Nothing to scoff at: one patients' journey with disordered eating.

Abstract

In 2021 Epworth Clinic Mental Health (MH) Inpatient Unit implemented a care pathway aimed at improving identification and management of patients with eating disorders(EDs)/dsordered eating behaviours(DEBs). Screening for patients at risk of EDs/DEBs encompassed the initial step within a comprehensive care pathway. A positive SCOFF questionnaire result initiated an automatic referral to dietetics and depending on the dietetic assessment outcome, more intensive, specialised care could be offered. This included therapeutic engagement and supportive meal therapy (SMT) undertaken by trained nurses, ED/DEB specific psychology/psychiatry intervention and intensive clinical monitoring of physical parameters. With a score of 3 on admission, Tara was referred to dietetics. Conclusion: The SCOFF opened up a conversation about Tara’s DEBs and negative Body Image (BI), the burden of which had be carried silently for years. Along with Tara’s readiness to change, early screening and recognition of these issues allowed for the provision of multidisciplinary, specialised intervention, including dietetics, nursing and therapy.Subsequently, Tara experienced a significant improvement in DEBs, BI concerns and a reduction in her ED risk during her admission Tara’s story highlights how the integration of the SCOFF within a general MH inpatient unit can improve identification and subsequent management of patients with EDs/DEBs.