Our Services Page

Outpatient treatment
The specialist eating disorder outpatient service provides assessment and NICE recommended treatments for patients experiencing a range of moderate-to-severe eating disorder symptoms.

The multidisciplinary team (MDT) consists of consultant psychiatrists, specialty doctors, dietitians, psychological therapists, mental health nurses, occupational therapists and peer support workers.

The treatments provided include: 

• Specialist supportive clinical management (SSCM)
• Maudsley model of anorexia nervosa treatment for adults (MANTRA)
• Individual cognitive behavioural therapy (CBT-ED)
• Bulimia recovery group (BRG)
• Cognitive Behavioural Therapy Ten (CBT-T)
• Recovery from binge eating disorder group (RBED) and St Ann's Recovery from Binge Eating Disorder (STAR-BED) workbook
• Dietetic nutritional insight group
• Medical reviews
• Occupational therapy assessment and treatment (as part of an intensive package for severe and enduring eating disorders patients [SEED] and for first episode rapid early intervention for eating disorders (FREED) patients)
• Physical health monitoring (available for a limited amount of time for SEED patients who require regular monitoring with eating disorder specific support for medical stabilisation)
• Individual peer support sessions (up to three sessions).
  
  The liaison team works collaboratively with other services and can support hospital wards, other mental health services and GPs with management of eating disorder patients. The team offers urgent assessments for patients who are admitted to hospitals within the catchment area.

Inpatient treatment
The Iris Ward is a 14-bed acute inpatient unit for adult men and women. It is a purpose-designed adult eating disorder ward that provides treatment for critically unwell patients with eating disorders who are in need of refeeding and medical stabilisation.

Treatment is provided by an extensive MDT, including medics, nurses, occupational therapists, dietitians, psychologists, activity coordinators, social workers, art therapists and family therapists.

The Iris Ward is part of the North London Adult Eating Disorders Collaborative, in which it shares joint inpatient commissioning and bed management.

Day programme
The day programme is a group-based programme available to patients across England. It provides intensive six-week group treatment for patients with an eating disorder, as well as the opportunity for intensive intervention in the community, enabling choices for the least restrictive environment for care.

The team includes input from nurses, occupational therapists, associate mental health workers, medics, art therapists, psychologists and dietitians.

Alongside the group programme, the structure of the day programme is based around supported meals and snacks.

The aims of the day programme are:

• to provide a specialist evidence-based and patient-collaborative treatment for anorexia nervosa
• to offer a step-down programme from the inpatient ward, with a focus on transitions
• to offer a step-up programme for those at risk of an admission 
• to ensure that restoration of a normal eating pattern and a healthy weight is linked with psychological improvement and recovery
• weight restoration
• normalisation of eating behaviour and reduction of eating disorder behaviours and symptoms
• to increase psychological understanding of eating disorder behaviour
• practical and psychological processes for making and maintaining changes to disordered eating, thoughts and behaviours
• to support integration into the community and plan for post treatment support, which may or may not be within the service.