Low weight as a result of other mental health difficulty (e.g. low mood, anxiety, vomit phobia) ARFID Restriction of energy intervention is key to the Possible referral to Anorexia intake relative to successful treatment of an local paediatric Nervosa requirement, leading to eating disorder so, GPs, and service for medical (AN) a significantly low body parents play an important role in review, which may weight in the context of identifying an emerging eating result in short term Bulimia age, sex, disorder. admission on to Nervosa developmental paediatric ward if (BN) trajectory, and physical If concerned about a possible required, depending health. eating disorder the GP should on concerns and Eating do a physical health check severity. Disorder Not Intense fear of gaining including a height, weight Otherwise weight or of becoming calculation as junior Marsipan The young person will Specified fat or persistent guidelines See below ( be offered a CEDS (EDNOS) behaviour that sion/CR168.pdf) assessment and from interferes with weight this a care and NB: gain, even though at a treatment plan will be CEDS does significantly low weight. developed and not treat implemented. Obesity Disturbance in the way in unless there one's body weight or A CEDS Care is a shape is experienced, will be existing undue influence of body appointed who will mental weight or shape on carry out medical disorder that or persistent monitoring of weight is specified lack of recognition of the and BP. seriousness of the current low body weight. Referral for Bulimia nervosa is appropriate characterised by a psychological persistent pre-occupation therapies. with eating and periods of over eating in which CAMHS CEDS large amounts of food Consultant involved are consumed in short for medical review. periods of time. Associated symptoms Referral to the include - self-induced CAMHS Outreach vomiting, purgative and Home Treatment abuse, alternating Service if intensive periods of starvation, and home treatment is use of drugs such as required inc medical appetite suppressants. monitoring, psycho education, meal planning and liaising with other service.
Low weight as a result of other mental health difficulty (e.g. low mood, anxiety, vomit phobia) ARFID Anorexia Nervosa (AN) Bulimia Nervosa (BN) Eating Disorder Not Otherwise Specified (EDNOS) NB: CEDS does not treat Obesity unless there is a existing mental disorder that is specified Restriction of energy intake relative to requirement, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Intense fear of gaining weight or of becoming fat or persistent behaviour that interferes with weight gain, even though at a significantly low weight. Disturbance in the way in one's body weight or shape is experienced, undue influence of body weight or shape on or persistent lack of recognition of the seriousness of the current low body weight. Bulimia nervosa is characterised by a persistent pre-occupation with eating and periods of over eating in which large amounts of food are consumed in short periods of time. Associated symptoms include - self-induced vomiting, purgative abuse, alternating periods of starvation, and use of drugs such as appetite suppressants. intervention is key to the successful treatment of an eating disorder so, GPs, and parents play an important role in identifying an emerging eating disorder. If concerned about a possible eating disorder the GP should do a physical health check including a height, weight calculation as junior Marsipan guidelines See below ( sion/CR168.pdf) Possible referral to local paediatric service for medical review, which may result in short term admission on to paediatric ward if required, depending on concerns and severity. The young person will be offered a CEDS assessment and from this a care and treatment plan will be developed and implemented. A CEDS Care will be appointed who will carry out medical monitoring of weight and BP. Referral for appropriate psychological therapies. CAMHS CEDS Consultant involved for medical review. Referral to the CAMHS Outreach and Home Treatment Service if intensive home treatment is required inc medical monitoring, psycho education, meal planning and liaising with other service.
eligibility-criteria-final-290518.docx