Community Treatment of Eating Disorders

Dr Paul Robinson is a consultant psychiatrist in eating disorders psychiatry at the Russell Unit, Royal Free Hospital, Camden and Islington Mental Health and Social Care Trust. After postgraduate training in general medicine he trained in psychiatry at the Maudsley Hospital, was a family therapist and conducted research into control of eating behaviour at the institute of Psychiatry and Johns Hopkins Hospital, Baltimore. In the last eight years at the Royal Free he has built up a multidisciplinary team dedicated to the community approach to eating disorders, minimising use of inpatient care and developing safe and effective ways to provide treatment for these distressing, debilitating and at times life-threatening conditions. The team has twice been in the final of the Hospital Doctor Team of the Year Award. His present interests are the treatment of severe and enduring eating disorder (SEED), and the delivery of therapy via email, for which he reached the final of the Medical Innovations Award. He lives in North London.

• About the Author vii Acknowledgements ixIntroduction xiChapter 1: Establishing a Home-oriented Service 1Chapter 2: Staff 19Chapter 3: Initial Outpatient Assessment 32Chapter 4: Physical Assessment and Monitoring 57Chapter 5: Psychological Interventions 80Chapter 6: Day Care 103Chapter 7: Liaison and Outreach 122Chapter 8: Inpatient Care 141Chapter 9: Rehabilitation: Dealing with Seed 165Chapter 10: Technical and Academic Aspects 177References 191Index 193

"I would definitely recommend this book. It will appeal to a wide audience due to its easy-to-read format and will be applicable to different people … Informative and full of useful advice." (Clinical Child Psychology and Psychiatry, July 2008)