Eating disorders in south east Scotland
Forth Valley Fife Lothian Borders

Lothian

Education and public awareness (tier 0)

In line with S.E Regional discussion, information leaflets about eating disorders have been developed and are available elsewhere on this website.

It is hoped that this SE regional website will also prove a useful tool for raising the level of knowledge of eating disorders in the general public.

Our new information leaflets about eating disorders, in the ‘For professionals’ section of this website

Organisations such as b-eat also provide excellent information leaflets and web-based information.

www.b-eat.co.uk/

A self-help manual for Bulimia Nervosa is available for free download from the Moodcafe website.

www.moodcafe.co.uk/

The national “see me” campaign includes information addressing the stigma around eating disorders.

www.seemescotland.org.uk/

Communities and local neighbourhoods (tier 1)

Schools

Work is under way to update the Resource for Schools Pack: Eating Disorders, Body Image and Self-Esteem. This resource aims to support prevention and early intervention approaches within schools.

Local Communities

Current NHS Lothian strategy recommends working on training and awareness raising sessions for staff working in youth clubs and leisure settings. This has been identified as an area where young people attending may be receptive to information and training on eating disorders.

Primary healthcare: primary care mental health (tier 2)

GP

In the first instance, contact would be with the GP. The GP may monitor the patient medically according to NHS QIS guidelines and may refer the patient for services such as Primary Care Clinical Psychology, or Dietetics or Specialist Eating Disorders Services at the Cullen Centre.

The electronic referral system, Refhelp is in development and will go live shortly (as at September 2009).

NHS QIS guidelines

Guided Self-Help

An “Overcoming Bulimia” Computer CBT package is being looked into.

Internet-based self-help CBT for Eating Disorders

Again, this is not fully rolled out but may become a resource used for early intervention.

Community dieticians

Can offer assessment and short-term educational intervention in the treatment of Eating Disorders, with appropriate clinical supervision.

Mental health services (tier 3)

Community Mental Health Teams

A number of people with eating disorders are supported and treated by trained staff in existing community mental teams.

The Cullen Centre

Within Lothian there is a well-established outpatient treatment specialist service for eating disorders based at the Cullen Centre in Edinburgh. Referrals for treatment at the Cullen Centre are accepted from both Primary and Secondary Care.

This specialist service can also provide consultation and advisory services and can support clinicians and multidisciplinary teams working in the wider community. This can be in the form of team meetings, telephone contact and teleconferences.

The Cullen Centre sees patients with eating disorders of varying severity and is therefore also involved in Tier 4 services.

The Cullen Centre, Tipperlinn House, Royal Edinburgh Hospital, Edinburgh EH10 5HF Tel: 0131 537 6874 / 6806 Fax: 0131 537 6104.

www.cullencentre.org.uk/

Specialist services, outpatient and inpatient (tier 4)

The Cullen Centre

At this level, provides a specialist outpatient service for those suffering from more severe eating disorders. See above.

ANITT (Anorexia Nervosa Intensive Treatment Team)

ANITT is a small multidisciplinary team which provides intensive treatment to people with low weight anorexia nervosa in Lothian who might otherwise have to be admitted to hospital. Treatment is on an outpatient basis and can be delivered in the home. Referrals are accepted from Primary and Secondary care. Electronic Referrals for ANITT and the Cullen Centre via Refhelp will be up and running shortly (as at September 2009).

ANITT can also provide consultation and advisory services and can support clinicians and multidisciplinary teams working in the wider community with low weight adults with Anorexia Nervosa. This can be in the form of team meetings, telephone contact and teleconferences.

The Anorexia Nervosa Intensive Treatment Team (ANITT), 6th Floor, Kennedy Tower, Royal Edinburgh Hospital EH10 5HF
Tel: 0131 537 6783 Fax: 0131 537 6160

www.anitt.org.uk/

Inpatient Units

There are no existing NHS inpatient units in Lothian. However, there are plans to develop a new NHS inpatient unit for the South East Region. Currently most inpatients in Lothian are treated in The Priory Hospital, Glasgow, and The Huntercombe Hospital, Edinburgh.

Specialist Training and Supervision
– The Eating Disorders Network, South East Scotland

This is a multi-professional clinical network set up under the auspices of SEAT (South East and Tayside Regional Planning Group) to provide education, training, clinical and planning advice across the south east region of Scotland (Lothian, Forth Valley, Fife and the Borders NHS health boards).