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Webinar Overview: For someone with an eating disorder, accessing safe and effective treatment as early as possible can improve treatment outcomes and reduce the risk of chronicity and complications. Historically there has been limited guidance around the depth and breadth of knowledge, skills and experience required by treatment providers in this space. With the aim of improving the competencies of professionals.
ANZAED recently published treatment principles and minimum general clinical practice and training standards for mental health and dietetic professionals who provide treatment to individuals with an eating disorder. This presentation explores the perspectives and opinions of two individuals with a lived experience through a panel-style format, on how translation of the practice standards might help improve future patient care.
Kelly Griffin is a Male with lived experience of eating disorders. Spending a number of years a “gym junkie” and immersing himself with the typical methodology of clean eating, Kelly continued to drive behaviours that led to a number of life threatening experiences. Upon competing in the fitness industry, Kelly subscribed to the notion of extreme dieting that led to a serious deterioration of major organs, threatening his life. Following a stint in hospital and seeking support through organisations like Butterfly Foundation and research via ANZAED, Kelly now lives the life recovery. Whilst he still enjoys the gym and being fit, he now uses this focus to drive awareness, reduce stigma as a lived experience advocate within the Community.
Dr Gabriella Heruc is an Accredited Practising Dietitian with Honours in Psychology, Master of Nutrition & Dietetics and PhD in Medicine with over 20 years clinical experience in mental health and 15 years focused on eating disorder treatment in public and private inpatient, day program and outpatient settings. Gabbi is the Past-President of ANZAED, and Co-chair of the development of the practice standards, alongside Kim Hurst. She also works for Northern Sydney Local Health District Eating Disorders Service and in private practice.
Dr Kim Hurst is a Senior Psychologist and is the Clinical Lead of the Robina Private Hospital’s Eating Disorders Service, she also is in Private Practice. Prior to this Kim was a founding member of the Gold Coast Child & Youth Mental Health Service (CYMHS), Eating Disorder Program (EDP). Kim has worked across a range of eating disorder treatment settings including psychiatric and medical inpatient units and outpatient services. She has developed specialist eating disorder clinical policies and is focused on service improvement strategies to enhance treatment delivery.
Melissa Keller-Tuberg is a youth mental health advocate and aspiring researcher studying a Bachelor of Psychology (Honours) at Swinburne University of Technology. After recovering from Anorexia Nervosa and experiencing the limitations in current services, Melissa has become a passionate advocate for the importance of consulting lived-experience voices in mental health decision-making. Through sharing her story, she helped secure federal funding for a Canberran in-patient Eating Disorder treatment centre. Melissa is now involved in mental health reform in Victoria through working on the Victorian Royal Commission into Mental Health and whole-of-government Youth Strategy.
Presenter: Dr. Susan Simpson, Clinical Psychologist, NHS inpatient eating disorders unit, Edinburgh, Scotland
Dr. Susan Simpson is a Clinical Psychologist who has specialised in Schema Therapy for complex eating disorders over the past 20 years. She currently works in an NHS inpatient eating disorders unit near Edinburgh, Scotland. She also runs the only ISST-accredited Schema Therapy training program in Scotland. She is part of an international research group which is currently investigating the effectiveness of Schema Therapy for eating disorders,and has published several research papers on the schema therapy model applied to eating disorders. She recently co-authoring the first book on Schema Therapy for Eating Disorders, which was published by Routledge in 2019. She provides regular training webinars and workshops in Australia and across the world.
Further details of the online training that can be completed at your own pace are available at https://schematherapyaustraliaonline.teachable.com/.
For a list of Susan’s research publications, see: https://www.researchgate.net/profile/Susan-Simpson-2/research.
Webinar Overview: The Schema Therapy model is an integrative transdiagnostic approach designed to work with entrenched interpersonal and characterological difficulties. Schema therapy has a strong evidence base for those with chronic and complex presentations, including rigid and entrenched personality traits, interpersonal difficulties, complex trauma, and chronic depression. It is therefore well placed to work with people eating disorders which have not responded to first-line treatments, in particular those with complex comorbidities. A preliminary RCT demonstrated Schema Therapy as equivalent to CBT in the treatment of bulimic disorders (McIntosh et. al, 2016), with further trials underway.
One of the focal guiding strategies in Schema Therapy is the case conceptualization, which draws on both developmental and attachment theory in order to understand the underlying functions of eating disorder behaviours. This model addresses change not only at an intellectual/cognitive level, but places emphasis on techniques that lead to emotional & behavioural change. Schema Therapy techniques specifically target the rigid belief systems & high levels of avoidance characteristic of both complex eating disorders and characterological disorders that frequently interfere with progress in traditional treatments.
This webinar will describe:
Presenter: Phillipa Hay MD, FRANZCP, DPhil, Professor of Mental Health WSU; Psychiatrist Camden and Campbelltown Hospitals
Chair: Randall Long BMBS FRANZCP, Senior Consultant Psychiatrist, Flinders Medical Centre
Phillipa Hay MD, FRANZCP, DPhil, Professor of Mental Health WSU; Psychiatrist Camden and Campbelltown Hospitals, Fellow Academy for Eating Disorders; Member ANZAED. Phillipa Hay has extensive expertise in longitudinal and epidemiologic studies as well as randomised controlled trials in eating disorders and related mental health problems of young people. She has a commitment to improving current treatment approaches and this is exemplified in her leadership of systematic reviews and randomised controlled trials which tested new and collaborative approaches to the management of compulsive exercise and therapy for people with longstanding anorexia nervosa. Her studies have provided key information to guide jurisdictions in planning health care services for eating disorders across Australia. In 2015 she received the Lifetime Leadership Award from the ANZ Academy for Eating Disorders. She has over 290 peer reviewed scientific publications and has mentored numerous doctoral and other students. She is Co-Editor-in-Chief of Journal for Eating Disorders, Chair of the Steering Committee for the National Eating Disorders Collaboration and a consultant to Takeda Pharmaceuticals.
Webinar Overview: In 2019 over 60 new Medicare item numbers were introduced to enable people with an eating disorder whom meet specific eligibility criteria to access up to 40 sessions/year of eating disorder informed evidence-based eating disorder psychological treatment with an eligible mental-health practitioner, and up to 20 dietetic services/year with an Accredited Practising Dietitian. The support includes sessions for telemedicine provided therapy and assessments. There are specific item numbers for development of a treatment and management plan by a medical practitioner (general practitioner (GP), psychiatrist or paediatrician), and a formal specialist review against the treatment plan to extend from 20 to 40 sessions. Psychiatrists play a key role particularly in the 20-session review. A common misperception is that specific eating disorder expertise is needed. However, this is not the case, and the review has an important part in ensuring the care is appropriate and other mental health problems are addressed.
This webinar will (1) present an overview of the key elements of the Psychiatrist review and (2) typical issues that can arise in the course of the review using an alternating Q&A format between Professor Phillipa Hay and Dr Randall Long.
Presenter: Anthea Fursland, Senior Clinical Psychologist
Thursday 9 September (1 hour duration)
Time: 2pm New Zealand; 12pm NSW, ACT, VIC, TAS; 11am QLD; 11.30am SA & NT; 9am WA. SEE YOUR LOCAL TIME HERE
Webinar registration will open soon
Anthea has worked for 40 years in the eating disorders field, with experience in the UK and the USA. Now living in Australia, she was for many years Director of the Centre for Clinical Interventions (CCI) and later Director of the Western Australia Eating Disorders Outreach & Consultation Service (WAEDOCS). She currently works in private practice, offering psychological assessment, training and consultation.
Anthea has been involved in psychotherapy, service development, applied clinical research and training. She has trained and supervised clinicians throughout Australia in CBT-E. She has co-authored many peer-reviewed papers and created a web-based self-help resource.
Anthea serves on the Steering Committee of the National Eating Disorders Collaboration and is a member of the Australian Government Department of Health Eating Disorders Technical Advisory Group. She is Past-president of the Australia and New Zealand Academy for Eating Disorders (ANZAED). In 2011 she was elected a Fellow of the Academy for Eating Disorders (AED); in 2015 she was awarded the ANZAED Lifetime Achievement Award, and in 2019 she received the AED Outstanding Clinician Award.
Webinar Overview: Cognitive Behaviour Therapy (CBT) developed out of psychodynamic practice for depression. Cognitive theory suggests that in all psychological disturbances, it is distorted or dysfunctional thinking that influences an individual’s mood and behaviour. Early cognitive theories of eating disorders posited that the core psychopathology of an ED is extreme concern about weight and shape. Cognitive and behavioral theories have been integrated into cognitive-behavioral models of bulimia nervosa (BN) and anorexia nervosa. Development of protocols for CBT-BN enabled extensive research and this became the first evidence-based treatment (EBT) for an eating disorder. Since then we have seen variants of CBT for binge eating disorder and, more recently, a transdiagnostic approach. This webinar will give an overview of the evidence and focus on the use of CBT as an EBT for eating disorders. It will highlight the need for expert training and supervision, in line with the Medicare recommended practices and the proposed establishment of a credentialing system.
Presenter: Janice Goldschmidt, MPH, MS, RD, LDN, Director of Nutrition Services at Community Support Services, Inc. (Gaithersburg, MD)
Thursday 21 October (1 hour duration)
Time: 12pm New Zealand; 10am NSW, ACT, VIC, TAS; 9am QLD; 9.30am SA & NT; 7am WA
SEE YOUR LOCAL TIME HERE
Webinar registration will open soon
Janice Goldschmidt, MPH, MS, RD, LDN received her Master’s Degree in Nutrition and Food Science as well as a Master’s in Public Health from the University of Maryland-College Park. She is actively involved as both a researcher and practitioner in the nutritional status of individuals with autism and other developmental disabilities and has published and presented on this topic in numerous professional publications and conferences. Other research interests include assessment and treatment of disordered eating on the autism spectrum and development of cooking skills for this same population as a form of nutritional intervention. In 2018, the American Association on Intellectual and Developmental Disabilities (AAIDD) published her first book entitled Teaching Authentic Cooking Skills to Adults With Intellectual and Developmental Disabilities: Active Engagement. Based on this work, in October 2018, Janice received the “Excellence in Written Communication” Award presented by the Behavioral Health Nutrition Dietetics Practice Group (BHNDPG) at the 2018 national conference of the Academy of Nutrition and Dietetics.
Janice is currently serving as the Director of Nutrition Services at Community Support Services, Inc. (Gaithersburg, MD) where she is responsible for development of programs intended to support the health and wellness of adults with autism through nutrition related programming.
Webinar Overview: Disordered eating is noted as widespread on the autism spectrum and, despite this, there are relatively few resources to address it. The reasons for this are complex but likely due to a widespread pattern of diagnostic overshadowing on the spectrum, a form of underdiagnosis in which any cooccurring conditions are attributed to the underlying autism. The consequences of this practice are profound, particularly in regard to studying eating disorders within this population. In this presentation, Janice Goldschmidt, researcher and practitioner in disability studies, will outline four broad patterns of disordered eating for those with Autism Spectrum Disorder: food rigidity, sensory-based preferences, high risk behaviors, and binge eating. The presenter will describe the features of each, as well as outline the relevant research and treatment options.
Presenter: Riccardo Dalle Grave, MD, FAEDDirector of the Department of Eating and Weight Disorders at Villa Garda Hospital (Garda, VR, Italy)
Thursday 18 November (1 hour duration)
Time: 8pm New Zealand; 6pm NSW, ACT, VIC, TAS; 5pm QLD; 5.30pm SA & NT; 3pm WA
SEE YOUR LOCAL TIME HERE
Webinar registration will open soon
Riccardo Dalle Grave, MD, FAED is the Director of the Department of Eating and Weight Disorders at Villa Garda Hospital (Garda, VR, Italy). In this department, he developed an original treatment for the eating disorder based entirely on the enhanced cognitive behavior therapy (CBT-E), the adaptation of outpatient CBT-E for adolescents with eating disorders, and the personalized cognitive behavior therapy for obesity (CBT-OB). Currently, the main focus of his research is evaluating CBT-E and CBT-OB in the treatment of adult and adolescent patients with eating disorders and obesity, respectively, both in outpatient and in inpatient settings. He is the director of the master course for health professionals ‘1° Certificate in Eating Disorder and Obesity’. He also teaches CBT-E and CBT-OB at several Italian psychotherapy schools and supervises teams in Europe, the US, Australia, and Middles West. He is a member of the editorial board of several scientific journals and fellow of the Academy for Eating Disorders. He is the author of 160 peer review articles, several book chapters, and books, including the recent “Cognitive Behavior Therapy for Adolescents with Eating Disorders”.
Webinar Overview: Enhanced Cognitive Behaviour Therapy (CBT-E) has demonstrated efficacy in adult with anorexia nervosa (AN) and bulimia nervosa (BN) and has recently been adapted for use with adolescents with eating disorders. CBT-E for younger patients has been evaluated in three cohort studies of patients aged between 13 and 19 years. Two studies included adolescents with severe AN and one was of adolescents who were not underweight with other eating disorders. The promising results obtained by these studies led the National Institute for Health and Clinical Excellence to recommend CBT-E for adolescence as an alternative to Family Based Treatment (FBT) both for AN and BN. CBT-E has a number of advantages. It is acceptable to young people, and its collaborative nature is well suited to ambivalent young patients who may be particularly concerned about issues of control. The transdiagnostic scope of the treatment is an advantage as it is able to treat the full range of disorders that occur in adolescent patients. It therefore provides a good alternative to FBT. In this workshop the CBT-E for adolescents will be described in detail, together with data on its effectiveness, and the webinar will be illustrated with numerous clinical vignettes.
At the completion of this webinar:
1. Participants will gain knowledge on how to adapt the CBT-E for adolescents
2. Participants will gain knowledge on the use of a “manualized” treatment in a real world clinical setting
3. Participants will gain knowledge on how CBT-E differs from FBT