THE CHIMNEY S HEALTHCA PARTNERSHIP Specialist Inpatient Eating Disorder Clinic
Our model of care focuses on recovery, therapeutic optimism, relapse prevention and personalisation
WELCOME TO THE CHIMNEYS CLINIC The Chimneys Clinic is a 12-bedded inpatient hospital located in Suffolk specialising in the treatment of acute, severe or enduring eating disorders in men and women aged 18+. Additionally, we can support individuals with a pre-existing mental illness, for example; bipolar affective disorder, personality disorder or schizophrenia. Our service is suitable for individuals detained under the Mental Health Act 2007, subject to a Deprivation of Liberty Safeguarding (DoLS) or willing to receive treatment informally. We employ an extensive multidisciplinary team (MDT) of Psychiatrists, Clinical Psychologists, General Practitioner, Gastroenterologist, Occupational Therapists, Dietician, Nurses, Therapy Assistants, Advocates and ex perienced Support Workers. Our MDT will consider the biological, psychological, social and environmental factors that may have contributed to its development and address co-morbidities such as anxiety, depression, selfinjurious behaviour and Obsessive-Compulsive Disorder (OCD). Our MDT works collaboratively to develop bespoke treatment plans designed to meet each individual s specific needs, which will include a range of therapies. In addition to the clinic, our purpose-built therapy suite is separate from the main house. Many of our patients will present with a dangerously low BMI (Body Mass Index) and additional physical health complications such as hypocalcemia, epilepsy, osteoporosis, bradycardia & dysrhythmia. Some of our patients will need to have their blood analysed daily or require nasogastric tube feeding treatment.
ASSESSMENT We are committed to converting the skills of our experienced MDT and our desire to provide the highest standard of care and treatment into achieving positive, evidence based outcomes for every individual entrusted into our care. We aspire to develop a new model of care for adults with eating disorders that offers a comprehensive care pathway across inpatient and community services, whilst making measur able improvements to outcomes and minimising the potential of relapse. On admission, our MDT will undertake a series of assessments to evaluate the individual s physical, emotional and psychological wellbeing which will be repeated regularly throughout their period of hospitalisation. SERVICES AT A GLANCE Diagnosis of Anorexia nervosa, Bulimia nervosa or Eating Disorder Not Otherwise Specified (EDNOS) Detained under the Mental Health Act, subject to a Deprivation of Liberty Safeguarding or informal Male or female 18+ Co-morbidities including addictions, depression, anxiety, post traumatic stress disorder, obsessive-complulsive disorder and self-injurious behaviour Additional mental health diagnosis such as bipolar affective disorder, personality disorder or schizophrenia Mild developmental disorders such as an autistic spectrum disorder or learning disability Forensic background Physical disabilities/wheelchair users Treatment resistant Nasogastric tube feeding treatment Dangerously low BMI Physical health complications such as hypocalcemia, epilepsy, osteoporosis, bradycardia & dysrhythmia
TATMENT & COVERY Achieving a full recovery from an eating disorder is possible. The primary focus on admission is to stabilise the individual s physical health and restore weight. This will drive their motiva tion to engage in an agreed treatment programme, which will focus on developing a range of psychological, social, emotional and practical skill-based strategies. Psychological therapy involves creating awareness of how the social environment influences eating disorders. It assists individuals to understand their eating patterns and beliefs and provides strategies to help change dysfunctional attitudes and behaviours towards weight and body image. Individuals will gain an understanding of factors that put them at risk of eating anxieties and develop coping mechanisms to better manage these situations through building confidence, motivation and self-awareness. To maximise an individual s potential of maintaining a full recovery, our model of care focuses on relapse prevention and the development of a personal coping plan. Our MDT will provide patients with the skills to manage future setbacks and identify early intervention requirements. We will provide a range of clinically recognised individual and group therapies including:- Mentalisation Based Therapy (MBT) Cognitive Behavioural Therapy (CBT) Cognitive Analytical Therapy (CAT) Dialectical Behavioural Therapy (DBT) Dietary therapy Family therapy Mindfulness-based therapy Occupational Therapy (OT) Motivational therapy Interpersonal Psychotherapy (IPT) Art therapy
DISCHARGE PLANNING & AFTERCA Discharge planning will commence from day one. Accessing the community to take part in social activities, including eating in cafes and restaurants is an important part of the rehabilitation process. The Chimneys Clinic will provide transport to facilitate all external activities. Our day hospital service will enable us to continue to support our patients post-discharge, as required. We will work closely with local Community Eating Disorder Service (CEDS) teams to promote an integrated care pathway. Our MDT will invite representatives from CEDS, the funding authority and family to attend discharge planning meetings and provide a full hand over. We will request a follow-up appointment at our day clinic two weeks post-discharge to ensure that progress is being maintained and address any issues arising. We will always be available to offer advice over the telephone or in person.
If you are currently working with someone with an acute, severe or enduring eating disorder and would like to arrange an assessment please contact our Referrals Manager on 01284 220210. If you prefer you can email referrals@ chimneyshealthcare.co.uk with details of your enquiry. Assessments are free of charge and without obligation and can normally be completed within 24 hours of receiving a referral. If an urgent assessment is required, we are able to assess and admit on the same day. Should that be the case, please let us know. Referrals can be accepted from healthcare professionals, insurance companies or self-funders. You will be asked to complete a referral form and MAKING A FERRAL provide copies of recent psychiatric and nursing reports including, where relevant, Care Programme Approach (CPA) reports. Once the assessment has been completed our MDT will meet to consider the individual s suitability for our service. You will be verbally notified of our decision within 24 hours of the assessment taking place and this will be followed up with a formal bed offer letter, assessment report and initial care and treatment plan, if the individual is suitable. In the event that our MDT believe an alternative care provision would be better placed to meet the individual s needs, they will provide a rationale for their decision and signpost you to appropriate services.
THE CHIMNEY S HEALTHCA PARTNERSHIP The Chimneys Clinic New Road, Rougham, Bury St Edmunds, Suffolk, IP30 9LR 01284 220210 info@chimneyshealthcare.co.uk www.chimneyshealthcare.co.uk