«

»

Print this Post

Remuda Ranch

**updated reviews greatly appreciated. the VA facility has closed. The ranch now has houses that specifically treat children, boys, adolescents, and adults.  there have been a number of other changes as well…

 

When were you there: May 2007-June 2007, 45 days!Describe the average day: Wake up at 6am to do vitals and weights, breaktfast at 7ish, an hour of free time, then groups/individual appts with therapist/psychiatrist/etc. until 12pm, meds at 12pm, lunch at 12:30pm, more groups/individual appts until 4pm, chapel at 4:30pm, supper at 6pm, and rec/equine privilege ride/free time after supper, meds at 9pm, and bedtime at 9:45pm.

 

What were meals like? Ate with 4-6 people and there was always a table monitor, played lots of games

What sorts of food were available or served? Pick your entree and side from two choices, food was ok.

Did they supplement? How did that system work? Feeding tubes, boost, or ensure. If you need weight restoration, some people were given the option to either consume more calories or feeding tube.

What privelages are allowed? See next question…however, no tv, magazines, radio, internet, essentially contact with the outside world, no razors, no products that list alcohol in the 1st three ingredients such as hair spray, etc. (you have to check them out from the staff), no soda, gum, etc. You can use the phone/receive calls after your first three days. Phone hours were from after chapel at 5:15pm-bedtime Monday-Friday. All day on Saturday and Sunday.

Does it work on a level system? Yes, red until you are medically cleared, yellow allows you to go to groups and be transported via “people mover”, and green gives you all privileges such as walking to groups, equine privilege ride, an hour of room time on Saturday & Sunday.

What sort of groups do they have? Art therapy, trauma group, body image, OCD, bulumic group, yoga, ropes/challenge course, canine therapy, skills, medical issues

What was your favorite group? Canine therapy, trauma group

What did you like the most? All of the other ladies and staff–24/7 love and support. My community was really positive and pro-recovery.

What did you like the least? The weekends were long with little to do.

Would you recommend this program? Absolutely, without a doubt.

What level of activity or exercise was allowed? If you were green, you had the option of going on a cardio walk 3 mornings/week, could walk to the groups/chapel, etc., and could go to the bookstore or out on a ‘restaurant challenge” If you were red, you could sit on the couch and breathe and that’s about it.

What did people do on weekends? There was usually one group on Saturday morning, there was art room time on alternating Saturdays, and if you were at a certain level, you could have 60-90 minutes of unmonitored room time on Saturday and Sunday. Optional chapel and bible study on Sunday. We watched a lot of PG-movies.

Do you get to know your weight? Not a specific number but sometimes a range such as “you are in the range you are supposed to be based on your height, etc. You could find out your weight toward the end of your stay.

How fast is the weight gain process? Slow, usually 1-2 pounds/week.

Definitely recommend Remuda; the staff, therapists, etc. are wonderful and always willing to talk. I cried every day the first week/weeks and the staff told me it would be ok, etc. Very caring. My medical concerns were addressed. Email me if you have any questions. It is hard but definitely worth it…you are worth it!

 

Yes, you do have the option of using supplements rather than the tube. When you are underweight at Remuda, you get the option of either the tube or supplements. When I was there, I chose the supplements rather than the tube because I was really freaked out about the idea of having one, although it seemed to me that most of the girls actually chose tubes.Even if you choose the tube, you still have to eat the standard three meals and three snacks a day, so everyone at the ranch will have to eat. The supplements and tubes are just for added calories to gain weight. As far as the supplements there, there are options such as Boost puddings, Boost drinks, Resource oats, Resource ice cream abd Resource cookies. Hope that helped some.

 

When were you there: June 22 – August 27, the last 3 weeks of which were at Remuda Life, not the Ranch.Describe the average day: You have 3 meals and 3 snacks a day, and groups in between. Home group is everyday, equine is once a week (twice if you get to do the Privilege Ride), and you get to do the challenge course every other week. You meet w/ ur therapist twice a week and your dietician once a week.

 

What were meals like? You get 3 options, breakfast is big, lunch is medium size, and dinner is the smallest. The food isnt too bad. Table games are used for distraction if the meal is hard for people to get thru.

What sorts of food were available or served? Lots of different things, from chicken and veggies and rice to pizza and sorbet.

Did they supplement? How did that system work? Yeah, depending on how much weight you need to gain, and you got supplement if you couldn’t finish a meal. The cool think about Remuda is that food is NOT for weight gain, thats what the Ensures are for.

What privelages are allowed? Priv ride, priv table

Does it work on a level system? Yeah: red, yellow, green. Red you can’t do anything, yellow you can do everything but equine, and green you can do everything available. Depending on what your weight is doing you might be put on transport meaning you can’t walk anywhere but have to ride in the “people mover” (aka golf cart)

What sort of groups do they have? home group, bulimic group, addictions group, trauma group, anxiety group, adult process group

What was your favorite group? home and bulimic, but I wasn’t in any of the others.

What did you like the most? Equine, canine therapy, and the challenge course! Especially the challenge course.

What did you like the least? Essential Tools class. Blah.

Would you recommend this program? YES it changed my life!

What level of activity or exercise was allowed? Cardio walk 2X a week if you are at you IBW. Plus you walk everywhere, do equine, and the ropes course. Swimming if you are there in the summer (but you are only allowed to swim 1 lap, and then are supposed to just hang out in the water the rest of the time but you can tread and they dont care). Oh and rec once a week sometimes gets ur heartrate up.

What did people do on weekends? Nap, hang out, watch movies, more napping. Priv ride if you are on the list, passes to go out in Wickenburg w/ staff if you are eligable.

Do you get to know your weight? Yeah, but I think it varies from person to person. They also told me my fat % and muscle mass %.

How fast is the weight gain process? I am not sure, I was already in my range when I went. I would guess 1 lb. a week or so.

What was the average length of stay? 45 to 60 days, I was there 45 and then at RLP for 3 weeks.

What was the average age range? mid twenties. Youngest 18, oldest 40ish in my community.

 

General info for prospective patients:
Food wise, depending on your current status, you will be started on refeeding, a very light and eaily digestivlle food, gentle, slightly more filling, or normal, which is sometimes scary, but very tasety and helps conquer food fears. THe dining room lookes like a house with extra tables. Very homey not hospital like at all

Tubeing: Its encouraged for patients who have a lot to gain as it makes it easier to deal with and helps later when you will only have to eat food

exercisë: for patients on green level, there are 20 min walks every day. THere is also a ropes course and summer swimming

Programs: art thereapy, nutrition and body image groups, goal groups, groups I cant remember, school, AMAZING chaples, therapy with amazing therapist, home groups, equine, free time, family week,this helps you heal the wounds caused by your eating disorder

Supplements: tube feeds, boost, boost pudding, resource cookies and ice cream, resource oatmeal (yummmmm!)

schedual Up at 6, bed at 9, varied schedual in between

bathrooms: monitered

rooms: share a room with three other girls, about 16-19 to a house, nurses outside door to check on you

 

1) There are lots of things you cannot bring, but only because of safety issues and them wanting you to focus. I’ll list some here- No: flip-flops, clothing with food or drugs/alcohol logos, glass whatsoever, metal objects, shaving rasors (you can only have electric rasors), CDs/MP3s and accessories, most books (some exceptions made by your therapist), stuffed animals (if you ask your therapist, you can get a plushy horse), anything with alcohol within the first three ingredients, blowdryers/curlers/flat irons (or they will be kept behind the desk), anything related to the ED (duh, stuff like laxatives, diet pills, diet foods), laptop computers, etc. Again, this is ONLY for safety precautions, and they provide you with things you might need, like the haircurlers and electric rasors if you don’t want to bring them. As there is no computer access, bring stationery and stamps. Also, no cell phones so bring a calling card.2) Your weight range is measured by using caliper measurements. It is catered specifically to your body, not based on BMI or “ideal” weight. It’s the most accurate way of measuring your body’s healthy weight range (besides having underwater measurement, which…obviously they can’t do).

 

3) Typically, the tube is offered if you are <80-85% (correct me if I’m completely wrong, guys) of ideal weight and will not do supplements. Also, they will “strongly medically recommend” that you have the tube if they don’t think you can gain the appropriate amount of weight with supplements in the allotted time you have (either 45, 60, 75, or 90 days). A lot of people think RR is tube-happy, but they use the NG tube because it has been shown in research that voluntary tubing is more effective for weight restoration. I also found it easier to separate weight gain from the tube feedings (AKA medicine) from weight gain from supplements (which I did at Remuda Life after having the tube for two months at Remuda Ranch).

3) If you are still in high school, I’m sure they will work with you to finish classwork. Talk to intake about this, as this is a sorta tricky situation. I had a friend who turned 18 while she was at Remuda adolescent programme, and she still was able to keep doing her school work in the ado programme.

4) Remuda Life is really recommended as a transition. What are some questions you have about it? Typically you stay for 30-45 days but it can be as long as 90+ days if you need it.

5) Family Week is important, but I have a friend who didn’t have her family come, and she said it was still very helpful. Another example was with me; my father didn’t come to FW, and I really wanted to get some things out in therapy with him, so instead, I talked it out with another father of one of the families in FW with us (there are typically four other families in therapy with you during FW). It was a good release, and has helped me realise that I cannot change things. Also, your therapist will call your family and explain to them the strong importance of being there for therapy if you agree to it. You can also do a phone conference with your family if they just refuse to come. I’d really recommend seeing if you can get them to come though. My mom, husband, and sister drove 9-10 hours to get to AZ, and it was pretty worth it.

 

What’s the food like? Snacks?
You choose one out of three choices for meals- you have 3 meals a day (6.30a, 12.30p, and around 6.45p), and 3 snacks a day. Snacks are things like trail mix (called GORP- try it, it’s soooo good), yoghurt-covered pretzels, string cheese, apple + peanut butter, banana, pudding, animal crackers, oreos, carrots + Ranch dressing, etc. Don’t let this overwhelm you at the moment; they portion out proper amounts. You are assigned a certain amount of “snack EQs (equivalents)” by your dietitian. Typically, it’s around 4-6, sometimes more if you are on weight restoration. Also, they have “metabolic additions” added to your meals if you don’t really need supplements but may need to gain a few pounds to get to your ideal weight range- they are things like an added 1/2 cup of ice cream or an added biscuit or an extra condiment, for example, during your meal. Supplements for weight restoration are Ensures, Boosts (they were phasing out the Boost puddings while I was there, but they may have brought them back), and Carnation Instant Breakfast juices. They also have snack challenges a couple times a month (I believe) where you can challenge yourself to have things like birthday cake, chips and dip, soda, etc. These snacks still count for “snack EQs.”

If you are on the tube, Do you still do snacks?
Yes. They carefully monitor your weight and make sure you are on track, so don’t worry about just gaining too much.

Do they allow passes?
You are allowed to have family visit at the Ranch during the weekend, as long as you get it approved by your team a few days in advance. Also, there are Action I and Action II passes- Action I is where you go to the Remuda bookstore (it’s in the middle of Wickenburg) and Pony Espresso (for snack); Action II is where you go on a restaurant challenge. It’s stressful, but also very fun. :) Also, you have Family Week pass on the weekend of your Family Week therapy. Then you get to actually get to go out on your own with your family!

Can you have blankets?
Only in your room due to sanitation issues and organisation. They also wanna make sure you are awake and alert during the day.

Were you there over the holidays? I’ll be there for T-Giving, Christmas & New Years,, Do they do anything special (If you know).
I was there during Christmas and New Years this last year, and we did a special snack challenge where we decourated Christmas cookies- you did have to decourate at least one cookie, but didn’t have to eat it if you didn’t want to. However, it did count as “snack EQs” if you did. Good to challenge yourself! We had a lot of fun on Christmas, and although we still had groups and therapy, we decourated in our free time. If you look through some of my photos, you’ll see that the girls and I ended up making “reindeer antler” hats that we wore all day. It was hilarious. Also, family can come visit if you give your treatment team notice and you’ll have a monitored Christmas meal that is portioned out correctly for you. :) The same goes for Thanksgiving, but I’m sure since you’ll have only been there for a couple days, you probably can’t have your family come yet. As for New Years, we had some cheesy (but hilarious) New Years “dance party.” ;) Trust me, you’ll have plenty of friends around ya to keep ya company, and it actually was one of the best Christmases I’ve ever had. :)

Are you in the general population the first few days or in a different spot?
You are in the general population. There are three communities at the AZ ranch- Palamino, Appaloosa, and Paint. Basically, the community that you’re in will be the people you do stuff with and bunk with.

Do they have CD players there?
They have a DVD/CD player in the main living space, and you can listen to music after therapy in the evening. However, they don’t have personal CD players. Also, the only music they really allow is Christian artists, because they don’t want profane lyrics, etc.

How many girls are there in the AZ home?
Well, like I said there are three communities; total, there are about…I’d say…50 girls, however, they’re separated into three groups- Paint and Appaloosa are the biggest communities (I think we were up to 17 towards the end). Palamino is smaller, due to a smaller living space. However, you will get some interaction with the other girls in different communities during certain groups and during chapel. I’ll add too that around the holiday season there are typically less girls due to people wanting to be home for the holiday, but you’ll see that after Christmas, more people will come in. :)

 

+When were you there? 12 December 2007-10 February 2008.

+Describe the average day:
-Wake up/throw on gown to be weighed by 5:45 (for those with NG tubes, this happens everyday except weekends, and for those without, this occurs on MWF).
-If you have medications (most do), take them at 6-6:30.
-Breakfast at ~6:40.
-Cardio walk outside (if you are in your ideal weight range), then therapy/group.
-Snack at ~10:15.
-Group/therapy.
-Lunch at ~12:40.
-Group/therapy.
-Snack at ~3:30.
-Group/therapy.
-Phones open for weekday calls at 5, I believe.
-Chapel (M-F mandatory, no chapel on Sat, and Sun is optional) at ~5:30?
-Dinner at 6:50.
-Free time until snack at ~8:20.
-Rooms open to get ready for bed at 9.
-Lights out by 10.

+What were meals like? There are many options throughout the time you are there, and they are much better than “typical” hospital food. You are allowed to pick what you want to eat out of three meal options for breakfast/lunch/dinner, as long as you do so the day before, using their “Daily Bread” system.

+What sorts of food were available or served?
-Breakfast: Eggs, sausage, bacon, pancakes, french toast dippers with syrup, muffins with butter, tropical fruit parfait, toast, cereal, oatmeal, cream of wheat, waffles. (Allowed one cup of regular/decaf coffee or tea if you are able to completely finish your meal without supplementing.)
-Lunch: Sandwiches, soup, etc. Typical lunch food. (Allowed one cup of decaf coffee or tea if finished completely without supplementing.)
-Dinner: Chicken, lasagne, fish, sandwiches, soup, pizza, burgers. Again, typical dinner food. (Allowed one cup of decaf coffee or tea if you finish without supplementing.)
-Snacks: String cheese, carrots with dip, chips, cookies, apple with peanut butter, banana, animal crackers, cereal and milk, pudding, GORP (type of yummy trail mix), yoghurt, etc.

Did they supplement for unfinished meals/snacks? How did that system work? Yes, they did supplementing. They used Ensure (not Ensure Plus), and they had a minimum amount that they would give you, despite how much you actually had left. You could refuse the Ensure, but this would go into your record as a “refusal of programme.”

+Does it work on a level system? There are levels of Red, Yellow, and Green. It’s not based on performance, but by your medical health and progression in the programme. Red status: you always have to have the toilet flushed, cannot go to groups, etc. Yellow status: you can do practically anything and you are progressing in the programme. Green: the most lenient status, and you are allowed all privileges for the most part. Your treatment team will explain this better. There is an exception of “On Transport”: you cannot walk to groups/have to be transported in a people mover, due to low weight or medical issues.

+What sort of groups do they have? Art, Recreational, One-on-Ones with your therapist/other staff, Feelings Check, Spiritual Growth, Nutrition, Body Image, Equine, Chapel, Challenge Course (ropes and rock wall), Meal Challenges, Action Pass I and II, Form (a kind of Christian meditation/yoga) etc. One-in-Ones include: Equine, Body Image, Equine, Canine, Challenge Course, and Nutrition.

+What was your favorite group? Probably Art because I’m pretty creative and enjoyed working with our hands. Also like Canine one-on-one and Action Passes. :) Well, of course!

+What did you like the most? The entire programme was truly as amazing as they come- of course, there is a lot of hard work, and if you want recovery, you’re going to have to really WORK for it. No treatment centre is a miracle cure/fix.

+What did you like the least? Some of the staff members were a bit cooky and I didn’t like Recreational therapy.

+Would you recommend this program? Absolutely. Go the longest you can, work hard, and see if you can do their step-down residential programme at Remuda Life in Chandler, AZ.

+What level of activity or exercise was allowed? For those at their IBW, you were allowed to do Cardio Walk, which was about a 15-30 mn walk around the grounds. I was not able to do this, as I did not hit my ideal weight range while there. For those on yellow and green, you were allowed to do Form, which is a slow form of Christian yoga/meditation and Rec therapy. If you were off transport, you were allowed to walk to groups around the facility.

+What did people do on weekends? Assignments from Remuda binder, talk, watch Disney movies (G rated only), DocTalk group.

+Do you get to know your weight? No, blind weights.

+How fast is the weight gain process? ~2-3 pounds a week.

+What was the average length of stay? 45-60 days.

+What was the average age range? They have an adolescent programme and adult programme- I was at Rio Adult Programme and knew women from 18 to 63 years old.

+What kind of aftercare do they provide? Do they help you set up an OP treatment team? Remuda Life and YES.

 

1) Basically, during “Family Week,” your family will come and more than likely stay in the family suites accommodations the Sunday before you start the five-day therapy (+ 2 days pass). On Monday, you are transported to a separate facility everyday directly after breakfast in order to do ~8 hours of therapy with your family + a couple other families. If you choose to do so, other than family week, your family can come visit you for visiting hours on weekends, and therapists can set up teleconferences with your family as well to do more sorta “one-on-one” family therapy. It all depends on your situation, but they most certainly do not push family away if you want to involve them in your recovery.2) Okay, so, horse riding is pretty often- first you do one group session grooming them and being taught things about them/riding/saddling. If I can remember correctly, you have to be on “green status” to be able to do a ride around the grounds. Also, if you have osteopenia, they make you sign a waiver that you understand the dangers if you were to fall. If you have osteoporosis (full-blown), they typically (according to their judgment) don’t want you to ride at all. While I was there, I didn’t yet have osteopenia, but I had a broken tailbone (due to seizures from the ED before RR), so I only rode twice- once for practise, and then the second time during the Family Week rodeo (where your family comes to the facility and will watch you perform in a little cheesy but fun rodeo).

 

Challenge Course: Basically, this is a lot of up-in-the-air ropes courses + rock wall + zip line! It is a very fun, but scary, but challenging, but rewarding experience. :) You have to be on “yellow status” to be able to do this. If I remember correctly, you do ropes courses once a week.

*Read some of my other posts to figure out what the statuses mean.

3) Typically, when you come in, tube feeding is something your dietitian will recommend at her own discretion. It just has to do with how your team believes you will handle weight restoration and if it would be medically necessary to tube you. This means, for example, will you be able to gain the recommended weight in the time you are there using supplements (not as effective)? I have found that they typically do tubes at <80% IBW, but that is not set in stone. It’s allllll up to your team, and you don’t HAVE to take the tube, of course, since you have come voluntarily. You can always opt to do the supplements (Ensure Plus, Boost, Carnation Instant Breakfasts, metabolic additions).

4) From what I’ve heard, the VA ranch is much more laid back at the moment, due to it being a “smaller” facility. They only have one community of girls; whereas, AZ has three communities (Appaloosa, Paint, and Palomino). But basically, they follow the same guidelines, and have the same opportunities. Weather is a bit different between the two, since AZ is a cold/hot desert, and VA is well…east coast! :) Note: They cancel Challenge Course if the temperature falls below 32 degrees typically, due to frost. Also, if it is raining (and snowing if in VA, I assume) for safety precautions.

Permanent link to this article: http://www.edtreatmentreview.com/2012/06/24/remuda-ranch/

65 comments

Skip to comment form

  1. abbykerling

    People have been asking for an updated review, so I will try my best to provide as much as I can!

    When were you there (and level of care): February 6th-April 12th, 2014

    How many patients on average? When I first arrived to inpatient in February there were about 19 of us, the max is 24. by the end of the inpatient stay it was down to 9. Once I was at RLP (transitional living program) there were 24 at the beginning, then once I left Remuda Ranch the RLP program only had about 15 total. People are constantly coming in and out. One week it could be full and the next if could be almost empty. It all depends.

    Does it treat both males and females? If so, is treatment separate or combined. It is for females only. It does have an adolescent program and an adult program. I was on the adult unit.

    How often do you see a medical doctor, psychiatrist, psychologist (therapist), nutritionist, etc? At inpatient you met with your dietician 1-2x a week, psychiatrist every single morning, medical doctor as needed, and therapist 1-2x a week. At RLP you met with your dietician, psychiatrist, and therapist all 1-2x a week depending on what you need.

    What is the staff ratio to patients? At inpatient you ALWAYS had BHT (behavioral health tech or basically a nurse) around you 24/7. They went to groups with you, ate with you, and basically did everything with you. There were probably 5-7 BHT on staff at a time. The BHT’s at inpatient were all so amazing and so sweet. Miss Rachel is SWEETHEART. Elsa and Shannon were also some of my favorites! Most of them are recovering from some sort of addiction as well, so they actually can understand and relate which was so helpful. At RLP the BHT’s were hit or miss. Some were really great while others really didn’t understand eating disorders which made for a lot of frustration, but I just avoided those BHTs. There were about 2-3 BHTs on staff for RLP. This became a problem sometimes because if someone was on 24/7 watch for behaviors or something we were not able to be taken to CVS because the BHT couldn’t leave. For the most part the staff was really great. I didn’t include the therapist, so there was them for any type of additional support that was needed.

    What sort of therapies are used? (DBT, CBT, EMDR) etc? Remuda used CBT and when needed a patient could do EMDR as there were therapist trained to do so. I did not participate in EMDR, however many of my housemates did and they said it helped them a lot. EMDR is REALLY draining though and is a lot of hard work for patients.

    Describe the average day:

    Inpatient

    -Wake up at 5:00 by BHTs for weights and vitals
    -5:45 leave bunkhouse and head up to main lodge
    -6:00-6:45 Meet with psychiatrist, finish getting ready, take meds
    -6:45-7:15 Breakfast
    -7:15-7:30 Meal Processing
    -7:45-8:45 Goals group and ABA (anorexics and bulimics anonymous)
    -9:00-10:00 Group/therapy
    -Snack at 10:15.
    -10:30-11:45 Group/therapy.
    -12:00 Lunch Meds
    -12:15-12:45 Lunch
    -12:45-1:00 Meal Processing
    -1:15-2:45 Group/therapy
    -Snack at 3:15
    -3:30-4:45 Group/therapy
    -5:00 Dinner Meds
    -Free time before dinner
    -Dinner at 5:30.
    -Meal Processing 6:00-6:15
    -Free time until night snack
    -Night snack 8:00
    -Night Meds 8:45
    -Rooms open to get ready for bed at 9.
    -Lights out by 10.

    The schedule for RLP is WAY different as you do a lot on your own. It also varies from day to day. You get a print out of the weekly schedule when you arrive.

    What were meals like? At inpatient you sat in the dining room that had 4 round tables. Depending on how many patients there are, you had on average about 5-8 girls at your table. You also sat with a BHT to be the table monitor. You sat down to the spot that has been preplanned by the seating chart by the BHTs. You also ate with your placemat at was made for you by the patients when you arrived. I still have mine :) We played a lot of table games as food talk was not allowed. My favorite game was Contact. Everyone was good about not talking about food, the only hard part was eating with people who tried using food rituals, this was triggering at times. At RLP you ate with your housemates without a BHT, so you got freedom to practice eating in a normalish setting to help adjust you back to real life.

    What sorts of food were available or served?They varied, they were on a 30 day schedule. For breakfast you saw a lot of toast, eggs, english muffins, fresh fruit. Fridays were always “Parfait Friday”. Lots of yogurt and cottage cheese. For lunch it was a lot of sandwiches…like I think it was a sandwich more than half the time during the week! We had chinese on Saturday nights (scary!!!). Actually, it wasn’t as bad as I thought. They serve really healthy foods, so it is easy for it to “make sense” in your ED head. They also give you a meal ticket at the end of each meal when you completed your food to show you the break down of exchanges so you can visually see what was on your plate as to a grain, protein, fruit, veg..etc.

    Did they supplement? How did that system work? If you need to gain weight they will add supplements and your meal plan will be adjusted. They have multiple different meal plans, all depending on your height, age, weight, and etc. Everyone usually starts out on refeeding or gentle then moves to faith, enlightenment, and wonder. It all just depends on what your body needs.

    What is the policy of not complying with meals? At inpatient when you completed your meals you got a meal ticket that you could turn in after the meal for a hot drink. Coffee (only caffeinated in the morning), hot chocolate, or tea) Otherwise if you did not finish 100% you did not get the hot beverage. This was a huge motivator because you didn’t want to be the only one who didn’t get the hot drink! If you didn’t finish your BHT will look at your plate and decide how much to supplement you with. You then had to sit with the supplement for 5 minutes. If you still didn’t take the supplement, then it was put in your chart. Not sure what happened if you continued to refuse supplements from not finishing.

    Are you able to be a vegetarian? Kind of. You had to discuss this with the Dietician. She had an eating disorder when she was younger…so she understands a lot and is so easy to talk to. There were a few girls that were vegetarian while I was there, but you had to really convince them that you were vegetarian BEFORE your ED was present. They do allow you to have 3 dislikes though, so what I did was have beef and pork put on my dislikes. You get a lot chicken for meals then. They really don’t even serve that much beef and pork to begin with because so many people have those on their dislikes. Also, if you are not a big milk drinker I would suggest putting that on your dislike because otherwise you will get it all the time. You still have to have it if you’re having cereal, but this way you don’t have to drink it. So instead of drinking milk, you will get a lot of yogurt or cottage cheese (protein). I enjoy yogurt and cottage cheese so it was a good switch for me!

    What privelages are allowed? At the end of my stay at inpatient, they started up the privelage table. This was for the girls that were about to discharge or go to RLP to start practicing eating without a BHT.

    Does it work on a level system? red, yellow, green. Red you can’t do anything, yellow you can do everything but equine, and green you can do everything available. Depending on what your weight is doing you might be put on transport meaning you can’t walk anywhere but have to ride in the “people mover” (aka golf cart). Everyone is transported to groups, but once you are on green you can walk back to the main lodge. Also, you have to be green to do Ti Chi or however you spell it!

    What sort of groups do they have? primary group (things get really deep and emotional in this group), body image, equine, art therapy, core skills, etc. There were so many different groups! Even more groups at RLP and that is where I thought I learned a lot more. I also think I learned more at RLP because by that time my brain was functioning a lot more. I don’t remember much from RIO (inpatient unit) because I was still really sick.

    What was your favorite group? I learned a lot in Collen and Julynn’s from RLP groups mainly about core skills. There was also body image at RLP once a week (should be more) that was helpful. I think my favorite was always primary group (process group) because people were able to be honest about how they were doing and we had really deep conversations and were able to ask for and give feedback. (You will learn the feedback loop! haha)

    What did you like the most? THE WOMEN. These women I stayed with from the beginning to the end will forever be in my heart. I still talk to about 5 of them who I had my entire journey with at RR and they are my best friends. I was able to establish amazing relationships with people after years of isolating myself.

    What did you like the least? That the ropes course was not open during the time I was at the Ranch! It opened as soon as I went over to RLP and patients at RLP don’t get to use the ropes course! It was a bummer.

    Would you recommend this program? YES WITH ALL OF MY HEART.

    What level of activity or exercise was allowed? NONE. haha. At inpatient you could be at a healthy weight and there was still no exercise. At RLP the most exercise I ever saw was someone was allowed 30 minutes 3x a week. However you do get to walk around the campus, so its kind of easy to just walk around and not be sedentary.

    What did people do on weekends? At inpatient we had a few groups, some were not mandatory so you could sit outside and journal, hang out in the art room, or write letters. It was was pretty chill. People took naps, watched movies, basically were really lazy. At RLP the weekends were for outings. Saturday mornings we menu planned for the next week and got to create the houses grocery list. Then that afternoon we got to go on our weekend outing to either a mall or town to do shopping. After I left I know they went to the zoo for one afternoon. These outings are a lot of fun and really help with transitioning back into the real world as it is hard at first especially if you were inpatient for awhile. To be allowed on the outings you have to have participated in a restaurant challenge that is offered once a week for lunch. You have to go on the restaurant challenge because you are on your own for the afternoon outing, meaning you have to eat with your housemates at a restaurant without anyone monitoring or anything. My first outing was to Precott, a beautiful little town where I ate with 2 of roommates and had the best afternoon! I never had felt so free. This was so encouraging, and really gave me hope for a better life.

    Do you get to know your weight? Sometimes. Your team/dietician will decide whether or not you can know your weight. I still have not been told my weight since January because I am still not ready to know it.

    How fast is the weight gain process? 1-3 lbs a week. I gained probably about 25 lbs over 3 months.

    What was the average length of stay? 30-45 days inpatient but that can really vary. Some girls were there for 4 days and went to RLP, some were there for 4 months. At RLP they like to keep you for 30 days, most stay 6-9 weeks though.

    What was the average age range? This varies so much. When I was at inpatient there was only one 18 yr old, a few 20-24 yr olds, about seven 30-50 year olds. There was also a 70 year old too. It just varies. If I had to say average it would probably be 22-30

    How do visits/phone calls work? At inpatient there were designated times for phone calls, usually just not when we had meals or group. It was no problem finding time to make calls. At RLP there was a house phone that you could use at anytime you wanted.

    Are you able to go out on passes? Not during inpatient. However you can have visitors, but this is pretty uncommon because most people are from all over the country. When I was there, there was also some people from Canada.

    What kind of aftercare do they provide? Do they help you set up an OP treatment team? They make you fill out a discharge plan with all of your OP team before you leave.

    Are there any resources for people who come from out of state/country? People come from out the country and all over the country.

    Other?

    If you have questions, let me know!

    1. cheri lopez

      Thank you for updating this site. It is hard to filter through so many comments and great to read a more recent one as we are debating sending our daughter here.

  2. Erin

    Does anyone have info on the mail program there? When I was at Ridgeview in Georgia in 2008 I at least was able to give family and friends an address to send me mail before I was admitted- but I don’t see anything on the RR website (the Wickenburg, AZ location).. :(

    1. Tina

      This is what send mail to, with the person’s name and unit they’re on: 1 E Apache St. Wickenburg, AZ 85390

      At least, that’s what it was when I was there – but that was 6 years ago.

    2. abbykerling

      I just just there this winter/spring. Tina is correct with the address. Oh 1 east apache steet…..how I miss you so much!

      1. Nancy Switkay

        Abby – what is Remuda Ranch like now? I was surprised to read that Ward Keller is no longer involved. I was there in the early 90’s, but didn’t have a very good experience – my therapist was brand-new and discharged me after only 6 weeks, even though my insurance would have paid for 3 months! I am now a therapist myself and would like to refer my clients, but am hesitant after reading so much negative stuff. I would appreciate hearing about your experience and if you feel that you got the help you needed. Thanks, Nancy

  3. C

    Has anyone been to Remuda since it was taken over by The Meadows in 2012? I’m curious if it is better then the previous owner who had it after Ward Keller.

    1. Anonymous

      I was there in 2011 before it was bought out, and the summer of 2013 after it was bought out, and the program majorly went downhill.

    2. abbykerling

      I was just at Remuda from February 6th, 2014-April 12, 2014. Let me know if I can be of any assistance!

      1. admin

        if you could do an updated review, everyone would appreciate it! i hope your journey of recovery is going well!

      2. E

        Abby,

        I would LOVE LOVE LOVE it if you would do a full review of your experience using the questions on the FAQ section!!

        When were you there (and level of care):

        How many patients on average?

        Does it treat both males and females? If so, is treatment separate or combined.

        How often do you see a medical doctor, psychiatrist, psychologist (therapist), nutritionist, etc?

        What is the staff ratio to patients?

        What sort of therapies are used? (DBT, CBT, EMDR) etc?

        Describe the average day:

        What were meals like?

        What sorts of food were available or served?

        Did they supplement? How did that system work?

        What is the policy of not complying with meals?

        Are you able to be a vegetarian?

        What privelages are allowed?

        Does it work on a level system?

        How do you earn privelages?

        What sort of groups do they have?

        What was your favorite group?

        What did you like the most?

        What did you like the least?

        Would you recommend this program?

        What level of activity or exercise was allowed?

        What did people do on weekends?

        Do you get to know your weight?

        How fast is the weight gain process?

        What was the average length of stay?

        What was the average age range?

        How do visits/phone calls work?

        Are you able to go out on passes?

        What kind of aftercare do they provide? Do they help you set up an OP treatment team?

        Are there any resources for people who come from out of state/country?

        Other?

  4. Kayla

    I was completely appalled by this program. Never would I recommend it or would I EVER send my daughter there if I had one. The program had no accountability and if you didn’t want to eat, there were no repercussions . They do not tube anymore and have no problem telling people that they are “not fit” for the tube. The staff there is okay now, nothing great but nothing too bad. They are inconsistent so if that’s an issue with you, I would not recommend going there. Basically , I was there for four months and came back home at a lower weight than when I went in. I don’t care how “non-compliant” you are- inpatient and residential should never allow that. They therapy was pointless because you met with your therapist maybe once a week. Food was bad. No options so if you’re picky, aside from your eating disorder, do not go. Well, do not go for any reason!!! Save your time and money!!

  5. Nika

    I would really like to know if the program worked for anyone? If the program helped even with all the changes that happened?

  6. Tabitha T

    I was at the Ranch from February 2013 to April 2013, almost 3 months. The length of most stays is now about a month, but then again it depends on how much weight restoration you need/behaviors..and insurance cutting off. Some girls were discharged after just a few weeks, some after months..
    Umm a lot is different now than the old reviews on here, but I’ve heard it’s even more different since I’ve been gone because it was bought out by a sister company in Wickenberg..
    anyway, I was there this year 2013 until the end of April:
    day starts around 5:45am, BHTs wake you up to do vitals, get up and get dressed/shower/brush your teeth if you have time haha, it’s super rushed in the morning in the bunkhouses. 1-4 girls per bunkhouse. go up to main lodge by 6:45am, meds, finish getting ready for the day, breakfast at 7:30am, Goals group, Morning snack @ 10:30am (protein and a fruit=cheese stick and most times you get to pick a fresh fruit, sometimes canned tho), Group 11-12pm, Noon meds, Lunch at 12:30pm-1pm, down time then a Group, Afternoon snack @ 3:30pm (protein and grain for most but depends on your dietitician)
    , group, dinner meds, Dinner @ 6pm, a little free time, Group Wrap-Up, Night snack, night meds then down to the bunkhouses when everyone’s through getting meds and nurses are done doing nothing..

    a lost of the nurses are just okay, some are rude, accusatory, and make the environment horrible, but others, Mrs. R, are true gems and so kind and caring, always there for you, make the day/evening somewhat enjoyable and treat you like an adult not a child..always there to take to,

    but just remember anything you say or do can be used against you by BHTs/Nurse staff!

    I would go again or recommend this facility to anyone who really wants to recover.

Fetch more comments

Comments have been disabled.

%d bloggers like this: