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Eating Disorders

This service is for women with complex needs, primarily with an eating disorder; Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and OSFED (Other Specific Feeding and Eating Disorder).  We specialise in treating people with more than one diagnosis which may include Personality Disorder (PD), Obsessive Compulsive Disorder (OCD) or complex Post Traumatic Stress Disorder (PTSD).

Our eating disorder service is delivered on our Naomi unit where there is a full multidisciplinary team, including a Consultant Psychiatrist, General Practitioner (GP), Clinical Psychologist, Cognitive Behavioural Therapist, Dietitian, Occupational Therapist, Social Worker, Physiotherapist, Pharmacist and nursing staff.  The team members are all trained in Cognitive Behavioural Therapy (CBT) to varying levels and are experienced in working therapeutically with this patient group.

This unit uses a recovery focused pathways model made up of seven branches, including physical monitoring, physical activities, independent living, psychological, independent eating, self-catering and leave.  The model has been designed to allow patients to work collaboratively with the team and be active in decision making in their own care, enabling them to set goals, plan, and evaluate their progression through recovery to independent living.

The “Pathways to Recovery” has three stages:

  • Medical stabilisation - the focus of this stage is on restoration of physical health.
  • Gaining skills - the focus of this stage is to understand the patient’s problems and develop new skills that aid recovery.  Therapy sessions, groups and other individual interventions will help the patient to achieve this.
  • Transferring skills - The focus of this stage is to transfer those skills a patient has learnt during their admission to outside of the hospital environment, such as home and local community. 

Naomi unit has been accredited to January 2017 (excellent) by the Quality Network for ED Adult Inpatient Standards (QED), part of the Royal College of Psychiatrists Centre for Quality Improvement.

Interventions which may be provided

  • Cognitive Behavioural Therapy (CBT).
  • Family work.
  • Dialectical Behaviour Therapy (DBT) skills.
  • Interpersonal skills development.
  • Practical and psycho-educational groups.
  • Dietetics.
  • Occupational Therapy.
  • Physiotherapy.

Outcomes 

  • Improved quality of life.
  • Reduction in eating disorder symptoms.
  • Improved mood.
  • Reduced anxiety.
  • Improved self esteem.
  • Reduced Body Dysmorphic Disorder (BDD).
  • Reduced Obsessive Compulsive Disorder (OCD).
  • Reduction in dissociation.
  • Reduction in self harm.

 

Eligibility Criteria

  • Meet the diagnostic criteria for complex eating disorders.
  • We also treat individuals with an eating disorder who have been diagnosed with:
    • Obsessive Compulsive Disorder (OCD)
    • Post Traumatic Stress Disorder (PTSD)
    • Personality Disorder (PD)
  • Working age females.
  • Has a Care Co-ordinator from the Community Mental Health Team (CMHT).

Exclusion Criteria

  • Psychotic disorders.
  • Moderate to severe learning disabilities.

We do work with patients who are detained under the Mental Health Act, however the patient must be willing to work towards being discharged from section.

 

 

Useful Documents