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Specialist Inpatient Eating Disorder Clinic

Our model of care

focuses on recovery,

therapeutic optimism,

relapse prevention and

personalisation ”

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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+.

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 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, brady-cardia & dysrhythmia. Some of our patients will need to have their blood analysed daily or require nasogastric tube feeding treatment.

Additionally, we can support individuals with a pre-existing mental illness, for example; bi-polar affective disorder, personality disorder or schizophrenia.

Our MDT will consider the biological, psycho-logical, social and environmental factors that may have contributed to its development and address co-morbidities such as anxiety, depression, self-injurious behaviour and Obsessive-Compulsive Disorder (OCD).

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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 in-patient and community services, whilst making

measur able improvements to outcomes and mini mising 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.

ASSESSMENT

SERVICES AT A GLANCE• DiagnosisofAnorexianervosa,BulimianervosaorEatingDisorderNotOtherwiseSpecified(EDNOS)

• DetainedundertheMentalHealthAct,subjecttoaDeprivationofLibertySafeguardingorinformal

• Maleorfemale18+• Co-morbiditiesincludingaddictions,depression,anxiety,posttraumaticstressdisorder,obsessive-complulsivedisorderandself-injuriousbehaviour

• Additionalmentalhealthdiagnosissuchasbipolaraffectivedisorder,personalitydisorder or schizophrenia

• Milddevelopmentaldisorderssuchasanautisticspectrumdisorderorlearningdisability

• Forensicbackground• Physicaldisabilities/wheelchairusers• Treatmentresistant• Nasogastrictubefeedingtreatment• DangerouslylowBMI• Physicalhealthcomplicationssuchas

hypocalcemia, epilepsy, osteoporosis,

bradycardia&dysrhythmia

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 psycho-logical, social, emotional and practical skill-based strategies.

Psychological therapy involves creating aware-ness of how the social environment influences eating disorders. It assists individuals to under-stand 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 main-taining 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.

TREATMENT & RECOVERY

Wewillprovidearangeofclinicallyrecognisedindividualandgrouptherapiesincluding:-

• MentalisationBasedTherapy(MBT)

• CognitiveBehaviouralTherapy(CBT)

• CognitiveAnalyticalTherapy(CAT)

• DialecticalBehaviouralTherapy(DBT)

• Dietarytherapy• Familytherapy• Mindfulness-basedtherapy• OccupationalTherapy(OT)

• Motivationaltherapy• InterpersonalPsychotherapy(IPT)

• Arttherapy

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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.

DISCHARGE PLANNING & AFTERCARE

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 pro-fessionals, insurance companies or self-funders. You will be asked to complete a referral form and

provide copies of recent psychiatric and nursing reports including, where relevant, Care Pro-gramme Approach (CPA) reports.

Once the assessment has been completed our MDT will meet to consider the individual’s suit-ability 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.

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The Chimneys ClinicNew Road, Rougham, Bury St Edmunds, Suffolk, IP30 9LR

01284 220210

www.chimneyshealthcare.co.uk

info@chimneyshealthcare.co.uk

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