3. anon

    What are the consequences for not completing a meal? Are the target weight ranges reasonable? Is it a voluntary program? Can you access your laptop during the day? Do you ever meet with Wendy Oliver-Pyatt? I have folks who want me to try to recover here. Thanks.

    1. A

      It was awful for me. If I didn’t finish the meal within time, or because I just couldn’t or refused. they remade the meal or gave me my replacement and made me sit again and eat the whole meal again, even if I had eaten 99% of the meal- and even once I had surpassed the weight every other treatment center had considered weight restored. (I gained 30+ more pounds here than they had me gain everywhere else). If I did not eat the second meal either, they sent me to the hospital. I really do not think using the hospital as a punishment is a good idea, but they said in florida you do not have to be a danger to yourself or have any specific reason, like in most other states, to put someone on a 24 hour hold. the target weight ranges are ridiculous. this will sound really mean, but it is honest, and it is something we genuinely fear and we DO experience. you know when you get there, you are scared. you assess the situation. and you see where you fit and how things are going to go for you. you typically feel like you are not as sick as others, but you also worry about the weight gain, if that is part of your program. and if there are people getting ready to discharge, you may compare and think about them compared to yourself at the end of other programs, or other people from the discharge date at other places, or how you might feel at that size. And at OPC, it is very overwhelming. The only explanation I can think of is that they are expecting you will crash and they are giving you the padding. Because everyone I was with has lost the weight. We were all horrified and dropped it as soon as we left. Many of us had to be readmitted elsewhere and were discharged at healthier, more manageable weights (though may battle with them), and others still struggle but have not gone back out of fear of treatment now. I am terrified to ever get help again. There are several others I was with who feel the same. For that reason alone, aside from the unhealthy weight gain (even my doctor told me my weight was unhealthy when I got home!), the fact that we were scared off of getting help, is a reason to go elsewhere. The fact is, people DO relapse, and DO need support. To become so scared and essentially traumatized by a place that should be safe and supportive when there really are amazing centers out there, is nonsensical. You need to be able to feel comfortable and willing to reach out for help. To answer the other questions, yes, you can access your laptop. No, you do not meet with wendy. Before you go, she will talk on the phone and say yes, you do. You can meet with her as often as you want. SHE will talk to you often before you go. Say at least once a week you can talk. I really connected with her before I was there. I spoke with her 2x the first week, then in almost a year, only spoke with her once more my last week. And is it voluntary? you do voluntarily admit, but they will fight to keep you there. If you ask to be discharged, they will threaten you. They will put you on 24 hour holds. they will say it is against medical advice so your insurance will not cover it. if your parents are involved, they will get on the phone with them and manipulate them (even if you do not have a release signed for your family if you are over 18), and yes that is illegal– and yes, when you get home, your family will feel REALLY bad. and ANGRY at OPC, and at treatment, and be afraid for you to ever go to treatment again… so maybe show this to those people who want you to go there. My family really wanted me to go there. It was maybe the only place that would take me. I was very medically compromised. The residential places would not take me until I could get more stable medically. Same for places like center for change and laureate which are inpatient with full time medical doctors and nurses 24/7 but no surgical, etc.. I was supposed to go to a medical unit. Then OPC- which is a PHP said they would, with a doctor for 15 mins. a week and no medical on staff at night- odd right? that hospitals would not but a PHP without a medical staff would, right? Do your parents really want you there? How much safer is OPC for you than being at home? If they want you safe, why not ACUTE Denver with your own complete medical staff, or monte nido, or erc, etc?

    2. Anon.

      My girlfriend is there right now. She is advancing really well in the program. She has had one accidental non-completion and she isn’t allowed to go on her solo outing until she has a meeting with her team. She has had minimal access to her iPad during the day, so I would assume it would be the same for a laptop. It has its good and bad. It is voluntary, but they try to prompt you into staying for however long they think you need to be there. It needs some touch ups from an overly investigative outside, but it seems to be a good enough place as long as you are willing to work with them.

  4. Anon

    I know it’s a small program — how long is the admissions process normally?

    1. shelly

      depends on medical necessity as it isn’t always first come first served. Anywhere from 2 days to 3 weeks.

  5. Stacy Barnett

    Hi I have the exact same question. We are trying to decide between oliver pyatt or ERC.
    What feedback did you receive. Our daughter is 20.

  6. valeria14

    I have a 15 year old daughter with an eating disorder and I am not sure if the best option is oliver pyatt or eating recovery center of denver do you have any reviews of ERC or of clementine at opc?

    1. A

      The ERC for sure! The staff there is so much better and OPC is not suited for teenagers. There is not adequate supervision. If you send her to OPC, I believe you have to move there with her, or at least that used to be the case. She cannot live with the adults. This created a divide, and she will not feel included. Also, more and more research is showing that teens and adults should not be treated together. You can see info on this at the treatment center called healthy teen project in los altos, ca, which opened recently for that specific reason- because of the detriment caused to teens who are treated with adults.

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