Eating Disorder Treatment PackagesSpecialist Eating Disorder Service

Breathe offers a specialist eating disorder help service which operates in accordance with National Institute for Clinical Excellence (NICE) and Kings College London Guidelines.

Breathe provide a research based, needs-led, therapeutic treatment approach for all types of eating distress and obesity management. This includes treatment for Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder, EDNOS, Compulsive Eating, and failed dieting.

Breathe has a multi-disciplinary approach and has a multi-disciplinary team of Clinical Psychologist, qualified nurses, psychotherapists, counsellors and dieticians. Practitioners work alongside GPs, Practice Nurses, Consultant Psychiatrists, Social Workers, CMHT and any other services relevant to the individuals’ treatment needs. The family, where appropriate, are invited and involved in the treatment process from the outset and family sessions are offered.

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Breathe Therapies eating disorder treatment service is designed to provide treatment and support for individuals over the age of 18, experiencing eating distress or weight management difficulties. The service is provided on an outpatient basis, using the stepped care model to offer different levels and intensities of treatment dependent on each individual at the appropriate stage of their recovery.

Breathe care packages are based on a 12 week period, and are reviewed continually throughout this time frame. An individual would usually utilise one 12 week package of each level of treatment, however some individuals may require more or less treatment. Prior to commencement of treatment within our service, Breathe Eating Disorder Service must receive a referral from one of the following clinicians: GP, Social Worker, Psychiatrist, the Community Mental Health Team or a self referral for private clients.

Following receipt of this referral form, a request for funding will be actioned and following confirmation of the acceptance of funding, treatment can commence.

On initial contact, the client will undergo a 2 hour assessment observing the clients appropriateness for our service. This will be carried out by a specialist clinician experienced in the field of eating disorders. An individualised treatment plan will be developed including the following interventions:

Physical monitoring: i.e. Early warning Scores, relevant bloods in liaison via GP

Height, Weight, and Body Mass Index

Specialist Nurse Review

Eating Disorder TreatmentRisk Assessment and co-ordination of care

Specialist Dietician

Psycho-educational groups (topic dependant on the client’s individual need and where appropriate

Individual Psychotherapy (modality according to NICE guidelines re relevant diagnosis)

Access to S.E.E.D Self- Help Support Groups

Befriending Services

Access to (S.E.E.D) Self Help Drop-in Service

GP and multi-disciplinary Liaison

Regular Multi-disciplinary Team Meetings

Access to family Therapy and/or S.E.E.D Carers Support Clinic

challenge5The individuals care package will be overseen by an allocated Breathe Care Co-ordinator along with close liaison with their GP. Breathe’s programme utilises the individuals’ most appropriate learning and engagement style E.g: use of creative/art interventions, writing, relaxation and a variety of therapeutic interventions, to enable them to gain an understanding of the functioning and reasoning behind the eating disorder as well as precipitating, perpetuating and predisposing factors that sustain their illness.

SE_logo_finalMotivational Enhancement tools are used to promote change and recovery from the illness, once an understanding of these factors has been gained. The collaborative working with the sister organisation Support and Education for Eating Disorders allows the client to feel empowered as added value. In addition to the therapeutic intervention and self help services we have a range of self-help services clients can access to aid recovery and support for their carers e.g.: library service with a range of self-help resources.

Here are details of the eating disorder treatment pathway packages.

Pre-Treatment Package

Level 1 – Intensive Complex Needs

Level 2 – Intermediate Needs

Level 3 – S.E.E.D Severe An Enduring

Level 4 – Relapse Prevention

Level 5 – Pre-Care & After Care – Recovery Maintenance

 

See Eating Disorder treatment charges here

 

Pre-Treatment Package

Breathe offer an extremely beneficial pre-treatment package based on Motivational Enhancement Therapeutic Model offering:

Package Aims

Introduces & promotes life skills for emotional resilience & change

Introduce the treatment programme and team

Motivate clients on their recovery journey

Minimise risk of deterioration and maximise engagement

Raise individuals awareness of their precipitating, pre-disposing and perpetuating factors

Bulimia Support Preston
Package Benefits

Improve quality of life

Motivational Enhancement

Improved Self Awareness

A sense of altruism

Increased Engagement

Package Contents

5 Hours of Therapeutic Intervention including:

– Initial Assessment & follow up work of 2 hours
– 2 x Pre-treatment Group of 1.5 hours

14 hours of Added Value Support

2 x Family Support Group of 1.5 hours

2 x Support Group of 1.5 hours

4 x Drop In of 2 hours


Level 1 Intensive Complex Needs

Intensive complex needs include e.g. psychiatric co-morbidities, borderline personality disorder

This level will engage clients who may have co-morbidities such as personality disorder, self harm, depression, anxiety and/or clients deemed at high risk due to suicidiality, emotional disregulation or physical status i.e. unstable blood chemistries.

12 week package – 50 hours of psycho-therapeutic intervention

6 hours Nurse Therapist/Care Co-ordinator

12 hours Clinical Psychologist/Psychotherapy e.g. CBT/CAT (12 x 1 hour sessions)

6 hours Dietician

12 sessions of a prescribed Psycho-education Group e.g. Anxiety Management, Self Esteem,
Mindfulness, Relaxation, Body Image, Nutritional Management, Supported Eating – 1.5 hours per session i.e. 18 hours

6 x hours Systemic Family Therapy (Where Appropriate)

2 Hours Psychiatrist (external and where necessary)

55.5 hours of ADDED VALUE SUPPORT

1 x MDT Meeting (1 hour)

12 x Drop In – 2 hours (S.E.E.D)

6 x Support Group – 1.5 hours (S.E.E.D)

6 x Family Support Group – 1.5 hours (S.E.E.D)

6 Befriender Sessions – 2 hours (S.E.E.D)

GP liaison – 0.5 hours


Level 2 Intermediate Needs

12 week package – 40 hours of psycho-therapeutic intervention

4 hours Nurse Therapist/Care Co-ordinator

12 hours Clinical Psychologist/Psychotherapy e.g. CBT (6 x 2 hour sessions)

4 hours Dietician

12 sessions of Psycho-education Group e.g. Anxiety Management, Mindfulness, Body Image, Relaxation, Body Image, Nutritional Management, Supported Eating — 1.5 hours i.e. 9 hours

2 Hours Psychiatrist (external and where necessary)

Other clinical Intervention:

1 CPA Meeting

1 Clinical Report

55.5 hours of ADDED VALUE SUPPORT

1 x MDT Meeting (1 hour)

12 x Drop In – 2 hours (S.E.E.D)

6 x Support Group – 1.5 hours (S.E.E.D)

6 Befriender Sessions – 2 hours (S.E.E.D)

GP liaison – 0.5 hours


Level 3 – S.E.E.D Severe And Enduring

12 week package – 37 hours of psycho-therapeutic intervention

4 hours Nurse Therapist/Care Co-ordinator

>12 hours Clinical Psychologist/Psychotherapy e.g. CBT (6 x 2 hour sessions)

2 hours Dietician

12 sessions of Psycho-education Group e.g. Anxiety Management, Self Esteem,Mindfulness, Relaxation, Body Image, Nutritional Management, Supported Eating – 1.5 hours i.e. 9 hours

1 Hour Psychiatrist

Other clinical Intervention
1 x CPA Meeting
1 x Clinical Report

49.5 hours of ADDED VALUE SUPPORT

1 x MDT Meeting (1 hour)

12 x Drop In – 2 hours (S.E.E.D)

6 x Support Group – 1.5 hours (S.E.E.D)

6 x Family Support Group – 1.5 hours (S.E.E.D)

3 Befriender Sessions – 2 hours (S.E.E.D)

GP liaison – 0.5 hours


Level 4 – Relapse Prevention

12 week package – 12 hours of psycho-therapeutic intervention

1 hours Nurse Therapist/Care Co-ordinator

1 hours Dietician

6 sessions of Relapse Prevention Group

1.5 hours i.e. 9 hours

1 Hour psychiatrist
Other clinical intervention:

1 x Clinical Report

49 hours of ADDED VALUE SUPPORT:

1 x MDT Meeting (1 hour)

12 x Drop In – 2 hours (S.E.E.D)

6 x Support Group – 1.5 hours (S.E.E.D)

6 x Family Support Group – 1.5 hours (S.E.E.D)

3 Befriender Sessions – 2 hours (S.E.E.D)


Level 5 – Pre-Care & After Care – Recovery Maintenance

20 Hours of ADDED VALUE SUPPORT

1 x MDT Meeting (1 hour)

4 x Drop In – 2 hours (S.E.E.D)

3 x Support Group – 1.5 hours (S.E.E.D)

3 x Family Support Group – 1.5 hours (S.E.E.D)

2 Befriender Sessions (S.E.E.D)


See Stepped Care Approach

For more information about treatments utilised by Breathe, click here

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Eating Disorders | Weight Management | Psychological Therapies | Wellbeing

Find out more about treatment packages here

 

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