Castlewood Eating Disorder Treatment Center

Step Down Program

A Program For Long-Term Success

Our Step Down program is usually a transition from residential care, moving from carefully monitored progress to fully independent freedom. The program focuses primarily on practice, with an emphasis on acquiring the life skills needed for successful long-term recovery. Clients build on the skills and healthy eating habits learned in the residential experience, trying them out in circumstances more closely resembling real life. There is greater autonomy and more personal responsibility, yet there’s also plenty of support, guidance and community.

We understand that every new phase in a client’s recovery entails unique challenges, so this program is custom-tailored for each individual. Stepdown clients will develop a balanced lifestyle in a variety of areas: appropriate nutrition, work, school or volunteer activities; supportive relationships; recreational activities and self-care. The more opportunity to practice these life skills in the Stepdown phase, the greater the odds for a sustained recovery.

During Stepdown, a meal and exercise plan is developed for the individual client by the nutritionist. Clients frequently say our dietitians and nutritionists are the best they’ve ever worked with. We consider this a supreme compliment and a major reason for our high rates of success.

Stepdown programming is held at our Intensive Outpatient Offices in Fenton, MO to allow clients to develop new life skills such as time management and in order to prepare them for the transition to outpatient treatment either at home or in St. Louis.

Each Client receives:

  • Housing in our Step Down Apartments.
  • Two individual sessions per week with the primary therapist.
  • A weekly session with his or her nutritionist, who eats meals with clients.
  • A weekly session with our psychiatrist.
  • A small, well-chosen therapeutic community.
  • 6 hours of group therapy per day.
  • Levels of care that allow for increasing autonomy with continuing support.
  • Adjunctive individual sessions as needed for anxiety/OCD work, life skill development, body image work, or other specialized adjunctive work.
  • Individualized biweekly treatment plan.
  • 1-2 staff supported meals and post meal processing Daily, as determined by the client's individualized treatment plan.
  • Family Therapy and participation in our Family Week.




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