Eating Disorders Service

Location: Maudsley Hospital
Services provided: Outpatient and Intensive day Treatment Programme (ITP).

Outpatient Referral PathwayYoung People, Parents and Carers can self-refer; or referrals can be made by any professionals working with them – e.g. General Practitioners, Paediatricians, Mental Health Practitioners, Teachers and School nurses.

We accept outpatient referrals for young people under the age of 18, for whom there are concerns that they may have an eating disorder, and whose GP practice is located in Southwark, Lambeth, Lewisham, Croydon, Bexley, Bromley or Greenwich

There are two referral options:

  • Telephone: 020 3228 2545 (line open 9.00am – 6.00pm Mon-Fri). Your call will be answered by a senior clinician.
  • On-line: (link below). This may be particularly useful if you are a young person and may find it difficult to contact us initially. A senior clinician will then call you back during office hours at a convenient time for you.
  • Make an online referral by Clicking Here

We aim to see all referrals within 28 days – and 7 days if urgent

ITP Referral Pathway: The ITP day service is funded by NHS England and accepts national referrals from CAMHS and Community Eating Disorder Services for Children and Young People (CED-CYP). Professionals working in these services can refer using a NHS England Form 1.

Do I Have An Eating Disorder? Does My Child Have an Eating Disorder?

Eating difficulties may take different forms such as restricting/avoiding food, skipping meals, being overly concerned about calories, weight-checking or over-exercising, as well as vomiting or bingeing – often resulting in increased anxiety and unhappiness.

GPs use the following questions to check for an eating disorder:

  • Do you make yourself sick because you feel uncomfortably full?
  • Do you worry that you have lost control over how much you eat?
  • Do you ever eat in secret?
  • Does your weight affect the way you feel about yourself?
  • Do you believe yourself to be fat when others say you are too thin?
  • Would you say that food dominates your life?

If two or more of these apply to you, or even if you are unsure whether you should be worried — please get in touch  — we can help.

Key areas: child and adolescent eating disorder (anorexia nervosa, bulimia nervosa, other spcific eating disorders, avoidant/restrictive food intake disorder and binge eating disorder)

Overview

Our Specialist Child and Adolescent Eating Disorder Service (CAEDS) is renowned worldwide for the psychological treatments it offers to children and adolescents with eating disorders, along with their families. Our team combines a highly specialist knowledge of eating disorders, with expertise in family therapy and individual approaches. We focus on helping families understand the nature and impact of their family member’s eating disorder. We apply our clinical expertise and ongoing contributions to research to find ways in which families can work together to help the young person overcome their problems. Our treatment is provided mainly on an outpatient basis by a multidisciplinary team, which includes psychiatrists, psychologists, paediatrician, paediatric and mental health nurses, family therapists, a dietitian and an art therapist. As well as family and individual therapy we offer multi-family therapy (MFT) for anorexia, involving several families coming together to work side by side. The MFT program involves an initial intensive four-day workshop, with further follow-up group meetings over several months. We also offer MFT for bulimia nervosa, a 20-week programme combining group and family formats. Our service offers an Intensive day Treatment Programme (ITP) funded by NHS England as an alternative to inpatient treatment that works actively with families at all stages of the treatment and helps young people to recover more quickly with better outcomes, prevents protracted inpatient admissions and reduces relapse rates. ITP accepts national referrals for young people aged 11—18 suffering from a range of eating disorders. The service runs from Monday to Friday, and the young people can attend between one and five days a week depending on their specific needs. Young people with an eating disorder take part in the programme which comprises group, individual and family-based therapies. Education is provided by the Bethlem and Maudsley Hospital School. Our team is research-active at an international level. We regularly contribute to the evidence base for treatments, and present innovations nationally and internationally. We also provide a range of training and consultation to contribute to the development of other services and practitioners.

Case study - Lynne

Lynne’s story (Rachel’s mother)

Christmas wasn’t a nice time at all. She nearly completely stopped eating and lay on the sofa crying from morning to night, thinking we were putting calories in the water. I had already started reading books and doing research on anorexia, which was where I heard about the Maudsley.

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