Severe and enduring anorexia nervosa is associated with poor response to treatment, poor prognosis and significant mortality. The role of inpatient care is controversial. It can be life-saving, but can also have unintended adverse effects on outcome.
When is it appropriate to intervene with high intensity treatment?
When is it appropriate to treat in the community?
What community models of care are appropriate?
How do relationship dynamics affect decision making?
How can we manage these dynamics to ensure decision making is in the best interest of patients?
This one day event will explore dilemmas in the management of severe and enduring anorexia nervosa. Current concepts of staging of anorexia nervosa, the evidence base for matching treatment to stage of illness and legal frameworks for care planning will be presented. Participants will be encouraged to actively engage through questions and discussion. The Cognitive Analytical Therapy (CAT) model will be used to explore unhelpful relational dynamics commonly encountered and to consider how individuals and teams can contain and manage these unhelpful dynamics. Complex case presentations will be used to illustrate common dilemmas in care, and for workshop style discussion to formulate appropriate care plans.
Who should attend?
The day will be suitable for clinicians and managers in eating disorders teams, general practitioners (GPs), voluntary and clinical staff working with severe anorexia nervosa; physicians involved in MARSIPAN care and senior Trust managers with responsibility for risk and legal matters.
Dr Francis Connan, Clinical Director and Consultant Psychiatrist for the Vincent Square Eating Disorder Service has worked in the service for over 10 years and will present this 'management of severe and enduring anorexia nervosa conference'. Dr Connan trained in eating disorders at the Bethlem and Maudsley and completed a PhD at the Institute of Psychiatry. She has published a number of chapters and peer reviewed articles, and presented at conferences both nationally and internationally. She has been a member of the Executive and Academic Secretary for the Eating Disorder Section of the Royal College of Psychiatrists, and played a lead role in the development of the Quality Assurance Network for Eating Disorders (QED). She is currently a member of the NHS England Clinical Reference Group for Eating Disorders.