EATING DISORDER INTERVENTIONS

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EATING DISORDERS


Systemic Family Intervention for Eating Disorders

Eating Disorder Intervention is conducted using a combination of a systemic as well as an invitational model of intervention. Attempts are made to avoid using the surprise model unless it is absolutely necessary due to circumstances of the client. It is very important for family members and concerned friends be involved in helping the Identified Patient become motivated to access appropriate level of care treatment services for the eating disorder. We do this through a strong focus on positive communication and motivational interviewing techniques.
After a concerned family member calls to inquire about intervention, a phone interview is conducted to begin outlining the scope of the problem and the history of what the family has tried to do to address issues with the IP.
A family phone interview/conference call is also necessary to introduce the member of the intervention team/family system to the steps and approach needed for a successful Eating Disorder Intervention. It is important that the family understand that intervention is a process and not an event and that we are trying to get several moving parts happening at once in order to orchestrate a successful experience with intervention for all involved.
After the phone interview, the decision to contract for services is made. The family needs to agree to participate in conference calls to address implementing of communication changes and interactional changes with the IP and maybe other family members as needed. The POWER of THE GROUP to make things better is a major part of what makes an intervention successful. The goal is for everyone to benefit from the experience as well as get the IP to appropriate level of care and treatment.
After a contract is established, we will schedule regular conference calls at convenient times agreed upon by the family system. This works even if the family members live remotely from each other in various states. It is expected that a period of three months is a minimum amount of time for an initial contract to be in place. Extending the time as needed will be addressed at the three month point.
It is important for each person to have input and to know that it takes patience and a longer term approach to working with an eating disordered client. When conferencing starts, we will address beginning increased regular interaction with the IP and will begin to negotiate with him/her on getting help for the problem. Coaching from the interventionist is very important when doing this and frequent contact may be necessary. Texting and emailing as well as conference and phone calling are the usual modes of communication.
The interventionist will use the art of invitation to begin working directly with the Identified Patient as well and will attempt to use motivational interviewing and frequent attempts at positive encouraging to work with the IP.
The interventionist will also help in accessing treatment center, doctors, therapists and other adjunct professionals for the eating disordered client once he/she agrees to begin treatment. The interventionist will verify and be helpful in maneuvering the insurance resources and interfacing with treatment centers to maximize use of insurance resources. A medical work-up is important for Eating disordered clients to obtain to help establish a baseline for organ functioning, nutritional issues as well as weight and BMI issues. Finding a qualified doctor is vital and part of the task of the interventionist. Making a clinical assessment and appropriate choice of treatment center is vital as well and is a major part of the intervention duties.
Family members must also participate in learning about eating disorders and gaining more understanding of what is happening in the emotional life of the IP. Some members may want to access individual therapy to help cope with their own emotional reactions to issues that arise and need to be re-structured or worked through.

DISORDER NAME 1

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DISORDER NAME 2

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DISORDER NAME 3

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