New Zealand Eating Disorder News
HOW IS PROVISION OF TREATMENT FOR EATING DISORDERS SET UP IN
NEW ZEALAND?
In this first national newsletter I thought it would be useful to provide an overview of the provision
of eating disorders services in New Zealand on a regional basis. New Zealand has three speciality
regional eating disorders services known as “hubs” that support their local “spokes” or districts.
These speciality services are based in Christchurch (South Island Eating Disorders Service-SIEDS),
Wellington (Central Region Eating Disorders Service-CREDS) and in Auckland (Regional Eating
Disorders Service-REDS). These services provide treatment for eating disorders and consultation
and training to their districts. Each district has an eating disorders liaison (EDL) clinician who is an
expert in eating disorders, and who works closely with the hubs to co-ordinate training and
provide advice to local clinicians on eating disorders. EDLs may also be involved in providing
treatment to service users and their family/ whanau.
The Midlands region is linked to REDS but also has a smaller speciality team (hub) in Waikato.
There are some slight differences in provision of these services across the regions and these are
outlined below.
Southern Region
The Southern region covers the South Island.
SIEDS have an outpatient and inpatient service
for those aged 13 years of age and upwards.
The inpatient beds are available for all those
across the South Island who need more
intensive care. SIEDS uses telemedicine to
provide teaching and case consultation to its
districts and also visits each district twice a
year. There are eating disorders liaison
clinicians in Nelson, Blenheim, Greymouth,
Timaru, Canterbury, Dunedin and Invercargill.
The South Island also has Southern Support
Eating Disorder Service. This is a contract held
in primary care for the Southern part of the
South Island. Trudy Dent works alongside
SIEDS and the EDL clinicians from Dunedin and
Invercargill with a specific focus on providing
substantive support for primary care. In the
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rest of the South Island primary care is covered
by the EDL clinicians.
The South Island also has the Eating Awareness
Team (EAT). EAT provides information and
support for individuals, families and
professional on eating disorders. They provide
community education and some counselling
services in the Canterbury area. The Southern
Eating Disorders Support Group for families is
based in Invercargill and runs a support group
for families in the bottom half of the South
Island. They are supported by Sharon Morrison
– the family / Whanau advisor for their area.
Contact Information:
SIEDS
Southern Support EDS
Sharon Morrison
EAT
(03) 3377707
0800 328 744
(03) 214 5786 ext. 8364
(03) 3667725
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Central Region
Northern Region
The Central region encompasses the Hutt
Valley; Capital and Coast (Wellington), Mid
Central (Manawatu), Hawke’s Bay and
Whanganui DHBs, with EDL clinicians in each
district. CREDS have an outpatient service, a
day programme and a residential service,
taking referrals from all sources, including selfreferral. The residential beds are for clients 16
and upwards and are reserved for the most
unwell clients or clients from the district who
require a two week assessment. CREDS provide
a primary, secondary, and tertiary service
along with consultation/liaison and education.
They attempt to get to the four districts
quarterly to provide education, assessment
and case reviews. They work directly with
clients in the HVDHB and CCDHB medical,
mental health and care of the elderly wards,
and the Paediatric department, where they
may have a number of clients with eating
disorders at any one time. They run special
interest groups for their region, for example,
Maudsley Family Based Therapy. They run
regular education days with concurrent
presentations which attract large attendances.
The Northern region encompasses Auckland
DHB, Counties/Manakau DHB, Waitemata DHB
and Northland DHB. REDS is based in the
Auckland DHB as the “hub” service and their
spokes/ districts are the other DHBs and the
Midland Region DHBs. Each district has EDL
clinicians. REDS is an outpatient service
consisting of an adolescent, adult and an
outreach consultation team. The residential
and day programme services for individuals
aged 15 years and older are run by Thrive.
Thrive is a part of Challenge Trust. REDS also
works in close partnership with Starship
Hospital who provide expert inpatient care for
young people up to age 15.
Contact Information:
The Northern Region also has the Eating
Disorders Association of New Zealand (EDANZ)
which was set up in 2007 by a group of parents
from Auckland. Their aim is to provide support,
information and help to families that have a
member with an eating disorder, to change the
way people think and talk about eating
disorders and to advocate for increased
resources and better services for people with
eating disorders and their families.
CREDS
(04) 461 6528
www.eatingdisorders.org.nz
Midland Region
The Midland region encompasses Lakes DHB,
Taranaki DHB, Waikato DHB; Bay of Plenty DHB
and Tairawhiti DHB. Each DHB has an Eating
Disorder Liaison clinician who supports staff in
their area working with clients with eating
disorders. They also provide consultation and
training to their DHB and community. Waikato
DHB has its own small speciality team – The
Waikato Specialist Eating Disorders Service
(SEDS).
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The Northern region also has the Eating
Difficulties Education Network (EDEN). EDEN is
a non-profit community agency based in
Auckland. Their purpose is to promote body
trust and satisfaction, size acceptance and
diversity on an individual and societal level.
They provide counseling services in Auckland,
support groups and community education. The
run the NOURISH workshops.
Contact Information:
REDS
EDEN
EDANZ
(09) 623-4650
(09) 631 7570 / www.eden.org.nz
(09) 5222-679 / www.ed.org.nz
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WORKFORCE DEVELOPMENT
Update on E-Learning
The Centre for Eating and Dieting Disorders
(CEDD) has developed an online e-learning
course. The course is targeted at all staff
wanting to develop a good understanding of
how to work with individuals with eating
disorders and their family/whanau.
The Werry Centre evaluated the pilot of this
course earlier this year. Thank you to those
who agreed to be part of this pilot testing and
provided such useful feedback. One
participant in this evaluation wrote
“Overall I think it’s a wonderful, great resource
….. the potential for this is enormous.”
CEDD is improving the course based on this
evaluation report and we hope to give you
access to the course in February-March 2012.
Check out CEDD’s website www.cedd.org.au as
they have some good eating disorder
resources and pod cast from speakers at their
breakfast meetings.
Our Australasian Network
We as a national collaborate network are very
closely linked with our Australian colleagues.
This is through the mechanism of the Australia
and New Zealand branch of the Academy of
Eating Disorders (ANZAED). There is a
workforce development group within this
organisation with a representative from each
state and New Zealand. The aim is to have a
co-ordinated approach to our training needs,
and share resources and ideas. The
Australasian workforce group has the role of
looking at Australasian and International
specialists and see who we want to bring to
our countries to train in particular areas. For
example, last year we brought out Gill Todd to
Werry Centre : Sep-11 / Issue 1
talk about “Skills based caring for loved ones
with eating disorders”. She did a ten day tour
of Australasia.
We are currently negotiating with an
international expert in adult with eating
disorders about a tour for 2012, and talking
about inviting Dr Kate Tchanturia back to run
her two day workshop on Cognitive
Remediation Therapy. When these training
have been confirmed I will get back to you.
To learn more about and join ANZAED please
go to www.anzaed.org.au
Please e-mail if you have any ideas about
international experts you would like to see
brought to NZ.
Competencies
The Australasian network is talking about
developing competencies for clinicians
working with eating disorders. What this
means is having an understanding of what skill
set is required for individuals working with
eating disorders right across the spectrum of
care. For example, What skill set does
someone need who works as a practice nurse
in identification of eating disorders and
medical management or a new graduate OT
who is working in a specialty team and wants
to develop from being a novice to an expert or
someone who works in an alcohol and drug
service but comes across a person with an
eating disorder.
Over the next year we will be looking to you,
the National Eating Disorders Collaborative to
share your thoughts on competencies.
Please e-mail me if you want to know more
about this area.
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Maudsley Family Based Therapy
(MFBT)
New Zealand has nearly finished its roll out of
MFBT. As we know for anorexia nervosa early
detection and treatment is the key to recovery
(the paper I have attached provides further
reading on this treatment and on outcomes).
We now have clinicians trained in MFBT from
Northland to Invercargill mostly sitting within
CAMHS teams. Each of the speciality teams is
discussing with its districts how they can best
be supported for supervision. To date SIEDs
runs a monthly telemedicine supervision group
and CREDS has developed a special interest
group and some telephone supervision.
Contact your local EDL person to hear more
about the provision of MFBT in your area.
WHAT’S NEW IN THE WORLD OF EATING DISORDERS?
Anorexia and the Brain
International Journal Club
Dr Ken Nunn from Westmead Children's
Hospital in Sydney recently presented a very
useful overview of this topic. His research
team is interested in noradrenaline (NA). This
chemical is closely related to adrenaline. His
research team has found that the genes
involved in the NA system are switched on
faster in families of those with anorexia
nervosa. He has called this a "turbo charged
threat detector". If you have this TCTD you are
likely to be more anxious and sensitive, feel
better when starved of protein, feel worse
when refed, blood supply to the brain is
altered, and the brain adapts to changes in the
body more slowly (think puberty and adapting
to changes in the body more slowly). His team
is also interested in a part of the brain called
the insula (involved in taste and disgust; selfsoothing and monitoring of the body).
Currently on an international basis there are
three theories regarding the brain and
anorexia nervosa which are of interest to
researchers -those on NA, the Insula and the
homunculus theory.
To date our International Journal Club consists
of colleagues from Australia, and Gillian Todd
and Professor Glenn Waller from the Institute
of Psychiatry in London. They have sent us two
articles. Please find these attached.
Please send me any articles of interest you
think our national collaborative network
would be interested in receiving and I will
attach them to the next newsletter.
WHO IS MY LOCAL EDL CLINICIAN?
Suzanna Brittain from EDANZ has done a
wonderful job of collating the Eating Disorder
Liaison Clinician’s throughout New Zealand.
Thank you to Suzanna for allowing this
information to be used in this newsletter.
The full list of the EDL Clinicians is located
below
Want to know more? These theories are all to
be found in a new book "Eating Disorders and
the Brain" edited by Bryan Lask.
Werry Centre : Sep-11 / Issue 1
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EATING DISORDER LIAISON CLINICIAN’S CONTACT INFORMATION
NORTHERN AND MIDLAND REGIONS:
Regional Eating Disorder Services
Based at: Greenlane Clinic Centre, Greenlane, Auckland.
Contact Person: Jo Hicks. Telephone: (09) 307-4949 x29047 or (09) 623-4650
DHB
Type
Northland
Child/Adolescent Carman Murphy
(09) 430-4101 x8320
Adult
021-446-757
Auckland
Eating Disorder
Liaison Clinician
Tanya Goosen
Phone No.
Child/Adolescent Janet Palmer, Kari Centre (09) 623-4646 x28642
Adult
Waitemata
Counties/Manukau
TBA
Child/Adolescent Sharon Logan, Marinoto
(09) 4890555 x3100
Adult
(09) 489-0555x3100
Lize Strauss
Child/Adolescent Maree Clark, Whirinaki
(09) 265-4000
Adult
(09) 265-4000
Maree Clark, Whirinaki
Waikato – Hamilton Child/Adolescent Lynne Blake
(Thames/Coromand Adult
Lynne Blake
el, Tokoroa,
Te
Awammutu,
Taumaranui)
(07) 834-6902 x25516
Lakes-Rotorua
Child/Adolescent Kaylene Buckley
(07) 343-5005
Adult
(07) 343-5050
Lakes-Taupo
Tanya Furstenburg
(07) 834-6902 x25516
Child/Adolescent Vicki Lewis
(07) 376-1099
Adult
(07) 376-1099
Lyn White
Bay of Plenty Tauranga
Child/Adolescent Daniella Alloro
(07) 579-8350
Adult
(07) 579-8350
Tairawhiti –
Gisborne
Child/Adolescent Annette Barnes
(06) 869-0500
Adult
(06) 869-0500
Taranaki
Child/Adolescent Julia McClean
(06) 753-7790 x8872
Adult
(06) 753-6139 x7923
Daniella Alloro
Jamie Thompson
Alan Guy
www.werrycentre.org.nz
Phone: 021 433 803
Email: r.lawson@auckland.ac.nz
Fax: 03 376 5635
Post: The Werry Centre, PO Box 19951, Woolston, Christchurch 8241
Werry Centre : Sep-11 / Issue 1
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CENTRAL REGION:
Central Regional Eating Disorder Services
Based at:
Hutt Valley Hospital
Contact:
Sue Willoughby - Telephone (04) 461-6528
DHB
Type
Wanganui
Child/Adolescent Elizabeth Turner
Mid Central
Wairarapa
Capital and Coast
Hutt Valley
Hawke’s Bay
Eating Disorder
Liaison Clinician
Adult
Child/Adolescent
Adult
Child/Adolescent
Adult
Child/Adolescent
Adult
Child/Adolescent
Adult
Tracey Cossey
Shelley Cooper
Shelley Cooper
Raewyn Woodhouse
Christine Smith
Sinead Gannon
Sue Willoughby, CREDS
Sue Willoughby, CREDS
Sue Willoughby, CREDS
Child/Adolescent Naomi Bell
Adult
Kate Woodhall
Phone No.
(06) 348 1234 x7901 (06)
348 1901
(06) 348-1234 x7207
(06) 350-8373 x 7628
(06) 350-8373 x 7628
(06) 946-9848
(06) 946-9805
(04) 385-5999
(04) 461-6722
(04) 461-6722
(04) 461-6722
(06) 878-8109 x5843
(06) 878-8109 x5700
SOUTHERN REGION:
South Island Eating Disorder Services
Based at:
Princess Margaret Hospital
Contact:
Yvonne Curtis - Telephone (03) 337-7707
DHB
Type
Nelson Marlborough
Nelson
Blenheim
Child/Adolescent
Adult
Child/Adolescent
Adult
Dunedin
Deb Moore
Dr Chantel Taylor
Robyn Atkinson
Robyn Atkinson
Chris Cahill
Chris Cahill
Michelle Moore
(03) 546-1870
(03) 520-9907
(03) 768-2805
(03) 768-2805
(03) 520-9907
(03) 520-9907
(03) 474-5601
Invercargill
Laura Ely
(03) 214 5786
West Coast
Cowper Street, Greymouth
South Canterbury
Kensington Centre, Timaru
Southern
Eating Disorder
Liaison Clinician
Phone No.
www.werrycentre.org.nz
Phone: 021 433 803
Email: r.lawson@auckland.ac.nz
Fax: 03 376 5635
Post: The Werry Centre, PO Box 19951, Woolston, Christchurch 8241
Werry Centre : Sep-11 / Issue 1
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