TABLE 1.

Consensus items

Initial recommendations
Item		Mean rating	SD	%Agreement
Inpatient level of care when the adolescent is at high risk for refeeding syndrome		6.56	0.58	100
Medical instability necessitating inpatient treatment is defined by bradycardia (heart rate < 40), hyponatremia, hypokalemia, hypotension, or prolonged QTc		6.2	0.71	100
Inpatient level of care when the adolescent is actively suicidal		6.08	1.29	92
Family-based treatment (FBT) as a first-line treatment for adolescents		6.08	1.32	84*
Inpatient level of care when the adolescent is medically unstable		6	1.47	88
Inpatient level of care when the parent(s) report(s) acute food refusal		5.8	1.38	84*
FBT as first-line treatment, even with co-occurring depression, OCD, or anxiety		5.72	1.54	88
Outpatient treatment other than FBT when there is parental abuse		5.64	1.22	80*
Transitions between levels of care
Type of transition	Item	Mean rating	SD	%Agreement
Increase	Brief medical hospitalization when an adolescent becomes medically unstable	6.12	0.83	96
Increase	Inpatient treatment when an adolescent becomes suicidal	5.80	1.32	84*
No change	Additional modalities of outpatient care before recommending structured outpatient, when FBT is not succeeding (e.g., CBT, AFT)	5.32	1.25	80*
Increase	Inpatient treatment when structured outpatient treatment has failed	5.00	1.12	88
Increase	Inpatient hospitalization when an adolescent is refusing to eat	4.80	1.55	76*

^*Near consensus defined as >75% agreement.

Abbreviations: CBT, cognitive behavioral therapy; AFT, adolescent-focused therapy.