CAFS Care Bundle Checklist – Eating Disorders MDHB
REFERRAL PROCESSES
 Referral received and entered on Referral Log/Opened in
CHIPS to CAFS Team and forwards to Duty Clinician
 Duty Worker consults with Eating Disorder Clinician
 Assess urgency with parents and/or referrer
 Send Medical Assessment Request Form to GP if urgent
Choice assessment is not required
 Review urgency when further medical information provided
Date/Initials
ASSESSMENT
 URGENT CHOICE – Paediatrician and/or Eating Disorder
Clinician involved and physical wellbeing prioritised
 ROUTINE CHOICE – usual Choice process followed
 Preliminary Assessment (Choice Apt) completed
 Initial weight/height/BMI/percentiles/menstrual status/food &
fluid intake monitoring recorded
 Choice discussion and Partnership allocation
 Refer to dietitian
 Partnership Assessment with full Mental Health and Eating
Disorder Assessment completed
 Begin psycho-education re risks and consequences of Eating
Disorders
Date/Initials
TREATMENT/INTERVENTION
Date/Initials
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Ongoing weight, dietary and medical monitoring
Maudsley Family Based Therapy
CBT
Other
Monitoring & review only
Ongoing psycho-education
Ongoing dietitian input
Review at Eating Disorder MDTs and CAFS MDTs
Consult with CAFS Paediatrician and/or Psychiatrist
Consult with CREDS as required
Reviews at Eating Disorder MDTs and CAFS MDTs
Ongoing liaison with GP during treatment
Liaison and support re school placement
DISCHARGE
 Recommendations and relapse plan for eating disorder
clearly documented on discharge summary
 Discharge summary sent immediately after final
appointment so recommendations for follow up medical
monitoring are available to the GP
 Clear indication on discharge summary of physical
parameters that would suggest need to re-refer
 Note final weight/height/BMI/percentiles/menstruation
Date/Initials
Care Bundle Clinical Resources List
Clinical Guidelines (from ‘Future Directions for Eating Disorder Services in New Zealand, 2008)
 Australian and New Zealand clinical practice guidelines for the treatment of
anorexia nervosa (Royal Australian and New Zealand College of Psychiatrists,
2004)
 Eating Disorders: Core interventions in the treatment and management of
anorexia nervosa, bulimia nervosa and related eating disorders (National
Institute for Clinical Excellence, 2004)
 Practice Guideline for the Treatment of Patients with Eating Disorders
(American Psychiatric Association Steering Committee on Practice Guidelines,
2006)
 Policy statement: identifying and treating eating disorders (American Academy
of Paediatrics, 2003)
 Eating disorders in adolescents: position paper of the Society for Adolescent
Medicine (Society for Adolescent Medicine, 2003).
 Royal Australian and New Zealand College of psychiatrists clinical practice
guidelines for the treatment of eating disorders (Australian & New Zealand
Journal of Psychiatry, 2014 Vol. 48 (11) 977-1008).
Other Guidelines
 Evidence-Based Age-Appropriate Interventions: A Guide for Child and
Adolescent Health Services (CAMHS). The Werry Centre, 2007.
Treatment Manuals
 Lock, J., Le Grange, D., Agras, W. & Dare, C (2001) Treatment Manual for
Anorexia Nervosa, A Family-Based Approach. The Guilford Press, New York
 Fairburn, Christopher G (2008) Cognitive Behaviour Therapy and Eating
Disorders. The Guildford Press, New York.
 Waller, G. Cordery, H, Corstorphine, E., Hinrichsen, H., Lawson, R.,
Mountford, V. & Russell, K. (2007) Cognitive Behavioural Therapy for Eating
Disorders – A Comprehensive Treatment Guide. Cambridge University Press.
Child Adolescent and Family Mental Health & Co-Existing Disorder Service
MidCentral Health