Eating Disorder Treatment and Programmes

Personalised modular inpatient and outpatient treatment programmes are available across the Ellern Mede patient pathway. Programmes include short-stay symptom interruption or intervention from a few days to a few weeks; partial hospitalisation; short term inpatient care through to longer term inpatient programmes. We treat all types of eating disorders. It is all we do. We have extensive experience to treat eating disorders at all stages, from first diagnosis, through treatment-resistance, to severe and enduring cases.

Outpatient Treatment Programmes
Ellern Mede’s Outpatient Treatment Programmes are offered in a range of London locations including Ellern Mede Harley Street, Ellern Mede Wimpole Street, and by arrangement at Ellern Mede Ridgeway or our soon to open Ellern Mede Barnet. These modular treatment programmes can be planned in four week blocks for ease of planning and budgeting or can simply be booked as you wish. Most clinical sessions are one hour. Telephone support sessions can be arranged as part of the care plan. We can work with your GP for physical monitoring or this can be arranged by the clinic. All programmes are available in standard or intensive types of programme depending on the patient’s needs or preferences. These are private services and payment needs to be made in advance. Ask for our Terms and Conditions.

Family Therapy Based Programmes for Patients and their Families Outpatient/Inpatient

Ellern Mede’s specialist Family Therapy service supports patients and their families, drawing on family strengths and relationships to support recovery from the eating disorder. The philosophy of care behind Ellern Mede’s family therapy work emphasises two important principles: the cause of the eating disorder is unknown; we recognise the essential role of the family in recovery.

The aim of Ellern Mede eating disorder treatment interventions is to develop skills for the patient and the patient’s family. Together, these skills and insight aid recovery. Family Therapy complements the many other therapies we offer including Psychiatry, Psychology and Pharmacotherapy. The importance of parent and family involvement in eating disorders treatment, particularly for patients who are children or young people, cannot be emphasised enough. The ability of the family to provide consistent support and supervision is the most important variable in sustaining progress toward recovery. It is also important that the parents and clinical team work closely together in adjusting the approach and the level of support they provide in response to the patient’s progress. This programme is available whether the patient is in an inpatient or outpatient programme.

Ellern Mede Inpatient Treatment Programmes

Inpatient Treatment Programmes for Eating Disorders are available at both Ellern Mede Ridgeway in Mill Hill and at (soon to be open) Ellern Mede Barnet, both hospitals in north London. A range of modular programmes can be offered to suit the patient and family needs, ranging from partial hospitalisation or short term inpatient care to longer term inpatient care. There is also a programme for whatever the stage of eating disorder of the patient, whether it is early in the diagnosis or following multiple previous eating disorder treatments. We have an excellent track record of patient recovery. We have low readmission evidencing sustained health following discharge. We receive very positive feedback from former patients and their families. All programmes aim to deliver weight restoration, medical and psychiatric health, well being and post discharge support. Throughout inpatient stays there is a close link between the patient, the patient family and the clinical team.

 

Family Therapy Unique New Programme at Ellern Mede Barnet

Ellern Mede will soon offer an intensive short-term family based treatment programme in our new purpose-designed building in Barnet, north west London. The programme is on schedule to begin in July 2017. This addresses a very pressing need for more eating disorder services in which family can play the pivotal role. There is positive evidence for this intervention from the children’s hospital eating disorders programme in Denver Colorado. The young person is admitted for short term inpatient care followed by extended-day treatment. Parents are involved in the programme and attend for two days per week.

Family oriented treatment approaches, such as the Family Based Approach (Locke, Le Grange), have been shown to be effective in improving outcomes for children and young people with anorexia. The aim of this programme includes interrupting symptoms, coaching parents to be in charge of their child’s weight restoration and recovery so that they can be more empowered to fight the illness.

Adult Bulimia Nervosa and Binge Eating Disorder Programmes

Ellern Mede is about to introduce a new highly specialised Adult Eating Disorder programme to treat Bulimia Nervosa (BN) and Binge Eating Disorder (BED) in young adults up to age 24. This focuses on symptom interruption and short term intensive treatment. We expect the programme to open to patients from July 2017.

This programme provides maximum effectiveness with least disruption to a person’s work and family life. Outpatient follow up care can also be arranged at any of Ellern Mede’s hospitals and clinics in London including at our clinic in Harley Street.

The programme follows NICE guidelines for treatment and involves Cognitive Behavioural Therapy for Bulimia Nervosa (CBT-BN). It combines an inpatient and an outpatient element. The time and duration of treatment is agreed with each client.

Ellern Mede recommends short-stay Symptom Interruption stays, enhanced by a 2 to 5 week inpatient stay for with supervised meals, CBT-BN, specialist dietetic input and therapeutic activities. Follow up CBT sessions, individual and group, are offered on an outpatient basis, followed up with post discharge support. It may be useful to note that the good practice recommended by NICE for the treatment of this eating disorder is 16 to 20 CBT sessions over four to five months; that if more care is required, that follow up should be interpersonal psychology therapies lasting up to a year.

Ellern Mede Ridgeway High Dependency Inpatient Programme for Children

One of Ellern Mede’s longest running and most effective programmes is the High Dependency Programme offered at Ellern Mede Ridgeway which is famous for treating the cohort of young patients with severe or severe and enduring eating disorders cases that cannot be adequately supported in less specialist eating disorder centres of mainstream hospitals. Our High Dependency Ward (Lask Ward) provides inpatient treatment for patients with highly complex, challenging or chronic conditions. This may include young people who are resistant to treatment, severely medically compromised, have a history of serious self-harm or those who present with challenging behaviour. Frequently we admit young people who have been through other eating disorder programmes which have not led to recovery.

We are a Tier 4 CAMHS service. Lask Ward admits patients who have other secondary medical needs in addition to the eating disorder. The service provides medical and psychiatric consultants and a range of specialised equipment and adapted facilities to cater for patients with limited mobility or more intense physical needs. Equipment includes cardiac monitors, defibrillators, hoists, profile beds, disability bathrooms and rooms and lifts. We offer medical and nursing interventions and laboratory investigations. We can provide naso-gastric feeds, pump feeds and gastrostomy feeding. These interventions are supported with high levels of specialised nursing, regular medical monitoring, psycho-social interventions, family therapy, and dietetic services.

Ellern Mede Ridgeway Nunn Ward Recovery Programme

The Ellern Mede Eating Disorder Recovery Programme, offered in our Nunn unit, provides physical and psychiatric stabilisation with the aim of a shorter length of stay. This ward admits both private and NHS patients. Here ongoing work is recovery-focused for those patients who are able to eat with staff support using a ‘graded’ table system combined with community based activity such as social eating. Many patients are referred through NHS Child and Adolescent Mental Health services (CAMHS) and return to CAMHS care in the community post discharge. For private patients, we are able to offer community support through our Outpatient Services. Young people admitted here may come from a range of medical backgrounds. It may be the latest specialist eating disorder admission in a history of this or indeed may be their first admission to a hospital for this condition.

Each patient has an individual meal plan developed with the support of our specialist dietetic team. Individual and group therapy is offered to all young people, together with family therapy, promoting the centrality of the family in providing support at home.

We provide regular Multi Disciplinary Team (MDT) reports on the progress of your child, which includes the opportunity for you and your child to offer feedback to our treating team.

Home leave is a key part of the rehabilitation phase of this treatment. We work towards discharge and provide the opportunity for the young people and their families to practise the skills they have acquired through treatment.

NHS referrals

Ellern Mede has provided specialist Tier 4 eating disorder services to the NHS since 2000. We respond to referrals within 24 hours.


Private referrals

Call now for immediate access to Ellern Mede specialist private eating disorder services. Accepted referrals begin treatment within two weeks or faster in emergencies.