Our 2024 Comprehensive Outcomes

Monte Nido has conducted the largest longitudinal study of clients in eating disorder treatment programs

2024
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Key findings

12,000+

clients enrolled

clients enrolled
85%

85% of clients have co-occurring diagnosis of PTSD, mood, anxiety or substance use disorders

substance use disorder
58%

of adults and adolescents were at normal or higher weight* at admission

weight* at admission
36%

of all clients identify as LGBTQIA+

of all clients identify as LGBTQIA+
91%

of adults and 94% of adolescents restored weight when needed, which is best predictor of recovery

of recovery
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Report Highlights

1
Meeting the needs of all who have an eating disorder
2
There is nothing “atypical” about atypical anorexia nervosa
3
Rethinking BED treatment
4
Adolescents increase food flexibility with a dedicated ARFID virtual IOP
5
Significant improvements in residential care for adults
6
Transformative results at our residential programs for adolescents
7
Treating co-occurring diagnoses and eating disorders
8
Improvement in PTSD symptoms with concurrent treatment
9
In-person and virtual day treatment provide transition to long-term recovery
10
How our clients rate treatment with us
We gain consent from all participating clients. Currently, our research is gathered from all programs; however, this report reflects Monte Nido and Monte Nido Clementine programs, unless otherwise indicated. Response rates are for Monte Nido residential programs only.
1
Meeting the needs of all who have an eating disorder
We recognize that the eating disorder field has historically underrecognized the needs of certain marginalized communities. We have been working to better identify and address the needs of Black, Indigenous, and People of Color (BIPOC) and LGBTQIA+ individuals with eating disorders.
Eating disorders in BIPOC communities
Watch "Eating Disorders in BIPOC Communities"
Improvement in client eating disorder symptoms across races and ethnicities
Black + Indigenous
Asian
Hispanic
Full sample
In remission
Nearly 60% of Black and Indigenous adult clients have PTSD at admission compared to 45% of all adults at admission.
The most prevalent eating disorder diagnosis among Black, Indigenous, and Hispanic clients is other specified feeding or eating disorder (OSFED), with the far majority having atypical anorexia nervosa.
Asian adults are more likely to have a diagnosis of anorexia nervosa and demonstrate clinically significant reductions in their eating disorder symptoms, as measured by the EDE-Q Global at the time of discharge.
Eating disorders in LGBTQIA+ individuals
Watch "Eating Disorders in LGBTQIA+ Individuals"
36%
of all clients—adults and adolescents—identify as LGBTQIA+.
63%
of LGBTQIA+ adults in residential treatment met the criteria for PTSD, compared to 45% cisgender heterosexual individuals.
We lead in weight-inclusive treatment
We are proud that we advocate for clients to be admitted if they require care based on severity of symptoms, regardless of their BMI.
2
There is nothing “atypical” about atypical anorexia nervosa
OSFED refers to an eating disorder that is similar to but not exactly the same as other eating disorders. Most of our clients diagnosed with OSFED have atypical anorexia nervosa, and they admitted with severe symptoms on par with other diagnoses, and they improve at every level of care.
Watch "There is Nothing “Atypical” About Atypical Anorexia Nervosa"
Significant improvements for adults and adolescents with OSFED (Adult N = 2,462, Adolescent N = 790)
Adult
Adolescent
In remission
28% of adults and 21% of adolescents have OSFED, with the far majority having atypical anorexia nervosa.
3
Rethinking BED treatment
Binge eating disorder (BED) is a severe eating disorder that involves rapidly 
 consuming a large amount of food in a short period, accompanied by a feeling of loss of control overeating. Our research indicates that on average, our adult clients had BED for 20 years prior to treatment with Monte Nido and 14 years before any treatment.
Watch "Rethinking Binge Eating Disorder Treatment"
Quality of life improvement for clients with binge eating disorder at all levels of care (N = 103 RTC, 111 PHP, 114 IOP)
Residential
PHP
IOP
70%
of adults with BED reported a reduction in binge eating from admission to discharge in residential treatment.
4
Adolescents increase food flexibility with a dedicated ARFID virtual IOP
Those with avoidant/restrictive food intake disorder (ARFID) experience textural or other food aversions, significant distress or worries about feared consequences of eating, or a lack of interest in eating food.
Improved food flexibility for clients in the ARFID virtual IOP
Food Flexibility ScaleTM
1 = Some progress; volume/frequency only; preferred foods still
2 = Volume adequate; contemplating new variety/exposures or has completed only 1-2 new exposures
3 = Volume adequate; completing new variety/planned exposures regularly
4 = Volume adequate; new exposures being completed; good variety; starting new settings and more difficult exposures
5 = Volume/variety excellent; spontaneity clearly being achieved; interested in eating and enjoying food in varied settings
Expected body weight from admission to discharge from ARFID virtual IOP
89% of clients were reaching adequate nutritional intake levels by the end of treatment.
5
Significant improvements in residential care for adults
In the adult residential programs, significant improvements were noted in several mental health metrics, such as anxiety and depression, which helps provide a more holistic view of a client’s well-being.
Watch "Transformative Results at our Residential Programs for Adults"
Adults improve on multiple mental health markers in residential treatment (N = 3,790)
ED Symptoms (EDEQ)
In remission
Quality of Life (EDQOL)
Depression (PHQ-9)
<10 mild to no depressive symptoms
Anxiety (STAI State)
91% of adults restored weight when needed at discharge from residential programs.
81% experience continued reduced eating disorder symptoms 6+ months after treatment.
6
Transformative results at our residential programs for adolescents
Our adolescent-only Monte Nido Clementine programs provide further insights with treatment in a home-like setting as well as family involvement.
Watch "Transformative Results at our Residential Programs for Adolescents"
Significant improvement across all measures for adolescents receiving residential treatment (N=2,217)
ED Symptoms (EDEQ)
In remission
Quality of Life (EDQOL)
Depression (PHQ-9)
<10 mild to no depressive symptoms
Anxiety (STAI State)
94% of adolescent clients were weight-restored upon discharge from Monte Nido Clementine.
80% of our adolescent clients showed improvement in their eating disorder symptoms, and 70% reported improvement in symptoms of depression.
7
Treating co-occurring diagnoses and eating disorders
By addressing both the eating disorder and co-occurring mental health conditions, we provide holistic and sustainable recovery pathways for our clients. The significant improvements across various metrics highlight the impact of our evidence-based, individualized treatment approaches.
Watch "Treating Co-occurring Diagnoses and Eating Disorders"
Improvements in eating disorder, depression and anxiety symptoms at discharge are maintained six months post-discharge
Admission to discharge
90%
significantly improved: reduced ED symptoms
88%
significantly improved: reduced depression symptoms
75%
significantly improved: reduced anxiety symptoms
Admission to 6-months post-discharge
81%
significantly improved: reduced ED symptoms
73%
significantly improved: reduced depression symptoms
71%
significantly improved: reduced anxiety symptoms
85% of all clients had a co-occurring diagnosis of a mood, anxiety, or substance use disorder, obsessive-compulsive disorder (OCD), and/or PTSD.
8
Improvement in PTSD symptoms with concurrent treatment
Almost half of adults admitted for residential eating disorder treatment have PTSD. Our research supports concurrent integrated treatment for both conditions in residential settings, leading to sustained improvements post discharge.
Clients with and without post-traumatic stress disorder demonstrating ED improvement six months post-discharge (N=609)
PTSD+
PTSD-
In remission
Clients who completed CPT sessions had a significant reduction in PCL-5 scores, dropping from an average of 52.6 to 29 in just 12 sessions.
Learn more about our approach to trauma treatment
Learn more
9
In-person and virtual day treatment provide transition to long-term recovery
Flexible options including PHP and IOP, both in-person and virtual, bridge the gap between intensive treatment and sustained wellness.
Watch "In-Person and Virtual Day Treatment Provide Transition to Long-Term Recovery"
Clients in both PHP & IOP improve in ED symptoms (N=2,719 PHP, 2,191 IOP)
88% of clients discharging from virtual treatment described their experience as good to excellent.
10
How our clients rate treatment with us
Every client is asked to fill out a client satisfaction questionnaire at discharge from every program.
Overall program experience
Excellent (28.24%)
Very Good (34.12%)
Good (22.88%)
Fair (11.18%)
Poor (3.58%)
I really appreciated that everyone treated each other like family and showed me love no matter what.
Anonymous
I miss this place…it was security and strength all in one. The staff was fair. They understood. Even if you didn’t, they did. Take the lessons. Live your life. Forever grateful.
Stacy
I gained some amazing friends who I’ll value forever. And more importantly, I also regained my life.
Anonymous

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