How our service can help you
We treat a range of eating disorders alongside co-morbidities from first presentation to severe and intractable, including those patients who are diagnosed late in the development of the condition. We offer assessment, treatment and management of people with anorexia nervosa, bulimia nervosa, and mixed eating disorder symptoms (eating disorder not otherwise specified / other specified feeding or eating disorder) in an outpatient and day care service providing a range of evidence-based care packages tailored to the needs of patients and their carers. We are able to send self-help resources to individuals with binge eating disorder and avoidant restrictive food intake disorder.
We identify the most appropriate treatment pathway for the patient and provide advice/treatment in the most appropriate setting. At all times the service will effectively and appropriately liaise with families or carers and other outside agencies. The service will provide psychological, emotional, social and physical interventions to the client group.
Our unit is internationally renowned for its research and is at the forefront of treatment development, having generated much of the evidence underpinning contemporary eating disorder treatments.
For more information on referrals, please email slm-tr.eatingdisorders@nhs.net
- Service Borough Covers: National (Adult services) Treatment type: Outpatient
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Contact the service
Site Location: Maudsley Hospital Email: slm-tr.eatingdisorders@nhs.net Phone Number: 020 3228 3180 -
Disabled Access:
Yes
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Address:
Middle House
Maudsley Hospital
Denmark Hill,London, SE5 8AZ -
Business Hours/Visiting Hours:
Monday to Friday 9am – 5pm.
Patient Timetable: Monday to Friday 10am-4pm.
- Conditions: Addictions, Anxiety, Attention deficit hyperactivity disorder (ADHD), Autism, Bipolar disorder, Body dysmorphic disorder (BDD), Childhood degenerative disorders, Conduct disorder, Dementia, Depression, Dissociative disorders, Eating disorders, Learning disabilities, Neuropsychiatry, Obsessive compulsive disorder (OCD), Perinatal disorders, Persistent physical symptoms, Personality disorders, Post-traumatic stress disorder (PTSD), Psychosexual, Psychosis, Self-harm
Other essential information
Interventions
- Assessment to assess suitability for treatment. Day services is suitable for outpatients who require more intensive support or for inpatient patients who require a step-down service
- Formulation of a treatment plan agreed with the patient and or others, for example carers and families
- Individual therapy this may be under outpatients contract or within day services depending on which stream of day services is being attended
- Assessment of daily living skills
- Group based programme utilising various therapeutic models such as dialectical behaviour therapy (DBT), cognitive behaviour therapy (CBT), psychodynamic, motivational interviewing, and emotional and social mind
- Relationship building
- Specialist dietetics
- Liaison with outside agencies, for example social services
- Nutritional rehabilitation
- Provision of skills based therapeutic programme
- Occupational therapy
- Multidisciplinary input
- Monthly review of progress
- Peer mentoring
Eligibility criteria
- 18 years and over
- Male or female
- Diagnosis of an eating disorder requiring more intensive treatment
- Medically safe to attend day services, including travelling to and from the facility
- Has previously received inpatient or outpatient treatment which has not been sufficient to support recovery or stabilisation, or is at a stage physically or psychologically where more intensive support is required
- Motivated to engage in the psychosocial programme and attend consistently, with the personalised care plans and objectives
Exclusion criteria
- Medically unstable
Outcomes
- Maintain patients within the community
- Ability to nutritionally support themselves independently
- Greater psychological functioning or wellbeing
- Ability to pursue vocational goals
- Improved family and social relationships
- Healthy or healthier weight or stabilisation in order to continue living in community
- To decrease compensatory behaviours
- Average length of stay is six to nine months, in certain cases 12 to 18 months may be indicated
Care Pathways
This is typically a nine-step pathway from referral to discharge. The care pathway last between six and nine months.
Recovery
This service was introduced in April 2011 in response to patients (with a BMI of 14 or less) often reporting that they felt unprepared to manage the full range of life experiences that follow inpatient treatment, and that without practise they can struggle or relapse.
The programme runs from 8am to 8pm Monday to Friday and supports people to increase their independence and take more personal responsibility for their health, social and emotional life.
Step-up's client group typically takes low weight patients who are avoiding admission or have just come out of hospital. Some of their clients may not be working on weight restoration but are wanting to maintain a low BMI and achieve other recovery goals.
Day Care
Day Care treatment to people who may be diagnosed with anorexia nervosa or other severe and complex eating disorders. Patients are referred to the unit either as a step-down from inpatient care or where outpatient treatment is not sufficient. Occasionally, day care also deals with OPAL patients.
This service is for people who want to move towards full bio, psycho and social recovery from their eating disorder. The day care programme operates from Monday to Friday, 10am to 4pm, and includes active nutritional rehabilitation, key working, occupational therapy and evidence-based group and individual therapy.
Day-care is based at the Maudsley and runs from 10am to 4pm Monday to Friday. Day-care's client group tends to be those aiming for full weight restoration or may be at a healthy weight with complex mental health needs and people attend day-care for six to nine months. Patients are given a welcome pack to record their progress and activities. Typically, undertake a five day a week therapy course for the first three months and this reduces to two days per week from month six.
During their course of treatment, patients will attend one-to-ones, group sessions and self-managed tasks (for example, shopping and meal preparation) with and under instruction from the day care team.
