Eating disorders enhanced day service (community)

Adult services - Teesdale

Summary of service:

The Enhanced day service is for patients with eating disorders who are currently receiving interventions from the eating disorder service or those who are stepping down (have been discharged from hospital and in need of support to prevent relapse/encourage recovery). The team strives to work collaboratively with service users to formulate person centred intervention plans to ensured that care is tailored to individual service users.

This service provides an alternative to inpatient or residential treatment. It offers a structured environment with an intense focus on learning skills for recovery but offers the important advantage of allowing the patient to continue to live at home.

Eligibility criteria:

18+ with physical presentation including:

  • BMI 13-15
  • Rapid weight loss
  • Abnormal blood results
  • Abnormal ECG
  • Abnormal physical observations
  • Patients with mild to moderate Bulimia Nervosa should in the first instance be managed via IAPT services
  • The team does not currently treat patients with Obesity (BMI or 35) or Simple Binge Eating Disorder.

How do I access the service?

The service is based at Imperial Avenue, Norton and operates 8am-6pm Monday to Friday. Contact us by telephone, fax or letter.

Referrals are accepted from:

  • The Eating Disorders multi disciplinary community team discuss each case and refer into the Enhanced day services if appropriate for step up or step down criteria
  • GPs are welcome to make contact for advice and to discuss patients of concern
  • GPs can refer into the community service via the Affective disorders team.

To refer a patient contact:

Eating Disorders Community Team
Tees, Esk and Wear Valleys NHS Foundation Trust
9-11 Imperial Avenue
Norton
Stockton
TS20 2EW
Telephone: 01642 550863
Fax: 01642 732020

Contact details of the Consultant and Team manager for this service:

Dr. Shafy Muthalif
Consultant
01642 550863
shafy.muthalif@nhs.net

Dr. Melanie Temple
Consultant
01325 552190
melanietemple@nhs.net

Stuart Tweddle
Team Manager
01642 550863
Stuart.tweddle@nhs.net

What the service will provide:

  • Specialist assessment to determine the client's current physical risk, management, monitoring and treatment needs
  • Multidisciplinary interventions for physical and mental health concerns that are not provided by the standard community package of care
  • A flexible approach to physical care interventions would be performed wherever possible. However specific treatment will be available where appropriate on a particular time of day or day of the week
  • Support and treatment for both the patients' physical and mental health concerns when attending the unit and following a 12-18 week programme
  • Continuation of physical care, future monitoring and treatment planning relies on close links between the Day service staff, GPs and the Community eating disorders team at discharge.

Clinical and care interventions:

We offer a range of different psychological therapies (on a 1:1 or group basis) including:

  • DBT (Dialectal Behaviour therapy)
  • CBT (Cognitive behavioural therapy)
  • CAT (Cognitive analytical therapy)
  • Art therapy
  • Eating and dietary living skills, food shopping, meal preparation, social eating, coffee and snack group.

Occupational therapy (OT), physiotherapy input, dietetic input and nursing intervention is also included.

In terms of physical health interventions the service work closely with GP practices. Patients will receive a physical health screening during the programme, including electrocardiogram (ECG) monitoring, weight and body mass index (BMI) checks and glucose monitoring.

Contact details for the Clinical director and Head of service:

Dr. Kannan Suresh Babu
Associate Clinical Director
01325 552 302
kannansureshbabu@nhs.net

Jo Dawson
Head of Service
0191 4415990
Jodawson@nhs.net