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News and Presentations for todays Eating Disorders conference

Towards Recovery: What does a Gold Standard Eating Disorder Service look like?
Dr Darren Cutinha
, Consultant Child and Adolescent Psychiatrist, South London and Maudsley NHS Foundation Trust
Darren, speaking at the conference this morning said:
"The clinicians within a service, and their ability to work, individually and together, are the most crucial factor in delivering a gold standard service. The team is its most precious resource"
"Are there clear pathways, protocols and policies for managing emergencies, admissions, transition, medication and medical and psychiatric risk?"
"Significant increase in referrals over last 3 years - but not due to self-referrals from Parents / Young People"

Full PowerPoint Presentation

Developing a First Episode and Rapid Early Intervention for Eating Disorders (FREED)
Dr Amy Brown
, Senior Clinical Psychologist and FREED Implementation Lead, Eating Disorders Outpatients Service, South London and Maudsley NHS Foundation Trust
Pre Event Abstract
Early Intervention: Developing a First Episode and Rapid Early Intervention for Eating Disorders (FREED)

This presentation summarises learning from the development, initial evaluation, further evaluation, and widespread implementation of an early intervention service model for first episode eating disorders: First Episode Rapid Early Intervention for Eating Disorders (FREED). FREED was developed at the Maudsley Hospital in South London, UK, and operates as a ‘service within a service’, with a service model and care package that complement rather than replace existing evidence-based treatments. It promotes the NICE recommendation that people with a suspected eating disorder are referred to an eating disorder service to start assessment and treatment at the earliest opportunity. FREED is running in 9 eating disorder services in England and is continuing to scale around the UK and internationally. To November 2018, 338 young people have received FREED treatment and FREED covers a catchment area of 9.7 million people. Quantitative and qualitative data have been collected from FREED patients, their families and clinicians and highlight the success of the model. We will present on the FREED model, its implementation, engaging patients in early intervention, and spreading FREED as a gold standard for eating disorders.
Amy spoke about the Freed model and how you can implement it in your service, also:
"EDs typically develop in <25yrs when the brain is still developing 
Poor nutrition, hormonal changes and high stress disrupt brain maturation
ED behaviours are initially rewarding, then habitual, then neurocognitively engrained
Prognosis gets worse with duration
Social, emotional and educational development interrupted"

Full PowerPoint Presentation

Exercise: Consensus on Treatment & Practice
Prof Alan Currie
, Chair of Sport and Exercise Psychiatry Special Interest Group, Royal College of Psychiatrists
Pre Event Abstract
The relationship between exercise and eating disorders is not a simple one and certainly not a relationship of cause and effect. Exercise frequently appears as a feature of eating disorders symptomatology and eating disorders are prevalent in many sports. Diagnosing an eating disorder in a sporting context may be especially difficult with a risk of pathologising unusual behaviours balanced against the risk of missing a serious condition that may be kept hidden. The issue is further complicated by the tendency of the world of sport and the clinical world to use different terminologies to describe similar presentations. Finally, when pursuing successful recovery and rehabilitation a balance needs to be struck between moving on from dysfunctional attitudes and behaviours (which might include exercise) and restoring pre-illness function (which might also include exercise).
This afternoon, Alan discussed features of compulsive exercise, such as compulsivity, mood regualtion, weight and shape concerns/control, and strict/repetitive exercise regime. 
​Full PowerPoint Presentation

Also of Interest

Preventing, Identifying & Managing Depression in Children & Young Adults
Monday 13 May 2019, London

Sexual Abuse & Mental Health - Reducing the Impact of Abuse on Mental Health
Monday 10 June 2019, London

A Practical Guide to Effective Non-Medical Prescribing in Mental Health
Monday 10 June 2019, London

Improving Outcomes Through Digital Psychological Therapies & Digital IAPT
Monday 1 July 2019, London

Improving Services & Outcomes for People who Self Harm
Monday 8 July 2019, London



5 April 2019


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