TEL      718-240-8325
WEB    www.livelightobesity.org

Type of Program  Hospital-based, Community-based, Research & prevention

Mission  To empower children and their families with the knowledge and support to help them make healthy choices in food and fitness to last a lifetime.

Description  Hospital & community based partnership developed to deliver a program to children with special health care needs. Targets overweight and obese children and adolescents with one or more metabolic abnormalities associated with obesity such as (hypertension, hyperinsulinemia or diabetes and dyslipidemia.) Program coordinates and integrates the multi-disciplinary services required to achieve optimal clinical management, promote healthy eating behaviors and lifelong exercise, and to affect long-term behavior modifications that impact health outcomes in childhood, adolescence and adulthood.  (See ADDITIONAL DETAILS, Below)

Services Delivered Primarily by

• Physician
• Nutritionist/Registered Dietician
• Exercise Physiologist/specialist
• Psychologist/Behavioral health professional

Program Features

• Assessment for overweight/obesity (BMI, body measures)
• Identification/treatment of obesity-related health conditions
• Management of childhood obesity with medications
• Physical activity education and/or counseling
• Physical activity instruction and/or participation
• Culinary education / instruction
• Nutrition education and/or counseling
• Counseling, psychotherapy
• Cognitive behavioral therapy
• Follow-up care after discharge

Access
Participants can access program by  Direct enrollment, Referral from primary doc; sign up via school.  Typically less than 2 weeks’ wait time from initial inquiry to first program visit.
Age range  4 to 19 years
Participation restrictions  None, up to age 19
Schedule  1 medical meeting per month; exercise visits 2 times per week.

Cost
Average cost per child enrolled  Small cost $25 – $72) if they are enrolled at one of our YMCA centers, otherwise, there is not cost to the child or families
Health insurance reimbursement / coverage option? YES

ADDITIONAL DETAILS  Goals of the program are to: 1. Increase access to coordinated, comprehensive, culturally sensitive, medical and psychosocial care. 2. Increase the skills and knowledge of community pediatricians in the identification and appropriate management of childhood obesity 3. Increase community awareness and understanding of obesity as a serious health issue. 4. Increase community-based care coordination and support. The goals of the program are accomplished by: 1. Identifying and referring overweight/obese children who have one or more obesity-associated metabolic disorders (hypertension, hyperinsulinemia and type II diabetes, and dyslipidemia.) to the Pediatric Obesity clinic) 2. Providing care coordination to obese children through integration of health care with the school, community, and home-based services. 3. Providing education and support to community pediatricians in the identification and medical management of overweight and obesity in children and adolescents. 4. Providing community education on obesity and obesity-related disorders. 5. Providing nutrition education and counseling to children and parents. 6. Providing physical activity training and structured opportunities for exercise and physical activity in safe spaces throughout the community. 7. Providing parent/peer support groups

Type of Program  Hospital-based

Mission  Improving the physical and emotional health of children through family-centered care, reasearch, education and advocacy. We embrace discovery, teamwork, integrity & excellence in all that we do.

Description  Interdisciplinary team with RD, MSW, PT and Endocrinologist on consult; whole Family involvement

Services Delivered Primarily by

• Nutritionist/Registered Dietician
• Other:  Physical Therapist
• Other:  Social Worker (MSW)

Program Features

• Assessment for overweight/obesity (BMI, body measures)
• Identification/treatment of obesity-related health conditions
• Physical activity education and/or counseling
• Physical activity instruction and/or participation
• Nutrition education and/or counseling
• Counseling, psychotherapy
• Cognitive behavioral therapy

Access
Participants can access program by  Direct enrollment, Referral from primary doctor, School RN
Age range  6 to 9 years
Participation restrictions  BMI must be 85th percentile or greater for age/gender of participant
Schedule Typical enrollment is 12 weeks: participants have initial appointments with providers, then meet once per week for about 8 weeks.

Cost
Average cost per child enrolled  $800 for individual visits by PT, MSW, RD + 8 weeks program
Health insurance reimbursement / coverage option? YES – Range of coverage: zero to 3 visits to total

Type of Program  Medically supervised 12-week weight management program within a Pediatric Cardiology Practice.  (Connected to medical office; gym/fitness-center-based; Research in childhood obesity)

Mission  Treating childhood obesity using a team approach.

Description  Team approach with physicians, dietitians, exercise physiologists, and a psychologist to treat childhood obesity. We promote dietary and lifestyle changes that lead to weight loss.

Services Delivered Primarily by

• Nutritionist/Registered Dietician
• Exercise Physiologist/specialist
• Psychologist/Behavioral health professional

Program Features

• Assessment for overweight/obesity (BMI, body measures)
• Identification/treatment of obesity-related health conditions
• Physical activity education and/or counseling
• Physical activity instruction and/or participation
• Nutrition education and/or counseling
• Counseling, psychotherapy
• Cognitive behavioral therapy
• Follow-up care after discharge

Access
Participants can access program by  Referral from primary doctor
Age range  8 to 18 years
Participation restrictions  None
Schedule 12-week enrollment, participants meet practitioners 1 hour per week.

Cost
Average cost per child enrolled  $150 per 12-week program
Health insurance reimbursement / coverage option?  NO

Type of Program Residential/Immersion program

Mission Making long-term weight control a reality for young people and families.

Description  Fitness and weight loss camp with 14 summer locations nationwide.  Scientific approach to diet, activity and behavior which enables participants to adopt a sustainable healthy lifestyle.

Services Delivered Primarily by

• Nutritionist/Registered Dietician
• Exercise Physiologist/specialist
• Psychologist/Behavioral health professional

Program Features

Provision of meals – while participants are in residence
Physical activity education and/or counseling
Physical activity instruction and/or participation
Culinary education / instruction
Nutrition education and/or counseling
Cognitive behavioral therapy
Follow-up care after discharge
Other:  Provision of tools (journal, pedometer, etc.) for long-term weight control

Access
Participants can access program by  Contacting program directly, consult with primary doctor
Age range  5 to 15 years old (Parent, guardian or grandparent attends camp with child)
Participation restrictions  Participants should have at least 20lbs to lose to reach a healthy weight (by BMI percentage) for their age & gender.  Children must attend with at least one adult family member or guardian.
Schedule Summer residential /immersion camp for 1, 2 or 3 weeks per session.  Multiple start-dates throughout the summer.

Cost
Average cost per child enrolled  Varies by session duration, discounts.  Tuition includes full accommodation for parent and child (room/board, professional services, continuing-care program) at 4-star Pinehurst resort.
Health insurance reimbursement / coverage option?   YES – insurance reimbursement possible for portion of tuition.  Select camp fees refundable with participation in family workshops and continuing care program.

Type of Program Residential/Immersion program

Mission Making long-term weight control a reality for young people and families.

Description  Fitness and weight loss camp with 14 summer locations nationwide.  Scientific approach to diet, activity and behavior which enables participants to adopt a sustainable healthy lifestyle.

Services Delivered Primarily by

Nutritionist/Registered Dietician
Exercise Physiologist/specialist
Psychologist/Behavioral health professional

Program Features

• Provision of meals – while participants are in residence
• Physical activity education and/or counseling
• Physical activity instruction and/or participation
• Culinary education / instruction
• Nutrition education and/or counseling
• Cognitive behavioral therapy
• Follow-up care after discharge
• Other:  Provision of tools (journal, pedometer, etc.) for long-term weight control

Access
Participants can access program by  Contacting program directly, consult with primary doctor
Age range  11 to 18 years old
Participation restrictions  Participants should have at least 20lbs to lose to reach a healthy weight (by BMI percentage) for their age & gender.
Schedule Summer residential /immersion camp for 4, 6 or 8 weeks per session.  Multiple start-dates throughout the summer.

Cost
Average cost per child enrolled  $4500 – $8000 per residential session (depending upon duration, location, etc.)  Tuition includes all room/board costs, professional services and continuing-care program after session-end.
Health insurance reimbursement / coverage option?   YES – insurance reimbursement possible for portion of tuition.  Select camp fees refundable with participation in family workshops and continuing care program.

Type of Program  Hospital-based; Research

Mission   Program feels strongly that approach to weight management must be individualized; that one can be healthy at any size and for many weight maintenence is a noble goal; we conduct clinical research with particular interest in low carbohydrate diets such as the Atkins Diet.

Description  We are associated with the Adolescent Medicine division at Woman & Children’s Hospital in Charleston, WV. We treat weight issues as well as lipid disorders (familial hypercholesterolemia) and eating disorders (ie Anorexia Nervosa and Bulimia Nervosa)

Services Delivered Primarily by

Physician
Nutritionist / Registered Dietician

Program Features

Assessment for overweight/obesity (BMI, body measures)
Identification/treatment of obesity-related health conditions
Management of childhood obesity with medications
Physical activity education and/or counseling
Nutrition education and/or counseling
Other:  Referral services to (and collaboration with) community-based psychology/behavioral health resources

Access
Participants can access program by  Referral from primary doctor (typical wait from referral to visit is 2 weeks)
Age range  2 to 24 years old
Participation restrictions 
Schedule Participants visit program every two-weeks or once/month to start.  Total enrollment period varies by participant

Cost
Average cost per child enrolled  Cost of insurance co-pay or deductible
Health insurance reimbursement / coverage option? YES – program takes most insurance providers

Type of Program   Hospital-based;  Medical clinic & community outreach classes

Description  Year-long program with clients periodically seeing clinic team of MD, RD, PT and LCSW. Also includes 10 week twice a week intensive lifestyle class. Child and parents both required to attend all sessions.

Services Delivered Primarily by

Physician
Registered Nurse, Nurse Practitioner, etc.
Nutritionist / Registered Dietician
Exercise Physiologist / specialist
Psychologist / Behavioral health professional

Program Features

Assessment for overweight/obesity (BMI, body measures)
Identification/treatment of obesity-related health conditions
Physical activity education and/or counseling
Physical activity instruction and/or participation
Nutrition education and/or counseling
Counseling, psychotherapy
Cognitive behavioral therapy
Follow-up care after discharge

Access
Participants can access program by  Direct enrollment; referral from primary doctor
Age range  8 to 19 years  (ages 5 to 8 can be seen in clinic)
Participation restrictions  BMI over 85% and be 8 years and older
Schedule  Participants meet in class twice a week for 10 weeks, clinic on individual need basis.  Typical enrollment is for one year.

Cost
Average cost per child enrolled  $350 for multi-month enrollment
Health insurance reimbursement / coverage option?  Insurance coverage possible for mental health screening & MD visit

TEL      412-692-6124
WEB    http://www.chp.edu/CHP/healthybehaviors

Type of Program  Hospital-based program

Mission The mission of the Weight Management and Wellness Center is to help children in our region achieve and maintain a healthy weight and to prevent, identify and treat weight related problems such as diabetes, high blood pressure and high cholesterol.

Description  Program emphasizes “Healthy Behaviors for Life.” The general approach involves identifying behaviors that have contributed to obesity, and then negotiating an agreement with families to change these behaviors over a period of time. The behavior change process is incremental. We avoid diets or weight loss targets. Our philosophy is that if behavior changes, weight will take care of itself. We also care for a substantial number of children annually (approximately 1500) in a standard, hospital-based clinic model. Many other programs care for far fewer children.

Services Delivered Primarily by

• Physician
• Nutritionist/Registered Dietician

Program Features

• Assessment for overweight/obesity (BMI, body measures)
• Identification/treatment of obesity-related health conditions
• Management of childhood obesity with medications
• Surgical management of childhood obesity
• Provision of meals/food or liquid meal replacements
• Physical activity education and/or counseling
• Nutrition education and/or counseling
• Counseling, psychotherapy
• Cognitive behavioral therapy
• Follow-up care - through supervised electronic self-monitoring through our online program, “HB4Life” – See, http://www.hb4life.com.

Access
Participants can access program by  Referral from primary doc (Typical wait time from referral to first visit is less than one week)
Age range  2 to 22 years
Participation restrictions  BMI greater than/equal to 85th percentile.  No other requirements.
Schedule  Participants meet bi-monthly, and may be  enrolled until they achieve healthy weight.  Participants typically enrolled for 2 years.

Cost
Average cost per child enrolled  None
Health insurance reimbursement / coverage option? YES – coverage for laboratory tests

Description  Works through education with families

Services Delivered Primarily by

• Physician
• Registered Nurse, Nurse Practitioner, etc.
• Nutritionist/Registered Dietician

Program Features

• Assessment for overweight/obesity (BMI, body measures)
• Identification/treatment of obesity-related health conditions
• Physical activity education and/or counseling
• Nutrition education and/or counseling

Access
Participants can access program by  Referral from primary doctor
Age range  Not specified 
Schedule  Typically single office visit

Cost
Average cost per child enrolled  FREE
Health insurance reimbursement / coverage option? N/A

Type of Program Residential/Immersion program

Mission Making long term weight control a reality for young people and families.

Description  Residential treatment school for overweight teens and young adults.  Students reside on campus and change their lifestyle while continuing their middle school, high school or college education.  Scientific approach to diet, activity and behavior which enables participants to adopt a new, sustainable healthy lifestyle. 

Services Delivered Primarily by

• Nutritionist/Registered Dietician
• Exercise Physiologist/specialist
• Psychologist/Behavioral health professional
• MD – Medical Advisor

Program Features

• Provision of meals – while participants are in residence
• Physical activity education and/or counseling
• Physical activity instruction and/or participation
• Culinary education / instruction
• Nutrition education and/or counseling
• Cognitive behavioral therapy
• Follow-up care after discharge
• Other – provision of tools (journal, pedometer, etc.) for long-term weight control

Access
Participants can access program by  Contacting program directly, consult with primary doctor
Age range  11 to 18 years old
Participation restrictions  Participants should have at least 20lbs. to lose to reach a healthy weight (by BMI) for their age/gender.
Schedule  Semester- or year-long enrollment.  Minimum 4 mo. enrollment.  Typical stay is approx. 6 months, concurrent with academic year (summer programs available).

Cost
Average cost per child enrolled  Tuition concurrent with enrollment period.  Contact Admissions for details.
Health insurance reimbursement / coverage option? Yes – insurance reimbursement possible for portion of tuition.  Select fees are refundable with full camper / family participation.