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Illawarra Shoalhaven Local Health District
Implementation of Stage 1
of the
NSW State-wide Eating Disorders Plan
2013-2018
Ms Paula Hakesley
Dr Rajiv Singh
Director of Mental Health Services
Clinical Director, CAYMHS
February 2015
Goal of Project
To improve consumer experience
through safer, more responsive, timely and
accessible service provision
for
People with eating disorders in the
Illawarra Shoalhaven Local Health District
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Background & Aims

The NSW Service Plan for People with Eating Disorders 2013-2018 has
determined that the implementation of the Statewide Service Plan will be a
staged process.

Stage 1 (going through to June 2015) requires each Local Health District within
their geographical boundaries to:
– Identify current access points for services for people with eating disorders;
– Identify major gaps in the service spectrum and workforce capacity to treat
eating disorders;
– Develop a Local Service Plan that will guide current and planned service
provisions through to 2018 and beyond.

The Statewide Service Plan identifies the LHD as the ‘central hub’ for health
care for its residents.

In keeping with the above priorities the Illawarra Shoalhaven Local Health
District (ISLHD) Mental Health Services are facilitating the implementation of
Stage 1 via the development of a Local Service Plan.
Problem Identification
 ISLHD Mental Health Services quickly identified that not having a
Local Eating Disorder Services Plan within our region had exposed
us to the following gaps/weaknesses:
o Lack of cohesiveness and cooperation between services
o No service and/or professional networking
o No specialist workforce plan
o No local public health awareness and promotion programs
 The ISLHD region definitely required a Local Eating Disorders
Service Plan
2
High Level Flow
Detailed Level Flow
Forum
Focus on
networking,
identifying current
service delivery
components;
strengths & gaps
Release
of NSW
Client comes
into
Service
prisonPlan
eating disorders
2013-2018
Decision to
organise a
Closed Forum on
15.10.2014
Planning for the
Forum
LHDs required
to produce Local
Service Plan
Analysis of
feedback &
output from
Forum
ISLHD identified
does not have a
ED Service Plan
Project Scoping
Paper developed
for Executive
sign-off
Local Health Plan
for Eating Disorders
completed
Terms of
Reference
written up
Constitution of
a Project
Committee
Project
Scope
defined
Communication to
key/peak bodies
about Project
Current status
1. Strategic
Service
Development
Group
2. Policies &
Protocols
Group
3. Workforce
Development
Group
Setting up of 3
Working Groups
(reporting to
Project
Committee)
Working Groups to
provide action plan
for further
development of
Local Service Plan
Invite
participation
Planning & Implementation
The development and finalisation of a Local Service Plan will be established using the
following methodologies:

Development of the vision for Eating Disorder Services.

Conduct a gap analysis and identify data sources via a forum and working parties.

Identify priorities for Eating Disorder Services development.

Identification and development of access points.

Development of Pathways to Care and evidence based treatments.

Identifying workforce capacity building, education, training and support.

Identification of Eating Disorder treatments/services within the geographical area of
ISLHD.

Clear pathways to specialist tertiary services outside of ISLHD geographical area
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Project Results
 Scoping Paper priorities communicated to peak bodies.
 Project Committee constituted with wide representation from
Paediatrics, Dietetics, Mental Health, Emergency Department,
Consumer and Family Carer, Medicare Local, Statewide Eating
Disorders Coordinator.
 ‘Closed’ Forum on Eating Disorders organised at WIN Stadium,
Wollongong on the 15 October 2015
o 58 people attended
o Representation from a wide range of services and backgrounds,
including from outside the LHD
Results
The Eating Disorder Forum:
 Presentations from Statewide Eating Disorders Coordinator
Director Mental Health and the Clinical Director CAYMHS
to set the stage.
 Interactive patient journey mapping sessions based on
specially developed case scenarios – to identify services,
strengths and gaps
 World Café-style session focusing on solutions and other
ideas
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Eating Disorder Forum: Possible Solutions
An analysis of the solutions and ideas revealed the
following grouped themes:
•
•
•
•
Early Identification
Capacity Building
Access to Information
Improving Shared Care
Strategies for Sustaining Improvement
 Based on the feedback 3 Working Groups were set up:
o Strategic Service Development Group
o Policies & Protocols Group
o Workforce Development Group.
 All Forum participants were invited to be on the 3
working groups. A very good response was received,
including a number who were unable to participate but
were keen on contributing electronically.
 The Working Groups provided a final report and
proposed action plan to the Eating Disorder Project
Committee on the 30 January 2015.
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2 Early Identification and Access to Treatment
 Introduce a screening tool to identify people that may be
developing an eating disorder or have an eating disorder
presenting to mental health services, headspace, general
practitioners, school counsellors, emergency departments and
other health services.
Actions:
– Literature review and selection of screening tool. By:
28/3/15
– Pilot and evaluate the screening tool at CAMHS and
Headspace. By: 31/12/15
– Rollout the screening tool and pathways to treatment to
extended services. By: 31/12/16
 Establish an early intervention program at
Headspace with pathways to escalate treatment to
Child, Adolescent and Youth Mental Health Service
(CAYMHS), Illawarra Eating Disorders Service
(IEDS) and Shoalhaven Body Image and Eating
Behaviour Service (SBIEBS) when required.
Actions:
– Review of evidence based therapies and
programs for early intervention. By: 28/2/15
– Pilot an early intervention program at Headspace.
By: 31/9/15
– Evaluate the program. By: 31/12/15
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Plans to sustain change
 The Project Committee will continue to monitor and drive
ongoing developments.
 The Working Groups will provide action plan for ongoing work in relation to further development and
implementation of the Local Service Plan.
 The Local Service Plan will be the driver for continued
implementation of the Stage 1 of the Statewide Service
Plan (and will provide the basis for work and
development for the next stages).
Strategies for Spreading
 Present finalised Local Eating Disorder Plan to the ISLHD
Board for sign off and to gain support and approval for both
local media and general public presentations and discussions.
 In view of the strong interest and suggestions by participants
in the Local Forum, there is a plan to organise a second
Forum during 2015/16.
 One of the positive results of the forum was the establishment
of a large data-base of interested clinicians/professionals from
a variety of backgrounds which has enabled and encouraged
networking.
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