Educational Session 3: Concurrent Workshops & SIG Panels
Saturday, June 3, 1:30pm - 3:00pm
SIG Panel: Addressing weight stigma in higher levels of care for eating disorders
Sponsored by the Weight Stigma & Social Justice SIG and Professionals and Recovery SIG
Erin Harrop, LICSW, PhD, Assistant Professor, University of Denver
Abstract: Weight stigma impacts healthcare experiences and outcomes across a broad range of illnesses and populations. In recent years, eating disorder (ED) researchers, clinicians, and advocates have begun discussing the impact of weight stigma in higher levels of care (HLOC). In this SIG panel, members of the Weight Stigma and Social Justice SIG and the Recovery and Professionals SIG explore the topic of weight stigma in HLOC for EDs. All presenters are ED researchers or clinicians, in addition to having lived experience. First, author SR will share how she encountered weight stigma during HLOC. She will also identify typical well-intentioned ED interventions that may be harmful, and then describe the Health at Every Size® model for treatment for EDs in larger bodies. Next, author EH will share data from a longitudinal mixed methods study of 39 atypical anorexia patients, with diverse identities in terms of gender (23% trans and nonbinary), age (18-74 years), race (28% people of color) and sexual orientation (64% sexual minorities), and describe the sample in terms of rates of treatment (28% untreated), level of care received, and treatment delay (mean=11.7 years, SD=11.3). They will also share qualitative themes regarding weight stigma in HLOC, including inadequate nutritional rehabilitation, low meal plans and goal weights, unhelpful interventions, fat-shaming in the milieu, and being treated differently by providers. Participant-created artwork and quotes will also be shared. Next author KK will share results from her narrative, phenomenological qualitative study exploring the lived experiences of 10 adults (age 18-57) in HLOC. Results include themes of the impact of staff bodies on clients, weight change in treatment, inconsistency of body acceptance and treatment goals of body change, and disregarding bodily cues. Then, author MC, a clinician with atypical anorexia, will share about their experience of being referred to HLOC, but not being able to access treatment. MC will highlight the impact of race, body size, and socioeconomic status. Throughout, all presenters will reflect on their social identities (gender, race, body size, sexual orientation, socioeconomic status), and how those identities impacted their experiences. In the second half of the panel, co-chairs (CS and RP) will facilitate a discussion with panel members and the audience regarding how to ethically address issues of weight stigma in HLOC for EDs.
- Identify three ways that higher weight patients may experience weight stigma in higher levels of care for eating disorders.
- Describe the principles of Health at Every Size in treating higher weight patients with eating disorders. Discuss how patients intersecting identities (e.g., race, gender, body size, socioeconomic status) may impact experiences of higher levels of care.
SIG Panel: Ethical Dilemmas in Eating Disorder Care
Sponsored by the Inpatient/Residential SIG
Jennifer Goetz MD, Child/Adolescent & General Psychiatrist, McLean Hospital/Harvard Medical School
Wayne Bowers PhD
Jennifer Campbell LICSW, Center for Evidence Based Treatment Ohio
Jillian Lampert PhD, MPH, RD, Accanto Health | The Emily Program and Veritas Collaborative
Treatment of an eating disorder often involves life-disrupting and life-saving interventions. These interventions, from admission itself to specific treatments (ie insertion of naso-gastric tube for feeding) may be seen as coercive, even when consented to by patients or parents. There are also situations in which admission and/or treatments are not consented to and are utilized in a compulsory, or involuntary, capacity. Situations in which compulsory or involuntary treatment are utilized are typically limited to patients who are in life-threatening danger from their eating disorder. Their ability to fully understand the risks and benefits of treatment may be compromised, affecting their very capacity to make treatment decisions. Alternatively, they may be deemed to be at such high risk of harm to themselves or frankly unable to provide for their basic needs, such that involuntary care (or “civil commitment”) is pursued.
Inherent in the use of coercive and compulsory treatment interventions or providing care that may be less than a client clinically needs but is all they will accept for a potentially life-threatening illness are ethical dilemmas. At the very heart of these dilemmas are the balance of patient autonomy and the treatment team’s requirement to provide care in the best interest of the patient (“beneficence”) and to do it without harming the patient (“non-maleficence”). When individual patient’s ability to accurately weigh the risks of treatment owing to the very nature of the illness itself is compromised (ie anorexia nervosa), the treatment team or family may step in (with the help of the legal system) to compel life-saving care.
This workshop will explore the ethical and legal issues involved in the care of individuals with eating disorders. We will highlight the literature regarding compulsory/involuntary treatment as viewed through the lens of patients and families, focusing on those aspects of treatment that were viewed as supportive vs. those that were perceived otherwise. Three experts will engage in a panel discussion around their clinical approach to managing the intersection of ethical, legal and clinical considerations in the care and treatment of individuals with severe and life threatening eating disorders.
- Following this presentation participants will be able to outline the ethical dilemmas and principles in conflict in the care of individuals with eating disorders.
- Participants will be able to describe how the concepts of capacity and civil commitment can be utilized in the care of individuals with eating disorders.
- Participants will be able to understand the ethical implications of providing care on an involuntary (or compulsory) basis as well as the ethical implications of not providing care on an involuntary basis for patients with eating disorders.
SIG Panel: Under-represented populations in eating disorder research: Exploring barriers and solutions
Sponsored by the Epidemiology & Public Health Practice SIG
Ariel Beccia, Boston Children's Hospital/Harvard Medical School
Samantha Hahn, Assistant Professor, Central Michigan University College of Medicine
Dr. Helena Lewis-Smith, Senior Research Fellow, University of the West of England
Abstract: There is now strong and consistent evidence that marginalized populations (e.g., LGBTQ+ people) are disproportionately affected by eating disorders, disordered eating behaviors, and body image concerns as a result of structural vulnerabilities and systemic inequities. However, these same populations have historically been – and continue to be – excluded and/or erased from mainstream epidemiologic research; as such, the distribution and determinants of eating disorder disparities remain poorly understood, undermining our ability to intervene. In this Epidemiology & Public Health Practice SIG Panel Discussion, we will explore the likely causes of and potential solutions to these critical gaps in the eating disorder literature, with a focus on highlighting implications for researchers, practitioners, and policy makers. Our expert speakers will cover four specific populations who have been shown to experience disproportionate eating disorder risk and/or disparities in accessing care across global contexts, including LGBTQ+ people, racial/ethnic minorities, rural communities, and older adults, as well as the intersectionality between these and other dimensions of social identity/position (e.g., body shape and weight, socioeconomic status). The first half of the panel will feature a series of flash talks in which speakers review: (a) what is known about eating disorder risk in these populations from available epidemiologic research; (b) historical and contemporaneous reasons why these populations remain under-represented in the eating disorder literature and in epidemiology more broadly; and (c) what is needed to overcome identified barriers regarding the collection, analysis, and dissemination of data. The second half will be dedicated to an open discussion with audience engagement (e.g., polls, break-out groups, and Q&A) to strategize across disciplines and foster new ideas regarding ways to make our research more inclusive. Ultimately, this SIG panel aims to shed light on a highly concerning social justice issue in the eating disorder field, with the goal of raising awareness, sparking discussion, and coming up with urgently needed solutions.
- Identify under-represented populations in the eating disorder literature, and the reasons for such under-representation.
- Consider the research, clinical, public health, and policy implications associated with excluding and/or erasing the experiences of marginalized populations in eating disorder research.
- Explore potential solutions to documented barriers for including marginalized populations in epidemiologic research on eating disorders and related outcomes.
Workshop: Are Autism and Eating Disorders Related?
Ms Zhuo Li, PhD Candidate, King's College London
Abstract: Autism is often overlooked in standard eating disorder (ED) treatment programmes. Research suggests that between 23% to 35% of patients with anorexia nervosa (AN) also present autistic features. These patients tend to benefit less from standard ED treatment programmes, with poorer outcomes (higher anxiety and depression, poorer social and work adjustment), and longer inpatient admissions. The PEACE (Pathway for Eating disorders and Autism developed from Clinical Experience) project has developed a range of resources and treatment recommendations for individuals with co-occurring ED and autism. This workshop will focus on approaches to adapting treatment for this population, integrating research evidence and learnings from clinical implementation of the PEACE pathway at South London and Maudsley, Eating Disorders Service in the UK. In our translational clinical work at PEACE, we have developed a website (www.peacepathway.org) where patients, clinicians and carers can benefit from various free resources; we have published a book, Supporting Autistic People with Eating Disorders (2021, Jessica Kingsley Publishers); we were also the first specialist ED service in the UK to be awarded accreditation from the National Autistic Society for being autism-friendly. Economic and qualitative evaluations of the pathway have shown: (1) the feasibility of implementing and scaling up the PEACE Pathway across other regions in the UK; (2) Joint effort in developing the pathway by patients, clinicians and carers, and their satisfaction with the implementation; (3) Approximate cost savings of £275,000 GBP in our inpatient unit, as patients benefit more from the individualised treatment and spend shorter time in the hospital. This workshop will outline the theoretical framework and research evidence behind the PEACE Pathway, and introduce its development, implementation, obstacles, and future directions. During the interactive component of the workshop, attendees will be invited to try out different elements of PEACE resources, for example: tools facilitating communication such as communication preferences record and conversation cards, tools addressing sensory preferences.
- Reflecting on the research evidence on autism and eating disorder comorbidity.
- Awareness of adaptations for clinical benefits.
- Explore potential solutions to documented barriers for including marginalized populations in epidemiologic research on eating disorders and related outcomes.
Workshop: A Practical Guide to Offering Virtual Eating-Disorder Treatments in Individual and Group Modalities
Dr. Linda Booij, Professor of Psychiatry, McGill University/Douglas Mental Health University Institute
Lea Thaler, Ph.D., Psychologist, Douglas University Institute/McGill University
Findings show “virtual” therapy (conducted using internet-based videoconferencing techniques) to be a viable alternative to in-person therapy for a variety of mental-health problems—including eating disorders (EDs). COVID-19 social-distancing imperatives required the Douglas Institute’s Eating Disorders Continuum to substitute virtual interventions for routine in-person individual, group, day hospital, and meal-support sessions offered in our specialized eating-disorder (ED) program. Since March 2020, we have amassed quite an extensive experience in virtual therapy applications, have prepared in-house manuals addressing technical considerations and clinical content, and have performed empirical assessments of outcome and patient experience. This workshop uses didactic and experiential teaching methods to allow us to share all aspects of our virtual-therapy experience, including published (Steiger et al, 2022) and as-yet unpublished data on clinical outcomes obtained with virtual therapy, and observations (empirical and impressionistic) about advantages and disadvantages of virtual therapy. There will be particular emphasis on use of role plays involving workshop participants to illustrate management of challenging situations (e.g., suicide threats, meal refusal, intoxication, etc.) in a virtual modality. The lesson plan for this workshop includes: (A) A Didactic component (total time 40 minutes), involving presentation of (i) a literature review on findings involving virtual treatments with people with EDs (15 minutes), (ii) manuals on implementing virtual therapy and describing group and day program contents (15 minutes), and (iii) published and not-yet published data reflecting outcomes with the treatment techniques just described (10 minutes). B. A Practical component (total time 50 minutes), including (i) A simulated group session involving role plays and group exchange based on prepared and elicited case materials, providing instructions on setting up and running virtual groups (15 minutes), and (ii) on managing crises and “the unexpected”, (15 minutes). Finally, there will be (iii) Discussion on uses and misuses of virtual therapy, advantages and challenges (10 minutes), followed by a final question and discussion period (10 minutes).
- Following this training, participants will be able to understand the advantages and disadvantages of virtual therapy for eating disorders compared to in-person therapy, based on recent research findings.
- Following this training, participants will be able to be familiar with different therapeutic strategies when offering outpatient or day program treatment for people with eating disorders offered in a virtual format.
- Following this training, participants will be able to be familiar with practical approaches to managing crises and other unexpected challenges when delivering virtual therapy to people with eating disorders.
Workshop: Families in the Virtual Village of Eating Disorder Care
Dr. Deborah Michel, National Clinical Director of ERC At Home Virtual Services, Eating Recovery Center
Abstract: This workshop will focus on family involvement in the virtual care of eating disorder patients in an intensive outpatient program. The availability of telebehavioral healthcare for the treatment of eating disorders has substantially grown over the course of the COVID-19 pandemic, resulting in increased capacity to meet treatment demand for those who would not otherwise receive care due to various barriers such as treatment deserts, transportation, or schedule conflicts. Though still preliminary, data is beginning to surface on the efficacy of eating disorder treatment delivered via telehealth. For the child and adolescent population, it is well-established that family inclusion is critical and there is ample evidence supporting family-based treatment. Support system involvement for adults, often including family members, has also been demonstrated to be of great value. Telebehavioral healthcare is well poised to enhance family involvement in many aspects of care such as family therapy, psychoeducation, caregiver skills, and family support groups given the convenience and accessibility of virtual treatment. In this presentation, a data-informed model of virtual intensive outpatient (VIOP) care is outlined utilizing information gleaned from literature review as well as data and feedback obtained from patients, family members, and support persons over the course of large-scale VIOP programming. A review of current literature will be presented on the effects of COVID-19 on mental health as well as eating disorders specifically. Clinical best practices for ethical and comprehensive involvement of family members for all populations will be highlighted and discipline specific best practices delineated for psychotherapists as well as dietitians. Case vignettes will be used to highlight clinical topics as well as stimulate audience participation.
- List three findings on the efficacy of telebehavioral health in eating disorder treatment.
- List three treatment modalities in which families may participate in virtual eating disorder treatment.
- Identify clinical best practices for family involvement in eating disorder treatment for therapists and dietitians.
Workshop: Navigating Complexities in Gender Affirming Eating Disorder Care: Working with Non-Affirming Parents
Jonathan Levine, Therapist, Equip Health
Scout Silverstein, Senior Program Development Lead, Equip Health
Abstract: Transgender and gender expansive (TGE) youth are 4-8 times more likely to struggle with an eating disorder (ED) relative to their cisgender youth counterparts. Family acceptance and support is a primary driving factor for physical and mental health for TGE youth.The American Academy of Pediatrics’ gender-affirming care model states gender variations are not disorders and gender presentations are diverse and vary across cultures. Mental health disparities most often develop from stigma and discrimination, rather than from one’s intrinsic gender experience. There are a lack of resources focused on how ED care providers can navigate the complexities of providing affirming care for TGE youth who live with unsupportive and non-affirming parents. While TGE youth experience improvement in Eating Disorder Examiniation Questionnaire (EDE-Q) scores with ED treatment, suicidality is higher at the start of treatment relative to cisgender youth, and does not significantly improve throughout the treatment course. A strong and affirming family support system has been demonstrated to decrease suicidality in TGE youth by up to 82%, and suicide attempts from 57% to 4%. This workshop will offer tools to navigate difficult situations with non-affirming caregivers, such as resistance to using pronouns, denial of gender diversity, hesitancy in supporting medical transition, working effectively with caregivers who hold discordant levels of support, and helping caregivers who exhibit primarily fear-based responses to their child’s expressed needs. We’ll discuss common difficulties ED care providers face, and will invite participants to share examples. We’ll introduce a five-pronged communication approach for use with non-affirming caregivers. Participants will engage in small group interactive role plays around working with non-affirming caregivers. By the end of this session, participants will have practiced idea generation through collective expertise and will leave with several new skills and strategies to integrate into practice. Aligned with AED’s themes of broadening impact and ‘enhancing visibility through collaboration and outreach’, we aim to arm attendees with the skills required for delivery of gender affirming care through effective caregiver engagement, thus providing opportunity for improvement in treatment outcomes. This dynamic workshop will provide participants with tools required to meet the needs of a complex, underserved and overlooked population.
- Understand common reasons parents face difficulties in supporting their transgender and gender expansive children.
- Identify evidence-based research and resources that can be used in helping align non-affirming parents with the treatment team approach in providing gender-affirming care.
- Adopt a five pronged communication approach to navigating complexities with non-affirming parents which includes providing validation, introducing evidence base, asking open ended questions, providing encouragement, and offering resources.
Workshop: Reconnecting for Recovery: Leveraging power of families through Multifamily Therapy for YA with AN
Dr. Mary Tantillo, Professor of Clinical Nursing/Director Western NY Comprehensive Care Center for Eating Disorders, University of Rochester School of Nursing
Abstract: This workshop will describe an innovative conceptual framework for understanding eating disorders as diseases of disconnection, as well as a relational/motivational Multifamily Therapy Group (MFTG) approach (“Reconnecting for Recovery” – “R4R”) for young adults with Anorexia Nervosa (AN) that leverages the power of families to repair disconnections and improve perceived mutuality. Participants will learn interventions that help young adult patients and families gain emotional and relational skills needed to work collaboratively in recovery to foster increased connection with self/one’s body and others. The workshop will include didactic instruction, a video-segment of a simulated Reconnecting for Recovery Multifamily Therapy Group, and large group discussion.
- Discuss the relational re-framing of eating disorders as “diseases of disconnection.”
- Describe how a relational/motivational MFTG leverages the power of families to effectively identify and repair disconnections associated with AN in young adulthood.
- Discuss two R4R MFTG interventions that promote emotional and relational skills needed to repair disconnections and foster connection with self and others.
Workshop: Treating Insomnia in Your Eating Disorder Clients: Moving Beyond Sleep Hygiene to Empirically Supported Techniques from Behavioral Sleep Medicine
Dr. Angeline Bottera PhD,Postdoctoral Fellow, University of Chicago
Dr. Kara Christensen, Assistant Professor, University of Nevada Las Vegas
Kyle De Young, Associate Professor, University of Wyoming
Ellen Klaver, PhD candidate, University of Alberta
Abstract: Insomnia disorder is a mental health condition characterized by difficulty falling asleep and/or staying asleep accompanied by significant daytime dysfunction. Its occurrence is common among people with eating disorders (EDs) and is associated with higher ED severity and poorer treatment response. In addition to their impacts on EDs, insomnia symptoms on their own are highly impairing, resulting in poorer concentration, memory, emotion regulation, physical health, and quality of life, underscoring the importance of addressing insomnia symptoms in treatment. Furthermore, treating insomnia may reduce risk for other disorders that commonly co-occur with and exacerbate EDs, including MDD, GAD, PTSD, and substance use disorders. Emerging evidence from insomnia treatment trials have demonstrated marked improvements in comorbid psychopathology (e.g., depression, anxiety) following treatment of insomnia, challenging the common assumptions that insomnia disorder should always be a secondary diagnosis and that it is not a distinct disorder. Moreover, many people continue to report clinically significant insomnia symptoms even after remission from an ED, as ED treatments on their own do not target the behavioral components that maintain insomnia symptoms. Consequently, high-quality insomnia-specific treatments are needed to address these symptoms. Despite high need for effective insomnia treatment among people with EDs, many providers are not yet trained to adequately treat these symptoms. A recent survey found that only 5% of clinical psychologists received training in treating sleep disorders during their career, despite most reporting a desire to learn more about sleep medicine. Moreover, when addressing insomnia in clinical practice, many providers opt for sleep hygiene as a first-line approach despite a robust evidence-base supporting the superiority and necessity of other behavioral techniques (i.e., stimulus control, sleep restriction/titration). For ED treatment providers to adequately assess and intervene on insomnia, education on how to address the relation between eating and sleep behaviors is critical. In this workshop, participants will be oriented to techniques beyond sleep hygiene that are employed in behavioral sleep medicine. They will learn 1) how to assess for insomnia, 2) the principles behind behavioral techniques for insomnia, and 3) how to apply these techniques in clinical practice.
- Following the training, participants will be able to evaluate clients for insomnia symptoms.
- Following the training, participants will be able to set plans for implementing stimulus control for clients with EDs.
- Following the training, participants will be able to interpret sleep diaries to apply sleep restriction and titration for clients with EDs.
Workshop: Two novel treatments for Avoidant Restrictive Food Intake Disorder (ARFID) in children: Comparing and contrasting family-based treatment (FBT-ARFID) and psychoeducational and motivational treatment (PMT)
Nandini Datta PhD,Post-Doctoral Fellow
Dr, Aileen Whyte, Associate Clinical Professor and Director of the Child and Adolescent Eating Disorders Clinic, at Stanford University School of Medicine
Abstract: Avoidant Restrictive Food Intake Disorder (ARFID) is associated with medical complications related to malnutrition as well as psychosocial impairments that significantly affect quality of life for children and their families. Currently, there are no well-established evidence-based treatments for ARFID in children. However, intervention development for the treatment of ARFID in youth is underway. This clinical workshop will present an overview of two novel treatments for ARFID in low-weight youth: Family-based Treatment for ARFID (FBT-ARFID) and Psychoeducational and Motivational Treatment (PMT). Our research team is currently comparing these two treatments in a large, adequately powered randomized clinical trial of 100 children ages 6-12 years old with low-weight ARFID (NCT04450771; R01MH110538). Both treatments are being delivered virtually via videoconferencing platform. The workshop will cover the research background and theoretical rationale for the development of these two treatments for this population. Previous pilot study data will be briefly reviewed. We will then compare and contrast these two treatments and share case materials from our on-going trial. All patient cases will be de-identified to protect confidentiality. We will cover the aspects of play utilized in the PMT arm and present materials developed during the “motivation for change” sessions, including stories, drawings, puzzle sheets, imaginative play, and creative session products. As part of the workshop, participants will have a chance to practice implementation of the strategies and participate in mock role play sessions to better understand this treatment approach. The workshop will also discuss how to implement FBT-ARFID utilizing the interventions outlined in the recently published manual. Throughout the workshop, the presenters will highlight developmental adaptations, cultural considerations, and discuss how common comorbidities, such as ADHD and Autism Spectrum Disorder, impact treatment structure and clinical progress. Finally, we will conclude with future directions as well as practical tips for working with children with ARFID and their families over videoconferencing. Active discussion and audience participation will be encouraged throughout the workshop.
- Identify key clinical interventions in two treatments for children with low-weight Avoidant Restrictive Food Intake Disorder (ARFID).
- Compare and contrast interventions utilized in a family-based approach (FBT-ARFID) and individual approach (PMT) for children with ARFID.
- Understand the role of parents and families in the treatment of ARFID in children.
Workshop: What Ever Happened to…Family Therapy for Bulimia Nervosa (FT-BN): Recent Overhaul and Update of FT-BN
Dr. Julian Baudinet, Consultant Clinical Psychologist, Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED)
Abstract: Despite the relatively high prevalence rate of bulimia nervosa (BN) in adolescence, little focus has been given to treatment development in recent years. While Family Therapy for Bulimia Nervosa (FT-BN) is the NICE (2017) recommended first-line treatment, only 25-40% of adolescents are abstinent from binging and purging behaviours by the end of treatment and a large proportion of young people are hesitant to involve their parents. There is not much difference in outcomes between family and individual approaches, suggesting that the key mechanism of change within treatments remains unclear. Adolescents struggling with BN often experience multiple difficulties in addition to their eating disorder, including high rates of comorbidity, self-harm, reduced emotion regulation capacity and low self-esteem. Parents of young people with BN also experience high rates of burden, and criticism within families is higher than with other eating disorders. This highlights the need for comprehensive treatments that engage individuals and their families on multiple levels and that have the flexibility to target multiple factors simultaneously.
Since the initial FT-BN trial at the Maudsley Hospital (Schmidt, et al., 2007), FT-BN has been substantially revised and is currently being piloted. This structured four-phase model draws on systemic and third-wave CBT elements and can be used in single or multi-family formats. Treatment targets binge/purge behaviours, as well as emotion dysregulation, shame, guilt and high levels of expressed emotion. This workshop will focus on skills and techniques for delivering this revised FT-BN treatment. A description of the updated theoretical concepts will be included, followed by experiential activities of treatment interventions developed to specifically target underlying psychological mechanisms and comorbidity. Pilot data of adapting FT-BN to the multi-family context will also be presented.
- Understand why and how FT-BN has been updated and put this in the context of recent developments in the field.
- Describe key theoretical principles underpinning FT-BN.
- Learn about, understand and experience how to facilitate FT-BN skills.
Workshop: The development and delivery of the Single Session Intervention
Dr. Susan Byrne, Clinical Psychologist & Honorary Fellow, University of Western Australia, School of Psychological Science
Dr. Anthea Fursland, Swan Centre, Perth, Western Australia
Abstract: With unconscionably long waiting lists throughout the world, particularly since COVID-19, there is an imperative to provide evidence-based assistance to patients while they are waiting for treatment. The Single Session Intervention (SSI) was developed at the Centre for Clinical Interventions (CCI) in Perth, Western Australia, in response to long waiting lists. An SSI, conducted by an experienced clinical psychologist, is offered to newly referred individuals or families (ideally within 2 weeks of receipt of the referral) during which patients and families are given crucial information regarding eating disorders, with a focus on their particular presentation. The aim of an SSI is to provide psychoeducation, develop a preliminary formulation, offer strategies and empower patients and their families to start making changes as soon as possible and motivate them towards recovery whist they are waiting to commence treatment. Published results from CCI have indicated that after completing an SSI, underweight patients gained an average of 2 kg (5.5 lb) and, overall, there was a statistically significant reduction in EDE-Q scores, binge eating and self-induced vomiting episodes by the time patients attended their first treatment session (up to 7 months later). Since the publication of these data, additional data have been collected from other eating disorder practices around Australia which have adopted the the SSI and evaluated the outcomes. This workshop will provide an overview of the rationale behind, and the development of, the SSI and describe the content of the SSI and the specific SSI protocol , with video demonstrations (role plays) and opportunity for practice and discussion.
- Cite clinical changes observed between delivery of the SSI and the commencement of treatment.
- Appreciate the importance of stance and a personalized approach when delivering psychoeducation.
- Apply learnings to their assessment and treatment of clients.