APPENDIX 1:
ACKNOWLEDGEMENTS
Clinical Governance Committee
MH-Kids Management
Core Working Party
Melissa Hart (Working Party Leader)
Dr Sandra Heriot (Working Party Leader)
Kelly Monger (Project Officer)
Teri Stone (Working Party Leader)
External (Expert) Consultants
Dr Rachel Bryant-Waugh (Clinical Psychologist)
Dr Simon Clarke (Adolescent Physician)
Dr Janine Duke (Epidemiologist)
Raylene Gordon (Aboriginal Convenor)
Professor Phillipa Hay (Psychiatrist)
Dr Michael Kohn (Adolescent Physician)
Professor Bryan Lask (Child and Adolescent
Psychiatrist)
Dr Sloane Madden (Child and Adolescent
Psychiatrist)
Professor Kenneth Nunn (Child and Adolescent
Psychiatrist)
Professor Susan Paxton (Clinical Psychologist)
Dr Titia Sprague (Policy Advisor)
Professor Stephen Touyz (Clinical Psychologist)
Working Party Members
Kate àBeckett (Co-working Party Leader)
Dr Julie Adamson
Gail Anderson
Michelle Azizi (Working Party Leader)
Hadia Baassiri
Rebecca Barnett
Chris Basten
Liz Best
Dr Susan Blinkhorn
Terrill Bruere
Dr David Burton
Kerry Byrnes
Dr Lisa Caldwell
Anjanette Casey
Ciara Cooney
Jennie Cox
Lea Crisante
Kristy Dallman
Catherine Dinneen
Anne Embry
Nicole Fabrier
Ester German
Megan Gosbee (Working Party Leader)
Lilian Gowers
Carmel Hanson
Amanda Homard
Carol Hubert
Professor Gail Huon
Dr Robert Irvine
Dr Wendy Jackson
Karen Johnson-Dewit
Amanda Jordan
Dr Colin Kable
Dr Allan Kerrigan
Allison Kokany (Working Party Leader)
Dr Bessy Lampropoulos
Eating Disorders Toolkit – Appendices
Working Party Members (Continued)
Kim Lane (Working Party Leader)
Judith Leahy
Peggy Lee
Katy Lennox
Talya Linker
Anne Lipzker
Martin Losurdo
Claire Lynch (Working Party Leader)
Sarah Maguire
Dr Kim Manhood
Peta Marks
Penny Maxwell (Working Party Leader)
Dr Rod McClymont
Brenda McLeod
Dr Patricia McVeagh
Maria Milic
Kim Millard
Tayebeh Mojarred
Gabrielle Mulcahy
Michelle Murray
Nicole Myers
Dyani Nevile
Monique Newson
Fiona Nielson
Theresa Novak
Maureen O’Connor
Tracey Patricks
Veronica Pitcher
Alison Porter
Diana Renshaw
Dr Liz Rieger
Susan Ringwood
Dr Janice Russell
Kristy Saultry
Felicity Spencer (Working Party Leader)
Matthew Stanton (Co-working Party Leader)
Don Stewart
Helen Storey
Maureen Thorley
Chris Thornton
Kathryn Vaughan
Renee Verdon
Meg Vickery
Rhonda Winskill
Denise Wong See
Cath Wood
Other Contributors
Associate Professor John Attia
Lucas Bull
Sophie Dilworth
Michael Donovan
Darren Faulkner
Lisa Gear
Sharon Searle
Claire Toohey
Cathie Turk
Joy Pennock
Michael Cowen
127
APPENDIX 2:
GROWTH AND BMI CENTILE CHARTS
Eating Disorders Toolkit – Appendices
128
Eating Disorders Toolkit – Appendices
129
Eating Disorders Toolkit – Appendices
130
Eating Disorders Toolkit – Appendices
131
APPENDIX 3:
PHYSICAL ACTIVITY: STAGED PROGRAM EXAMPLE FOR
USE BY A PHYSIOTHERAPIST
Admission
Assessment by Medical Team
Medical Status Determined
Medically Unstable
Leave off ward (if allowed) in wheelchair to conserve energy
Medically Stable
Stretches in lying and sitting may be performed with supervision
Encourage awareness of breath
Identify patterns of muscle tension (see stretching suggestions page attached)
Leave off ward (if allowed) in wheelchair or at a relaxed walking pace (at medical team’s
discretion)
Continued Medical Stability and Weight Gain
Continue supervised stretches
Begin basic core stability
Assist patient to identify muscle tightness / deconditioning as a negative consequence of
the eating disorder
Assist patient to view the physical activity plan as an opportunity to help nurture and heal
their body
Supervised leave off ward - staff / family to model relaxed walking pace
Continued Medical Stability and Further Weight Gain
Demonstrated Control of Over-Exercising Behaviours on the Ward
Patient may perform stretches independently on ward
Continue core stability
Upper and lower body strengthening
Games – ball games etc, non-competitive, relaxed and fun!
Exercise education
ƒ
ƒ
ƒ
ƒ
ƒ
Discharge Planning
Create a physical activity plan in collaboration with the patient and their family to
minimise confusion and limit potential arguments and bargaining in the home.
Type of activity, length of activity and number of opportunities for physical activity
per week should be agreed upon.
Extra energy expenditure due to returning to school should be taken into account.
Investigating school sport / physical education (PE) is important as the level of
intensity or competition may not be appropriate.
Encourage the family to communicate with PE teachers or coaches.
Eating Disorders Toolkit – Appendices
132
APPENDIX 4:
PHYSICAL ACTIVITY: STRETCHES
Copyright 1999—2007 VHI
Eating Disorders Toolkit – Appendices
133
APPENDIX 5:
PSYCHOMETRIC ASSESSMENT TOOLS
Limited data are available on psychometric properties of assessment and screening tools for
eating disorders in adolescents. Some measures that can be implemented include:
Interview:
ƒ EDE ≥14 years (Fairburn & Cooper, 1993)
ƒ EDE-child version (Bryant-Waugh, Cooper, Taylor & Lask, 1996)
Self Report:
ƒ Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) ≥ 14 years (Rieger,
Touyz & Beumont, 2002)
ƒ Canadian Occupational Performance Measure (COPM), Adolescent leisure interest
profile (Law, Baptiste, Carswell, McColl, Polatajko & Pollock, 1999) (designed for use
by occupational therapist)
ƒ Childrens’ Eating Attitudes Test (ChEAT; Maloney, McGuire, & Daniels, 1988)
ƒ Kids’ Eating Disorder Survey (Childress, Brewerton, Hodges & Jarrell, 1993)
HEEADSSS (THE REVISED VERSION)
HEEADSSS (Goldenring & Rosen, 2004) is a system for organizing the psychosocial history and
has been used in many countries. A series of questions are proposed under each section to
facilitate effective history taking.
The HEEADSSS assessment encompasses:
Home
Education/employment
Eating
peer group Activities
Drugs
Sexuality
Suicide/depression
Safety
Eating Disorders Toolkit – Appendices
134
APPENDIX 6:
STAGES OF RECOVERY
In patients with AN particularly, there are certain patterns of behaviour that seem to predominate
at certain times. These patterns occur in three stages (see diagram below, which illustrates
recovery over a 12 month period). The y-axis indicates intensity level.
6
5
4
3
2
1
0
1
2
3
4
5
6
7
8
9
10 11 12
Time in Months
Stage 1
Stage 2
Stage 3
Figure reproduced with permission from Lask, B., & Bryant-Waugh, R. (2007). Anorexia nervosa
and related eating disorders in childhood and adolescence’ 3rd ed. London: Brunner-Routledge.
Stage 1 (Eating problem)
The patient appears to be preoccupied with food intake and weight, almost to the exclusion
of other considerations. Typically, the patient is unable to recognise that she has a
problem. Some patients may also go through a stage of regression. Once treatment is
initiated improvement in eating symptoms allow Stage 2 to occur.
Stage 2 (Assertiveness)
The patient becomes increasingly assertive and more open in expression of strong,
negative feelings. The behaviour might appear uncharacteristic for the individual and lead
to significant distress for parents. There may appear to be an absence of concern for the
person to whom the behaviours are directed. Some clinicians may feel that the patient is
worsening, though this is quite normal and is necessary for progression to the final stage.
Stage 3 (Age-appropriate expression of feelings)
As Stage 2 behaviour diminishes, this is gradually replaced by more age-appropriate
expression of feelings. For example, anger may be directed at the person concerned and
within a few minutes the patient may discuss this in a rational, calm manner. The child is
well on the way to recovery.
Eating Disorders Toolkit – Appendices
135
APPENDIX 7:
GLOSSARY
Absconding
Affective Disorders
Alexithymia
Amenorrhoea (Primary)
Amenorrhoea
(Secondary)
Anorexia Nervosa
Anaemia
Antidepressants
Anxiety Disorders
Refers to the process of a patient leaving hospital without
permission.
Otherwise known as the mood disorders, this refers to disorders in
which disturbance of mood is the predominant feature (include
depressive disorders and bipolar disorders).
Inability to express feelings with words. Those with alexithymia
often have problems with emotional awareness, and the ability to
identify, understand or describe their own emotions.
Absence of menses by age 14 plus the absence of secondary sex
characteristics or the absence of menses by age 16 in the presence
of normal pubertal development.
Absence of menses upon a history of menstruating normally.
Anorexia Nervosa is characterised by a restriction of oral intake,
refusal to maintain or gain weight at a level that is a minimally
normal weight, a fear of gaining weight or becoming fat, abnormal
body image and amenorrhoea.
General name for a range of disorders affecting red blood cells.
Iron-deficiency anaemia is frequently encountered in AN because of
an inadequate dietary intake of iron.
Drugs that treat the symptoms of depression. There are three main
types of antidepressant:
ƒ Selective serotonin re-uptake inhibitors (SSRIs),
ƒ Tricyclic antidepressants (TCAs) and related drugs, and
ƒ Monoamine oxidase inhibitors (MAOIs).
Anxiety disorders are the most common of all the mental health
disorders. Specific anxiety disorders are: Generalized Anxiety
Disorder, Panic Disorder, Agoraphobia, Social Phobia, Obsessive
Compulsive Disorder, Specific Phobia and Post-Traumatic Stress
Disorder.
ƒ
Avoidant Personality
Traits
Binge eating disorder
BMI Centile chart
Body Mass Index (BMI)
Avoidance of occupational activities that involve significant
interpersonal contact because of fears of criticism,
disapproval, or rejection.
For children, the DSM-IV
reference to occupational activities can apply to school.
Children with avoidant personality traits often have marked
difficulty with new classes, presentations in front of the
class, and less-structured times such as recess or lunch.
ƒ Person may be unwilling to get involved with others unless
certain of being liked.
A syndrome in which there are repeated uncontrolled episodes of
overeating but no use of compensatory weight-control behaviours.
A chart to link child Centiles of body mass index, weight and height.
BMI is used as a screening tool for adults to identify those who are
underweight or overweight. BMI is an anthropometric index of
weight and height. BMI Centile charts must be used for children &
Eating Disorders Toolkit – Appendices
136
adolescents.
BMI = weight (kg) ÷ height (m)2
Bradycardia
Bulimia Nervosa
Cognitive Behaviour
Therapy (CBT)
Compulsions
Dependent Personality
Traits
Dialectical Behaviour
Therapy (DBT)
Diagnostic and
Statistical Manual of
Mental Disorders (DSMIV)
Dual-Energy Xray
Absorptiometry (DEXA)
Eating disorder not
other specified
(EDNOS)
ECG
(Electrocardiogram)
Slowness of the heart rate; pulse < 60 beats per minute.
Syndrome characterised by recurrent binge eating and inappropriate
compensatory behaviour (vomiting, purging, fasting or exercising)
occurring at least twice a week for three months.
Self-evaluation is based on body shape and weight and there is a
subjective feeling of loss of control over eating.
An intervention based on the assumption that mood and behaviour
is largely determined by the way in which a person thinks about the
world. It assists an individual to monitor their thoughts, and
recognise the connections between their thoughts, mood and
behaviour.
Repetitive purposeful intentional behaviour performed according to
rules to neutralise obsessions. These may include washing,
checking, ordering, hoarding and avoiding rituals.
Traits that are associated with strong dependency-related needs,
such as difficulty in making everyday decisions because of
exaggerated fears of being unable to care for himself or herself,
going to excessive lengths to obtain nurturance and support from
others and a preoccupation with mild criticism or disapproval.
Treatment that includes:
ƒ Mindfulness skills
ƒ Distress tolerance
ƒ Emotional regulation
ƒ Interpersonal effectiveness
This intervention can be effective in the treatment of Borderline
Personality Disorder (BPD).
A system for classification of psychological and psychiatric disorders
prepared by the American Psychiatric Association.
A tool used to investigate bone size, density and mineral content.
DEXA scanning services for adults are widely available, however,
many services do not have the required software with age specific
normal ranges to allow for meaningful interpretation in children and
adolescents.
Eating disorders that closely resemble AN and BN but are
considered atypical, as they do not meet the precise diagnostic
criteria for these conditions.
A recording of the electrical activity of the heart on a moving strip of
paper. The electrocardiogram detects and records the electrical
potential of the heart during contraction.
Ego-dystonic
The individual’s sense that a symptom is alien and not within their
control. The opposite of ego-syntonic, this term refers to behaviour
or mental acts, such as thoughts, feelings, and desires, which are
incompatible or unacceptable to the individual’s sense of self.
Electrolytes
Electrolytes are substances that become ions in solution and
acquire the capacity to conduct electricity. The balance of the
Eating Disorders Toolkit – Appendices
137
electrolytes in our bodies is essential for normal function of cells and
organs. Electrolytes are important because they are what cells
(especially nerve, heart, muscle) use to maintain voltages across
their cell membranes and to carry electrical impulses (nerve
impulses, muscle contractions) across themselves and to other
cells.
Typically, tests for electrolytes measure levels of sodium,
potassium, chloride, and bicarbonate in the body.
Emetics
Externalise
Glucocorticoids
Glycaemic index
Hypercholesterolemia
Something that causes emesis or vomiting (e.g., ipecac is an
emetic). This is sold over the counter at pharmacies and is intended
for use after ingestion of poison.
Externalising locates problems, not within individuals, but as a
product of culture and history. It is a way of enabling people to
realise that they and their problem are not the same thing. For
example an externalising question may be “how long has the eating
disorder been running your life?”
Type of corticosteroid involved in carbohydrate metabolism that also
has anti-inflammatory and immosupressive properties. Cortisol
(hydrocortisone) is the most important human glucocorticoid.
Glucocorticoids are produced naturally by the human body in the
adrenal cortex or may be given therapeutically.
A method of ranking foods according to their effect on the blood
glucose level.
An increased blood cholesterol level
Hypercortisolism
Also known as Cushing's Syndrome, a disease caused by an
excess of cortisol production.
Hyperglycaemia
High blood sugar (glucose)
Hyperkalaemia
High serum potassium
Hypernatraemia
High serum sodium
Hypertension
High blood pressure
Hypoglycaemia
Low blood sugar (glucose)
Hypokalaemia
Low serum potassium
Hyponatraemia
Low serum sodium
Hypophosphataemia
Hypotension
Hypophosphatemia is an electrolyte distrurbance in which there is
an abnormally depleted level of phosphate in the blood. This can be
caused when malnourished patients are fed a large amount of
carbohydrates which have a high phosphorus demand (refeeding
syndrome).
Low blood pressure
Eating Disorders Toolkit – Appendices
138
Hypothermia (acute)
Interpersonal therapy
(IPT)
Lanugo hair
Leukopenia
Metabolic acidosis
Metabolic alkalosis
Hypothermia is defined as an unintentional drop in core body
temperature below 35.5°C. Below this point the body’s
compensatory mechanisms to conserve heat begin to fail.
IPT was originally proposed as a short-term treatment for
depression. It involves three stages:
ƒ Identification of interpersonal problems that led to the
development and maintenance of the problem
ƒ Therapeutic contract for working on these interpersonal
problems
ƒ Addressing issues related to termination
Soft downy hair especially on the back and arms caused by a
protective mechanism built-in to the body to help keep a person
warm during periods of starvation and malnutrition, and the
hormonal imbalances that result.
Reduced white blood cell count
A disturbance in the body's acid-base balance: blood pH is low
(under 7.35) signifying excessive acidity of the blood.
A primary increase in serum bicarbonate (HCO3-) concentration. It
is a condition of excess base (alkali) in the body fluids. The opposite
of excess acid (acidosis).
A calculation that estimates the expected adult height of an
individual based on their parents’ heights.
Mid parental height
Motivation:
Readiness to change
Motivational
Enhancement therapy
(MET)
Neutropenia
NSW Mental Health Act
1990
Obsessive Personality
Traits
Oedema
HOW TO CALCULATE MID PARENTAL HEIGHT
Girls MPH = [(Dad’s height – 13) + Mum’s height] / 2
Boys MPH = [(Mum’s height + 13) + Dad’s height] / 2
There are 5 stages of ‘readiness to change’.
1.
Pre-contemplation: denial of any problem
2.
Contemplation: acknowledgement of a problem, but not of a
need to change
3.
Preparation: acknowledgement of need to change, but not
ready yet
4.
Action: wants help to change Maintenance: wants help to
maintain the changes
A method of therapy that targets denial and resistance to change.
Interventions initially seek to ascertain the patient’s current state of
change and then to treat them at their current level of commitment.
The number of white blood cells (neutrophils) in the blood is below
normal.
A law that governs the care and treatment of people in NSW who
experience a mental illness or mental disorder.
Obsessions are persistent ideas, thoughts, impulses or images that
are experienced as intrusive and inappropriate and that cause
marked anxiety or distress (DSM IV).
The presence of abnormally large amounts of fluid in the
intracellular tissue spaces of the body, usually applied to
demonstrable accumulation of excessive fluid in the subcutaneous
Eating Disorders Toolkit – Appendices
139
tissues.
Oligomenorrhoea
Orthostatic change
Osteopaenia
Infrequent menstruation with markedly diminished menstrual flow.
Orthostatic, tilt or postural vital signs (VS) are serial measurements
of blood pressure and pulse that are taken with the patient in the
supine, sitting, and standing positions. Results are used to assess
possible volume depletion. There is little agreement as to what
indicates a significant orthostatic change and what is considered a
positive tilt test. The "20-10-20" rule may be used as a guide. The
rule refers to the expected decrease in systolic B/P (up to 20 mm
Hg), a rise in diastolic B/P of 10 mmHg (millimetres of mercury) and
an increase in heart rate by 20 beats per minute.
Mild thinning of the bone mass. This is common in people with AN
and occurs early in the course of the disease. Girls with AN are less
likely to reach their peak bone density and therefore may be at
increased risk for osteoporosis and fracture throughout life.
Osteoporosis
Condition in which the bones become less dense, fragile and brittle,
leading to a higher risk of fractures (breaks or cracks) than normal
bone. Osteoporosis occurs when bones lose minerals such as
calcium, and the body cannot replace these minerals fast enough to
keep the bones healthy.
Parasthesia
Sensation of tingling, pricking, or numbness of the skin with no
apparent long-term physical effect, more generally known as the
feeling of pins and needles. Can be one of the symptoms resulting
from starvation.
Peripheral neuropathy
Refeeding syndrome
Reinforcement
Russell’s Sign
Schedule
Injury to the nerves that supply sensation to the arms and legs.
Constellation of metabolic disturbances that occur as a result of
reinstitution of nutrition to patients who are starved or severely
malnourished. It occurs when previously malnourished patients are
fed with high carbohydrate loads. The result may be a rapid fall in
phosphate, magnesium and potassium, along with an increasing
ECF volume. Can be fatal if not treated.
When something is reinforced it becomes stronger. In operant or
instrumental conditioning one key concept is that reinforcers
strengthen behaviour. For example, attempting to make mealtimes
relaxed and pleasant may strengthen, or increase, positive eating
behaviours.
An indication of BN in which abrasions and scars occur on the back
of the hands as a result of manual attempts to induce vomiting.
Under the NSW Mental Health Act, this refers to the form, Schedule
2 (S21), which is written by a medical practitioner or Accredited
Person when it is necessary to admit a person to a psychiatric
hospital involuntarily.
If a patient is scheduled to hospital s/he will need:
ƒ Examination within four hours of arrival
ƒ A form and explanation of their legal rights
ƒ A second examination by a different doctor within 12 hours
ƒ If neither mentally ill or disordered they must be discharged
ƒ In most cases a second/third examination by a psychiatrist
Eating Disorders Toolkit – Appendices
140
ƒ
Secondary diagnosis
Eating Disorder
Serum thyroxine (T4)
Sinus Bradycardia
Socratic Questioning
Splitting
Tanner Stages
Therapeutic Alliance
Tri-iodothyronine (T3)
as soon as practicable
A person brought by police and found not mentally ill must
be returned to police custody or released within one hour
The primary reason for admission is for a non-eating disorder
diagnosis (e.g., Post-Traumatic Stress Disorder), although a
clinically significant eating disorder co-exists.
Test that measures the amount of T4 in the blood. T4 is the major
hormone controlling the basal metabolic rate. This test may be
performed as part of an evaluation of thyroid function.
Sinus cardiac rhythm with a resting heart rate of 60 beats/minute.
The sinus bradycardia rhythm is similar to normal sinus rhythm,
except that the RR interval is longer. The symptoms of sinus
bradycardia include dyspnea, dizziness, and extreme fatigue.
Teaching by asking rather than telling. The Socratic method has
been adapted for psychotherapy, and can be used to clarify
meaning, feeling, and consequences, as well as to gradually unfold
insight, or explore alternative actions.
Clinically, "splitting" refers to the tendency to view people or events
as either all good or all bad. It is a way of coping that allows a
person to hold opposite, unintegrated views. Splitting may occur
within the patient, or between patient and staff, staff and staff, other
patients and other staff. Splitting in the simplest sense is playing
one person off against another.
Measure of an individual’s pubertal development is the Tanner
staging of puberty, also known as the sexual maturity rating (SMR).
The Tanner stages (also known as the Tanner scale) are stages of
physical development in children, adolescents and adults, which
define physical measurements of development based on external
primary and secondary sex characteristics, such as the size of the
breasts, genitalia and development of pubic hair.
Working with the patient to help overcome the illness. This involves
developing an empathic, supportive and trusting relationship with
the patient.
T3 is measured as part of a thyroid function evaluation. T3 may be
measured in cases in which there is some doubt about whether the
patient has hyperthyroidism or hypothyroidism. The thyroid
hormones thyroxine (T4) and triiodothyronine (T3) are essential for
normal growth and development, and for the regulation of metabolic
rates in every cell of the body.
Eating Disorders Toolkit – Appendices
141
APPENDIX 8:
ABBREVIATIONS
1:1
AN
BGL
BMC
BMI
BN
BP
BPM
CALD
CAMHS
CBT
DADHC
DET
DEXA
DoCS
DSM
ECG
ED
EDE
EDNOS
FBC
gm
GP
HCI
HCIS
HR
HWR
IV
kcal
Kg
kJ
LFT
MAOI
MET
MG/mg
MHA
ml
MPH
MRN
NESB
NG/NGT
NRVs
NSW
NUM
OCD
OH&S
PTSD
RS
SSRI
TG
TIS
UEC
Nursing special one to one
Anorexia Nervosa
Blood Glucose Level
Bone Mineral Content
Body Mass Index
Bulimia Nervosa
Blood Pressure
Beats Per Minute
Culturally and Linguistically Diverse
Child & Adolescent Mental Health Service
Cognitive Behaviour Therapy
Department of Ageing, Disability and Home Care
Department of Education and Training
Dual-Energy X-ray Absorptiometry
Department of Community Services
Diagnostic and Statistical Manual of Mental Disorders
Electrocardiogram
Eating Disorder
Eating Disorder Examination
Eating Disorder Not-Otherwise Specified
Full Blood Count
Gram
General Practitioner
Health Care Interpreter
Health Care Interpreter Service
Heart Rate
Healthy Weight Range
Intravenous
Kilocalorie
Kilogram
Kilojoules
Liver Function Test
Monoamine Oxidase Inhibitor
Motivational Enhancement Therapy
Milligrams
Mental Health Act
Millilitre
Mid-Parental Height
Medical Record Number
Non English Speaking Background
Naso-gastric/ Naso-gastric Tube
Nutrient Reference Values
New South Wales
Nurse Unit Manager
Obsessive Compulsive Disorder
Occupational Health and Safety
Post Traumatic Stress Disorder
Re-feeding Syndrome
Selective Serotonin Reuptake Inhibitors
Triglyceride
Telephone Interpreter Service
Urea, Electrolytes, Creatinine
Eating Disorders Toolkit – Appendices
142
APPENDIX 9:
REFERENCES
The following references have been used in the development of specific sections. Please refer to
“Resource List” for suggested reading and references.
Admission
Surgenor, L.J., Maguire, S., & Beumont, P. (2004). Drop-out from inpatient treatment for anorexia
nervosa: can risk factors be identified at point of admission. European Eating Disorder
Review, 12 (2), 94-100.
Alexithymia
Bourke, M. P., Taylor, G. J., Parker J. D. A., & Bagby, R. M. (1992). Alexithymia in women with
anorexia nervosa. British Journal of Psychiatry, 161, 240-243.
Marjo J.S., Zonnevylle-Bender, M., Van Goozen, S., Cohen-Kettenis, P., Jansen, L., Van Elburg,
A., & Van Engeland, H. (2005). Adolescent anorexia nervosa patients have a discrepancy
between neurophysiological responses and self-reported emotional arousal to psychosocial
stress. Psychiatry Research, 135, 45– 52.
Rieffe, C., Oosterveld, P., & Terwogt, M. (2006). An alexithymia questionnaire for children:
Factorial and concurrent validation results. Personality and Individual Differences, 40, 123–
133.
Swiller, H. (1988). Alexithymia: Treatment utilizing combined individual and group psychotherapy.
International, Journal of Group Psychotherapy, 38(1), 47-61.
Taylor, G. J., & Bagby, R. M. (2000). An overview of the alexithymia construct. In R. Bar-On & J.
D. A. Parker (Eds.), The handbook of emotional intelligence. San Francisco: Jossey-Bass.
Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1997). Disorders of affect regulation: Alexithymia
in medical and psychiatric illness. Cambridge: Cambridge University Press.
Taylor, G.J. (2004). Alexithymia: Twenty-five years of theory and research. In I.Nyklicek,
L.Temoshok & A.Vingerhoets (Eds.), Emotional expression and health: Advances in theory,
assessment and clinical applications. Andover, UK: Brunner-Routledge.
Amenorrhoea
Gordon, C.M. & Nelson, L.M. (2003), Amenorrhea and bone health in adolescents and young
women, Current Opinion in Obstetrics and Gynecology, 15, 377-384.
Lai, K.Y.C., de Bruyn, R., Lask, B., Bryant-Waugh, R., & Hankins, M. (1994). Use of pelvic
ultrasound to monitor ovarian and uterine maturity in childhood onset anorexia nervosa,
Archives of Disease in Childhood, 71, 228-231.
Victorian Centre of Excellence in Eating Disorders. (2005). An eating disorders resource for
health professionals. A manual to promote early identification, assessment and treatment of
eating disorders. Victoria, Australia: Victorian Centre of Excellence in Eating Disorders.
Assessing Growth & Determining Target Weights
Children’s Specialists Division of Endocrinology (date of publication unknown), Growth Charts,
last viewed 23/10/06, http://childrensspecialists.com/body.cfm?id=720
Centres for Disease Control and Prevention. (March, 2006). BMI – Body Mass Index, Department
of Health and Human Services, last viewed 23/10/06, www.cdc.gov/nccdphp/dnpa/bmi/bmifor-age.htm
Centres for Disease Control and Prevention (July 2006). 2000 CDC Growth Charts, National
Centre for Health Statistics, last viewed 23/10/06, www.cdc.gov/growthcharts
Department of Human Services. (January, 2006). Children – Assessing growth. Better Health
Channel, State Government Victoria, last viewed 23/10/06,
www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Children_assessing_growth?Ope
nDocument
Lask, B., & Bryant-Waugh, R. (2007). Anorexia nervosa and related eating disorders in childhood
and adolescence (3rd ed.). London: Brunner-Routledge.
Medical College of Georgia. (February, 2004). Tanner Staging, last viewed 23/10/06,
www.mcg.edu/pediatrics/CCNotebook/chapter3/tanner.htm
Eating Disorders Toolkit – Appendices
143
Patient Plus. (February, 2006). Centile charts and assessing growth. Patient U.K., last viewed
23/10/06, www.patient.co.uk/showdoc/40001849
SCN. (April, 2000). Problems with Anthropometry in Adolescents, last viewed 23/10/06,
www.unsystem.org/scn/archives/adolescents/ch01.htm#TopOfPage
Assessment of Eating Disorders
American Psychiatric Association. (2006). Practice guidelines for the treatment of patients with
eating disorders (3rd ed.). American Journal of Psychiatry, 163(Suppl.7), 4-54.
Birmingham, C.L., & Beumont, P. (2004). Medical Management of Eating Disorders, Cambridge:
Cambridge University Press.
Garner, D.M., & Garfinkel, P.E. (Eds.). (1997). Handbook of treatment for eating disorders (2nd
ed.), London: Guilford Press.
Lask, B., & Bryant-Waugh, R. (2007). Anorexia nervosa and related eating disorders in childhood
and adolescence (3rd ed.). London: Brunner-Routledge.
National Collaborating Centre for Mental Health (NICE). (2004). Eating disorders, core
interventions in the treatment and management of anorexia nervosa, bulimia nervosa and
related eating disorders. London: National Institute for Clinical Excellence.
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for
Anorexia Nervosa. (2004). Australian and New Zealand Clinical Practice Guidelines for the
Treatment of Anorexia Nervosa. Australian and New Zealand Journal of Psychiatry, 38,
659-70.
Treasure, J., Schmidt, U., & van Furth, E, (2003). Handbook of eating disorders (2nd ed.). West
Sussex, UK: John Wiley & Sons.
Treasure, J. Kings College London. (29/ 07/ 2004). A guide to the medical risk assessment for
eating disorders, last viewed 23/10/06,
http://www.iop.kcl.ac.uk/IoP/Departments/PsychMed/EDU/downloads/pdf/RiskAssessment.
pdf#search=%22squat%20test%20eating%20disorders%22
Children & Eating Disorders
Lask, B., & Bryant-Waugh, R. (2007). Anorexia nervosa and related eating disorders in childhood
and adolescence (3rd ed.). London: Brunner-Routledge.
Comorbidities
Birmingham, C.L., & Beumont, P. (2004), Medical management of eating disorders. Cambridge:
Cambridge University Press.
Carr, A. (1999). Child and adolescent Clinical Psychology. London: Brunner-Routledge.
Garner, D.M., & Garfinkel, P.E. (Eds.). (1997). Handbook of treatment for eating disorders (2nd
ed.). London: Guilford Press
Herzog, D.B., Keller, M.B., Sacks, N.R., Yeh, C.J., & Lavori, P.W. (1992). Psychiatric comorbidity
in treatment seeking anorectics and bulimics. Journal of the American Academy of Child
and Adolescent Psychiatry, 31, 810-818.
Lask, B., & Bryant-Waugh, R. (2007). Anorexia nervosa and related eating disorders in childhood
and adolescence (3rd ed.). London: Brunner-Routledge.
Constipation
Birmingham, C.L., & Beumont, P. (2004). Medical management of eating disorders. Cambridge:
Cambridge University Press.
last
viewed
23/10/06,
Dr.
Paul
(unknown).
Constipation
in
Children,
http://www.drpaul.com/illnesses/constipation.html
Culturally & Linguistically Diverse Services
MacDonald, B., & Steel, Z. (1997). Immigrants and mental health: An epidemiological analysis.
Sydney: Transcultural Mental Health Centre.
NSW Department of Health. (2005). Interpreters – Standard procedures for the use of Health
Care Interpreters. Sydney: NSW Department of Health.
Deliberate Self Harm
Allen, J.G. (2001). Traumatic relationships and serious mental disorders. New York: John Wiley &
Sons.
Eating Disorders Toolkit – Appendices
144
Emergency Department Triage
American Psychiatric Association. (2006). Practice guidelines for the treatment of patients with
eating disorders (3rd ed.). American Journal of Psychiatry, 163(Suppl.7), 4-54.
National Collaborating Centre for Mental Health (NICE). (2004). Eating disorders, core
interventions in the treatment and management of anorexia nervosa, bulimia nervosa and
related eating disorders. London: National Institute for Clinical Excellence.
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for
Anorexia Nervosa. (2004). Australian and New Zealand Clinical Practice Guidelines for the
Treatment of Anorexia Nervosa. Australian and New Zealand Journal of Psychiatry, 38,
659-70.
Glossary
Pugh, M.B., Werner, B., Filardo, T.W., Binns, P.W., Francis, L.G., Lukens, R., Montgomary, B., &
Ferretti, B.L. (Eds.). (2000). Stedman’s Medical Dictionary (27th ed.). USA: Lippincott
Williams & Wilkins.
Hypothermia
McCullough, L., & Arora, S. (2004). Diagnosis and treatment of hypothermia. American Family
Physician, 70, 2325-2332.
Smith, D.K., Ovesen, L., Chu, R., Sackel, S., & Howard, L. (1983). Hypothermia in a patient with
Anorexia Nervosa. Metabolism, 32(12), 1151-1154.
Indigenous Eating Disorders Philosophy
NSW Health Department. (1997). Aboriginal Mental Health Policy: A Strategy for the Delivery for
Mental Health Services for People in NSW. NSW Health.
NSW Health Department. (1999). Ensuring Progress in Aboriginal Health – A Policy for the NSW
Health System.
Sheldon, M. (2005). Psychiatric Assessment in Remote Aboriginal Communities of Central
Australia. CAMHSNET.
Laxatives & Diuretics
Birmingham, C.L., & Beumont, P. (2004). Medical management of eating disorders. Cambridge:
Cambridge University Press.
Garner, D.M., & Garfinkel, P.E. (Eds.). (1997). Handbook of treatment for eating disorders (2nd
ed.). London: Guilford Press.
Lask, B., & Bryant-Waugh, R. (2007). Anorexia nervosa and related eating disorders in childhood
and adolescence (3rd ed.). London: Brunner-Routledge.
Mims Online. (2003), last viewed 23/10/06, http://www.mims.com.au
Legal Issues
Child Protection Issues for Mental Health Services - Risk of Harm Assessment Checklist. Policy
Directive, Doc No. PD2006_003, January 2006.
Protecting Children and Young People. Policy Directive, Doc No. PD2005_299, January 2005.
Centre for Mental Health, The Mental Health Act Guidebook, (Amended May 2003).
Meals & Snacks
Lask, B., & Bryant-Waugh, R. (2007). Anorexia Nervosa and Related Eating Disorders in
Childhood and Adolescence (3rd ed.). London: Brunner-Routledge.
Observations and Physical Monitoring
The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. (1999). Vital Signs. Best
Practice, Volume 3, Issue 3, 1-6.
Osteoporosis
Birmingham, C.L., & Beumont, P. (2004). Medical management of eating disorders. Cambridge:
Cambridge University Press.
Misra, M., & Klibanski, A. (2002). Evaluation and treatment of low bone density in anorexia
nervosa., Nutrition in Clinical Care, 5 (6), 298-308.
Eating Disorders Toolkit – Appendices
145
National Collaborating Centre for Mental Health (NICE). (2004). Eating disorders, core
interventions in the treatment and management of anorexia nervosa, bulimia nervosa and
related eating disorders. London: National Institute for Clinical Excellence.
National Health and Medical Research Council (NHMRC). (2006). Nutrient reference values for
Australia and New Zealand, including recommended dietary Intakes. Commonwealth of
Australia.
Treasure, J., Schmidt, U., & van Furth, E, (2003). Handbook of eating disorders (2nd ed.). West
Sussex: John Wiley & Sons.
Pharmacotherapy
Bacaltchuk, J., Hay, P., & Trefiglio, R. (2006). Antidepressants versus psychological treatments
and their combination for bulimia nervosa (Review). The Cochrane Library 2.
Barbarich, N.C., McConaha, C.W., Gaskill, J., La Via, M., Frank, G.K., Achenbach, S., Plotnicov,
K.H., & Kaye, W.H. (2004). An open label trial of Olanzapine in anorexia nervosa, Journal
of Clinical Psychiatry, 65(11), 1480-1482.
Claudino, A.M., Hay. P., Lima, M.S., Bacaltchuk, J., Schmidt, U., & Treasure, J. (2006).
Antidepressants for anorexia nervosa. Cochrane Database of Systematic Reviews, Issue 1.
Art. No.: CD004365. DOI: 10.1002/14651858.CD004365.pub2.
Malina, A., Gaskill, J., McConaha, C., Frank, G. K., LaVia, M., Scholar, L., & Kaye, W. H. (2003).
Olanzapine treatment of anorexia nervosa: A retrospective study. International Journal of
Eating Disorders, 33(2), 234-237.
Mehler, C., Wewetzer, C., Schulze, U., Warnke, A., Theisen, F., & Dittmann, R.W. (2001).
Olanzapine in children and adolescents with chronic anorexia nervosa - A study of five
cases. European Child and Adolescent Psychiatry, 10, 151-157.
Mitchell, J.E., de Zwaan, M., & Roerig, J.L. (2003). Drug therapy for patients with eating
disorders. Current Drug Targets-CNS and Neurological disorders, 2, 17-29.
National Collaborating Centre for Mental Health (NICE). (2004). Eating disorders, core
interventions in the treatment and management of anorexia nervosa, bulimia nervosa and
related eating disorders. London: National Institute for Clinical Excellence.
Taylor, D., Paton, C., & Kerwin, R. (Eds.). (2005). The Maudsley 2005-2006 Prescribing
Guidelines (8th ed.). London: Taylor and Francis Press.
Prodigy guidelines for Eating Disorders. (November, 2005), last viewed 23/05/06,
http://www.prodigy.nhs.uk/pk.uk/eating_disorders/view_whole_guidance.
Preadmission Considerations
American Psychiatric Association. (2006). Practice guidelines for the treatment of patients with
eating disorders (3rd ed.). American Journal of Psychiatry, 163(Suppl.7), 4-54.
National Collaborating Centre for Mental Health (NICE). (2004). Eating disorders, core
interventions in the treatment and management of anorexia nervosa, bulimia nervosa and
related eating disorders. London: National Institute for Clinical Excellence.
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for
Anorexia Nervosa. (2004). Australian and New Zealand Clinical Practice Guidelines for the
Treatment of Anorexia Nervosa. Australian and New Zealand Journal of Psychiatry, 38,
659-70.
Victorian Centre of Excellence in Eating Disorders. (2005). An eating disorders resource for
health professionals. A manual to promote early identification, assessment and treatment of
eating disorders. Victoria, Australia: Victorian Centre of Excellence in Eating Disorders.
Pregnancy
Birmingham, C.L, & Beumont, P. (2004). Medical management of eating disorders. Cambridge:
Cambridge University Press.
Franko, D.L., & Spurrell, E.B. (2000). Detection and management of eating disorders during
pregnancy. Obstetrics & Gynecology, 95 (6), 942 – 946.
Little, L., & Lowkes, E. (2000). Critical issues in the care of pregnant women with eating disorders
and the impact on their children. Journal of Midwifery & Women’s Health, 45 (4), 301 – 307.
Physical Activity
Eating Disorders Toolkit – Appendices
146
Beumont, P.J., Arthur, B., Russel, J.D., & Touyz, S.W. (1994). Excessive Physical Activity in
Dieting Disorder Patients: Proposals for a Supervised Exercise Program, International
Journal of Eating Disorders, 15 (1), 21-36.
Davis, C., Katzman, D.K., & Kirsh, C. (1999) Compulsive physical activity in adolescents with
anorexia nervosa: A psychobehavioural spiral of pathology. Journal of Nervous and Mental
Disease, 187(6), 336-342.
Davis, C., Katzman, D.K., Kaptein, S., Kirsh, C., Brewer, H., Kalmbach, K., Olmsted, M.F.,
Woodside, D.B., Kaplan, A.S. (1997). The prevalence of high level exercise in the eating
disorders: Etiological implications. Comprehensive Psychiatry, 38 (6), 321-326.
Davis, C., Kennedy, S.H., Ravelski, E., & Dionne, M. (1994). The role of physical activity in the
development and maintenance of eating disorders. Psychological Medicine, 24, 957-967.
Thien, V., Thomas, A., Markin, D., & Brimingham, C. (2000). Pilot study of a graded exercise
program for the treatment of anorexia nervosa. International Journal of Eating Disorders, 28
(1), 101-106.
Vandereycken, W., Depreitere, L., & Probst, M. (1987). Body-oriented therapy for anorexia
nervosa patients. American Journal of Psychotherapy, XLI (2), 252-259.
Refeeding
American Psychiatric Association. (2006). Practice guidelines for the treatment of patients with
eating disorders (Revision). Supplement to the American Journal of Psychiatry, 163 (7), 03.
Arends, J., Bodoky, G., Bozzetti, F., Fearon, K., Muscaritoli, M., Selga, G., et al. (2006). ESPEN
guidelines on enteral nutrition: non-surgical oncology. Clinical Nutrition, 25(2), 245-259.
Brooks, M. J., & Melnik, G. M. (1995). The refeeding syndrome: An approach to understanding its
complications and preventing its occurrence. Pharmacotherapy, 15,(i.6), 713-726.
Crook M.A., Hally V., & Panteli, J.V. (2001). The importance of the refeeding syndrome. Nutrition,
17, 632-637.
Kohn, M. R., Golden, N. H., & Shenker, I. R. (1998). Cardiac arrest and delirium: Presentations of
the refeeding syndrome in severely malnourished adolescents with anorexia nervosa.
Journal of Adolescent Health, 22, 239-243.
Marinella, M. A. (2003). The refeeding syndrome and hypophosphatemia. Nutrition Reviews, 61(i.
9), 320-323.
Melchior, J. C. (1998). From malnutrition to refeeding during anorexia nervosa. Current Opinion in
Clinical Nutrition and Metabolic Care, .1( i. 6), 481-485.
National Collaborating Centre for Mental Health (NICE). (2004). Eating disorders, core
interventions in the treatment and management of anorexia nervosa, bulimia nervosa and
related eating disorders. London: National Institute for Clinical Excellence.
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for
Anorexia Nervosa. (2004). Australian and New Zealand Clinical Practice Guidelines for the
Treatment of Anorexia Nervosa. Australian and New Zealand Journal of Psychiatry, 38,
659-70.
Solomon, S. M., & Kirby, D. F. (1990). The refeeding syndrome: A review. Journal of Parenteral
and Enteral Nutrition, 14, 90-97.
Survival Strategies For Clinicians
Child and Adolescent Mental Health Statewide Network (CAMHSNET). (February, 2004). Clinical
Supervision Guidelines.
Bonalumi, N., & Fisher, K. (1999). Health care change: Challenge for nurse administrators.
Nursing Administration Quarterly, 23 (2), 69-73.
What is an Eating Disorder?
American Dietetic Association. (2001). Position of the American Dietetic Association: Nutrition
intervention in the treatment of anorexia nervosa, bulimia nervosa and eating disorders not
otherwise specified. Journal of the American Dietetic Association, 101 (7), 810-819.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders
(DSM-IV-TR), Fourth Edition. Arlington, USA: Author.
Nicholls D., Chater R., & Lask, B. (2000). Children into DSM don’t go: A comparison of
classification systems for eating disorders in childhood and early adolescence. International
Journal of Eating Disorders, 28, 317-24.
Eating Disorders Toolkit – Appendices
147
APPENDIX 10:
INDEX
A
E
Absconding....................................... 15, 21, 45
Alexithymia ............................... 2, 84, 144, 152
Amenorrhoea.............. 27, 48, 50, 65, 144, 152
Anaemia...................................... 118, 121, 144
Anorexia Nervosa .... 1, 2, 5, 21, 33, 46, 48, 51,
52, 73, 77-79, 81, 83, 95, 96, 99, 105, 108,
117, 118, 119, 121, 123, 124, 125, 130, 142,
143, 144, 145, 148, 150, 152, 153, 154, 155,
156
Antidepressants...................... 95, 96, 144, 151
Anxiety Disorders ....................................... 144
Arrhythmia .................................................... 67
Avoidant Personality Traits......................... 144
Eating Disorder Not Otherwise Specified
(EDNOS) ...1, 5, 83, 117, 119, 128, 145, 150
Electrocardiogram (ECG)5, 11, 17, 19, 25, 4345, 95, 96,115, 118, 145, 150
Electrolytes . 15, 19, 43- 45, 55, 57, 58, 67, 95,
118, 121, 145, 146, 150
Emetics .....................................12, 26, 81, 146
Enteral nutrition...............................55, 65, 106
Externalise ................................38, 40, 85, 146
B
Basal Metabolic Rate.................................. 149
Bingeing.....................1, 17, 40, 64-66, 95, 106
BMI centile chart............. 21, 23, 105, 136, 144
Body Mass Index5, 6, 11,12, 17, 19, 21-24, 43,
45, 50, 105, 117, 144, 150-152
Bradycardia .................................... 27, 32, 145
Bulimia Nervosa 1, 2, 5, 11, 48, 66, 79, 81, 83,
95, 96, 105, 108, 117-119, 121-124, 126,
128, 130, 145, 148, 150, 152-155
C
Care (case) manager....................25, 30-32 39
Child & Adolescent Mental Health Service
(CAMHS)..........5, 11, 14, 28, 123, 124, 150
Clinical psychologist ............................. 30, 135
Clinical supervision............................. 102, 155
Cognitive Behavioural Therapy66, 79, 95, 124,
145, 150
Constipation....19, 27, 53, 56, 67, 70, 117, 152
Counselling............................... 30, 73, 79, 112
active listening .....................................73, 74
confidentiality .................... 21, 34, 37, 73, 74
problem solving..............................19, 74, 86
reframing..............................................64, 74
Culturally and linguistically diverse..... 112, 150
D
Dehydration .................... 5, 11, 15, 19, 28, 118
Depression 11, 18, 29, 78, 81, 83, 95, 96, 107,
117, 119, 142, 144, 147
Diabetes............................ 5, 7, 11, 13, 91, 104
Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV) ... 1, 117, 144, 145, 150,
155
Dialectical Behaviour Therapy.................... 145
Dietician ..2, 4, 5, 7, 14, 30, 32, 34, 55, 59, 63,
64, 66, 70, 93, 102, 105, 111, 122, 150
Diuretics..............12, 26, 67, 81, 118, 119, 153
Dual-Energy Xray Absorptiometry (DEXA).. 50,
51, 145, 150
Eating Disorders Toolkit – Appendices
F
Fibre............................................53, 56, 57, 67
G
General Practitioner (GP) 5, 11, 13, 14, 22, 30,
32, 34, 113, 116, 122, 125, 150
Glycaemic index..................................117, 146
H
Hypertension.......................................105, 146
Hypophosphataemia .............................43, 146
Hypotension ..........................27, 106, 118, 146
Hypothermia (acute) .......46, 47, 118, 147, 153
I
Indigenous ....................................30, 110, 154
Interpersonal therapy (IPT)...................79, 147
L
Laxatives... 12, 17, 26, 29, 53, 55, 67, 81, 106,
109, 118, 119, 153
Leukopenia .................................................118
M
Malnutrition .....43, 46, 48, 50, 55, 70, 125, 147
Menstruation ...................................48, 49, 148
Mental health assessment ............................99
Metabolic acidosis...............................118, 147
Metabolic alkalosis..............................118, 147
MH-Kids ………… i, 116, 128, 129, 135, 158
Motivation... 18, 29, 30, 33, 52, 64, 70, 71, 76,
77, 88, 147, 150
Motivational Enhancement Therapy (MET) ......
147, 151
N
Neutropaenia ..............................................147
Nurse .....................14, 25, 30, 41, 45, 69, 105
O
Obesity................................................109, 123
Occupational Therapist...........................30, 90
Oedema ........................19, 27, 44, 45, 67, 147
Oligomenorrhoea ..................................48, 148
Orthostatic change......................................148
148
Osteopaenia ................................49, 50-52, 68
Osteoporosis ....48, 49, 50-52, 64, 65, 68, 106,
148
P
Paediatrician 4, 5, 7, 11, 13-15, 22, 23, 30, 32,
34, 105, 129
Peripheral neuropathy .......................... 68, 148
Physiotherapist ............. 30, 50, 52, 70, 71, 140
Pregnancy ............ 5, 11, 13, 49, 105, 106, 154
Psychiatrist .4, 5, 7, 14, 30, 32, 101, 105, 123,
129, 130, 135, 148, 152-155
Psychologist ................... 30, 32, 105, 122, 135
Purging ....1, 11, 17, 32, 34, 40, 57, 60, 67, 68,
81, 95, 96, 105, 106, 118, 119, 145
R
Refeeding syndrome ......15, 43-45, 55, 57, 58,
146, 148, 150
S
Schedule................................. 69, 93, 101, 148
School..... 30-32, 73, 82, 88-90, 92, 116, 124,
144
Secondary diagnosis eating disorder1, 83, 149
Serum thyroxine (T4).................... 19, 118, 149
Sinus bradycardia............................... 118, 149
Splitting ............................. 41, 59, 64, 102, 149
Stages of change.................................. 77, 142
T
Tanner stages....................................... 19, 149
Therapeutic alliance ....... 2, 28, 29, 37, 79, 149
Tri-iodothyronine (T3) ................... 19, 118, 149
Eating Disorders Toolkit – Appendices
149
NOTES
Eating Disorders Toolkit – Appendices
150
APPENDIX 11:
EVALUATION FORMS
--------------------------------------------------------------------------------------------------------------------------Eating Disorders Toolkit Feedback
Have you found the Toolkit a useful resource for your practice or learned anything new from reading the
Toolkit? Is there any additional information you think would be useful to include in future editions?
Is there anything you would change from the current content or formatting that you think would make the Toolkit
more useable?
Please, let us know!
All feedback we receive will be considered in the development of future editions of the Eating Disorders Toolkit.
You may wish to forward a completed evaluation form (below) or written feedback. Please forward all
correspondence to:
Eating Disorders Toolkit
MH-Kids
Locked Bag 1
Hunter Region Mail Centre
NSW 2310
Ph: (02) 4985 5830
Date:
______/______/______
Profession: ____________________________
Contact Details (Optional — all information held in confidence)
Name: ________________________________________________________________________
Email: ________________________________________________________________________
Phone: ________________________________________________________________________
Postal Address:__________________________________________________________________
(Please place an X in the box that best represents your views and add comments accordingly)
1. The different treatment/management options are clearly presented.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Disagree
Strongly Disagree
Comments
2. Key recommendations are easily identifiable.
Strongly Agree
Comments
Agree
Neutral
3. The Toolkit is supported with practical strategies and tools.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
4. The information is practical for clinicians on non-specialist wards.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Neutral
Disagree
Strongly Disagree
Neutral
Disagree
Strongly Disagree
Comments
5. The information is presented in a format that is easy to read.
Strongly Agree
Agree
Comments
6. The Toolkit contains adequate detail.
Strongly Agree
Agree
Comments
7. Are there any changes that you feel should be made to any part of the Toolkit?
Yes
Neutral
No
If you answered yes, please comment
8. Is there any other information that you think should be included in the Toolkit?
Yes
Neutral
No
If you answered yes, please comment
9. What did you find most useful about the Toolkit?
10. What did you find least useful about the Toolkit?
11. Would you recommend this Toolkit for use in practice?
12. Any other comments?
Thankyou for taking the time to fill in this form