Frequently Asked Questions

At Orenda we understand that our program will not be able to meet the needs of every individual seeking support on their treatment journey, as part of our mission we strive to assist individuals and families seeking treatment to make informed decisions in order to receive quality care. Below you will find a list of questions that we believe are important to ask when exploring treatment options available to you.

What is the capacity of your program?

Orenda is an intimate boutique eating disorder recovery program based in a warm home environment in the hills of San Diego. Our home can accommodate up to six women and it is our goal to provide safe individualized experience for each of our clients and families.

What is the client to staff ratio during the days/ nights/ weekends?

At Orenda we want to be sure to meet each individuals specific treatment needs to the best of our ability. We have a highly trained team of staff to support clients therapeutic and support needs 24-hours/ day. All clients will be supported at a minimum 3 to 1, client to staff ratio, including nights and weekends. During the treatment day there will often be 1 to 1 client to staff ratio as clients engage in individualized interventions.

How many individual therapy sessions will be received per week?

Each week, clients will receive 4 individual sessions facilitated by their primary therapist. Clients will also meet individually with our psychiatrist on a weekly basis. In total, clients will receive 40+ hours of clinical contact per treatment week.

Do you use licensed clinicians for all primary therapists?

Orenda believes in providing clinical care through highly trained, licensed clinicians. All of our primary therapists have a minimum of a Masters level degree and psychotherapy license. At Orenda we also believe in the training and cultivation of quality clinicians, so, when appropriate, we will utilize registered interns after a period of proper training and supervision.

Do you encourage/ require family participation in treatment?

At Orenda we believe that family/ support person involvement is a necessary part of a successful recovery path. As human beings we do not heal from struggles without the involvement of others and we believe we would be doing our clients and families a disservice if we did not address the familial/ relational portion of the recovery process. Because of this belief, Orenda requires family/ support person participation for all clients.

How many individualized family sessions will be received per week?

In addition to the one weekly family session facilitated by the primary therapist per week, each client is required to participate in a 3 ½ -day family workshop with a minimum of one family member or support person of her choice. This workshop weekend will include 1 ½ days of psycho-education for families and 2 days of group and experiential activities with all clients and families together. We understand that this is an unusual requirement for an adult program, but we strongly believe in the importance of this portion of our program and are not willing to remove this from individual treatment plans. The family will also be provided with 24/7 access to our family liaison who will coach the family throughout the treatment process.

How often will family/ support persons be updated on client’s wellbeing and progress?

At the onset of treatment, families will be put into contact with our family liaison. This valued member of our support team has a dedicated phone to provide family updates and address questions and concerns in a timely manner. Each client family will have a weekly scheduled phone call with our family liaison and be provided with a direct phone number for questions and concerns that arise throughout the week.

How many individual sessions with the Registered Dietitian will be received per week?

Each client will participate in weekly individual nutrition sessions with her assigned Registered Dietitian. The content of these groups will be contingent upon each individual clients treatment needs but may include various experiential interventions, such as food cultivation/ preparations, prescribed family meals, and/ or Exposure Response Prevention therapy sessions to address fear foods and food related trauma.

Do you use licensed clinicians for all primary therapists?

Orenda believes in providing clinical care through highly trained, licensed clinicians. All of our primary therapists have a minimum of a Masters level degree and psychotherapy license. At Orenda we also believe in the training and cultivation of quality clinicians, so, when appropriate, we will utilize registered interns after a period of proper training and supervision.

Do you encourage/ require family participation in treatment?

At Orenda we believe that family/ support person involvement is a necessary part of a successful recovery path. As human beings we do not heal from struggles without the involvement of others and we believe we would be doing our clients and families a disservice if we did not address the familial/ relational portion of the recovery process. Because of this belief, Orenda requires family/ support person participation for all clients.

How many individualized family sessions will be received per week?

In addition to the one weekly family session facilitated by the primary therapist per week, each client is required to participate in a 3 ½ -day family workshop with a minimum of one family member or support person of her choice. This workshop weekend will include 1 ½ days of psycho-education for families and 2 days of group and experiential activities with all clients and families together. We understand that this is an unusual requirement for an adult program, but we strongly believe in the importance of this portion of our program and are not willing to remove this from individual treatment plans. The family will also be provided with 24/7 access to our family liaison who will coach the family throughout the treatment process.

How often will family/ support persons be updated on client’s wellbeing and progress?

At the onset of treatment, families will be put into contact with our family liaison. This valued member of our support team has a dedicated phone to provide family updates and address questions and concerns in a timely manner. Each client family will have a weekly scheduled phone call with our family liaison and be provided with a direct phone number for questions and concerns that arise throughout the week.

How many individual sessions with the Registered Dietitian will be received per week? Will the individual RD session include Exposure Response Prevention therapy and experiential interventions?

Each client will participate in weekly individual nutrition sessions with her assigned Registered Dietitian. The content of these groups will be contingent upon each individual clients treatment needs but may include various experiential interventions, such as food cultivation/ preparations, prescribed family meals, and/ or Exposure Response Prevention therapy sessions to address fear foods and food related trauma.

Do you offer therapeutic meal support through your RD and primary therapists or do you depend on support staff for meal support?

Orenda provides therapeutic meal support utilizing clinical and nutritional staff. 19 of our 21 meals have support provided by licensed clinical staff or a Registered Dietitian. Support team members utilized as meal support have all been trained in techniques such as motivational interviewing, to be able to provide meal support while minimizing power struggles.

Do you do weekly restaurant experiential outings?

At Orenda we utilize a real-life plating approach to nutrition. Our goal is not only to improve nutrition and extinguish disordered behavior, but also to re-develop clients relationship with food. Each client will receive a full nutrition assessment from one of our Registered Dietitians and work collaboratively to develop a meal plan that meets the individualized nutritional and therapeutic needs of each client. Our schedule includes weekly restaurant and food experiential outings/ activities to create real-life food experiences.

Do you provide weekly therapeutic and nutrition experiential interventions?

At Orenda we utilize a real-life plating approach to nutrition. Our goal is not only to improve nutrition and extinguish disordered behavior, but also to re-develop clients relationship with food. Each client will receive a full nutrition assessment from one of our Registered Dietitians and work collaboratively to develop a meal plan that meets the individualized nutritional and therapeutic needs of each client. Our schedule includes weekly restaurant and food experiential outings/ activities to create real-life food experiences.

Do you address trauma in your treatment program? What approaches do you take to address trauma?

At Orenda our treatment philosophy is based in treating eating disorders through the lens of trauma. Whether or not clients meet criteria for post-traumatic stress disorder, the trauma experienced leading up to the development and throughout their eating disorder will begin to be individually explored and addressed through evidence based trauma therapies including; Eye Movement Desensitization Reprocessing (EMDR), Yoga, psychodrama, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

How will medical needs be addressed?

Orenda is a residential treatment facility not an in-patient facility; all clients must receive medical clearance before being admitted into our treatment program. This includes a full lab panel, EKG, and physical. Once admitted into our program vital signs will be monitored daily by a RN or LVN. If additional medical needs are identified at the onset or throughout treatment, access to a Medical Doctor will be provided as frequently as necessary to remain medically stable. If a client becomes physically unstable, a referral to a higher level of care will be provided.

What will I do when I am finished with the program?

Orenda is a residential treatment program. This level of care is often one of the earlier stages in the treatment process. At Orenda we understand the importance of continued care and will be discussing discharge/ step-down plans with each client and family at the onset of treatment. We believe it is important to be informed and prepared with outpatient services and we will work with each client to transition to appropriate services when it is the appropriate time in their treatment journey.

Haven Hills Recovery – San Diego Eating Disorder Treatment