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Eating Disorders Day Care Service leaflet - SLaM National Services

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<strong>National</strong> <strong>Service</strong>s<br />

<strong>Eating</strong> <strong>Disorders</strong> <strong>Service</strong><br />

<strong>Day</strong> care service<br />

Providing expert assessment, treatment and management of eating<br />

disorders for more than 25 years.<br />

Overview<br />

Our day care programme is part of our internationally recognised eating disorders service which provides<br />

expert treatment to people from across the UK. We provide intensive day care treatment for people whose<br />

weekly outpatient treatments are not sufficient, or as follow on care after inpatient treatment.<br />

Our team of staff are highly qualified and specialise in a variety<br />

of fields to provide a holistic service for our patients. We have<br />

a consultant psychiatrist, psychologists, psychotherapists, a<br />

specialist nurse, an occupational therapist, dieticians, and a<br />

clinical housekeeper.<br />

Who our service is for<br />

Our day care clinic provides treatment for people with<br />

anorexia nervosa or atypical anorexia nervosa, who have a<br />

body mass index (BMI) of 16 or more. Where appropriate, we<br />

also accept people with a lower BMI.<br />

Eligibility<br />

›› 18+ years<br />

›› Male or female<br />

›› Diagnosis of anorexia nervosa or atypical anorexia nervosa<br />

›› Previously received outpatient treatment was not<br />

sufficient to support recovery or at a stage physically or<br />

psychologically where more intensive support is required<br />

›› Is medically safe to attend day care, including travelling to<br />

and from the facility<br />

›› Requires step down care after inpatient treatment<br />

Exclusion<br />

›› Medically unstable<br />

›› BMI < 15 (individual cases considered if lower)<br />

Interventions<br />

The key therapies we provide are:<br />

›› Supported morning and afternoon snacks, and lunch<br />

›› Group therapy<br />

›› Regular physical monitoring<br />

›› Practical support around budgeting, shopping and meal<br />

preparation<br />

›› Regular key working sessions for patients to discuss<br />

practical issues<br />

›› Monthly reviews with the multidisciplinary team, patients,<br />

carers and community mental health teams


<strong>Eating</strong> <strong>Disorders</strong><br />

<strong>Day</strong> <strong>Care</strong> <strong>Service</strong><br />

Maudsley Hospital<br />

Middle House<br />

Denmark Hill<br />

London SE5 8AZ<br />

Referrals from consultant<br />

psychiatrist of CMHT<br />

Seek funding approval<br />

(not applicable for inpatient<br />

referrals, assessment is<br />

free of charge)<br />

<strong>Care</strong> Pathway<br />

Assessment<br />

Not met criteria – care<br />

remains with referrer<br />

Recommend<br />

treatment package<br />

Funding approved<br />

for treatment<br />

Joins waiting list<br />

6 month treatment<br />

package (initially 5 days<br />

then tapering down)<br />

Discharged to<br />

referrer or <strong>Eating</strong><br />

Disorder <strong>Service</strong><br />

Intensive nutritional<br />

rehabilitation package<br />

Treatment<br />

reviewed monthly<br />

4 month<br />

formal review<br />

Treatment reviewed<br />

fortnightly<br />

Continue treatment in<br />

outpatients or possible<br />

inpatient units<br />

Treatment continues<br />

for final two months<br />

Request further period of<br />

funding (usually 3 months)<br />

Discharged to<br />

referrer or <strong>Eating</strong><br />

Disorder <strong>Service</strong><br />

Treatment continues<br />

(reviewed monthly)<br />

Discharged to<br />

referrer or <strong>Eating</strong><br />

Disorder <strong>Service</strong><br />

Outcomes<br />

›› Healthy or healthier weight<br />

›› Better quality of life<br />

›› Positive transition back to the community<br />

›› Able to nutritionally support themselves<br />

›› Return to or new employment or education<br />

›› Able to maintain and develop relationships<br />

›› Delay or minimise time spent in inpatient ward<br />

Our facilities<br />

Our day care service is located within the grounds of the<br />

historic and renowned Maudsley Hospital.<br />

We provide a homely environment for the people who use<br />

our day care service. We have a comfortable open plan living<br />

space with a lounge and dining area, a group room, and<br />

therapy rooms, all well decorated and inviting.<br />

Opening hours<br />

<strong>Day</strong> care is open Monday to Friday from 10am to 4pm<br />

Referral information<br />

We accept referrals from a community mental health team’s<br />

(CMHT) consultant psychiatrist.<br />

Please note: Where applicable, the CMHT will need to seek<br />

funding from the local primary care trust. The client will be<br />

invited for an assessment and informal visit.<br />

Contact information<br />

<strong>Eating</strong> <strong>Disorders</strong> <strong>Day</strong> <strong>Care</strong> <strong>Service</strong><br />

Maudsley Hospital, Middle House<br />

Denmark Hill, London SE5 8AZ<br />

T: 020 3228 3180 F: 020 3228 2358<br />

mary.grier@slam.nhs.uk<br />

Professor Ulrike Schmidt, Consultant Psychiatrist<br />

Professor Janet Treasure, Consultant Psychiatrist<br />

Dr Geoffrey Wolff, Consultant Psychiatrist<br />

Danielle Glennon, Team Leader<br />

Lubna Mohammad-Dar, Acting <strong>Service</strong> Lead

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