VCH Eating Disorders Program3rd Floor 2750 East HastingsVancouver, BC V5K 1Z9Phone: 604-675-2531Fax: 604-675-3894604-675-3894Vancouver Coastal Health Eating Disorders ProgramNEW CLIENT REFERRALReferral Criteria:The Eating Disorder Program provides treatment to clients with eating disorders as outlined in the DSM5. Please See Page 5 for more information on diagnostic criteria. Clients are required to be followed by a primary care provider or pediatrician if the client is underthe age of 12. Clients must be residents of Vancouver. We also see adults 19 or older who live in West/NorthVancouver. North Shore children and youth must be referred to the North Shore Youth EatingDisorder Program Phone: 604-984-5060Exclusion criteria:The EDP does not provide services in the following instances:a) Alcohol or substance abuse is the primary presenting problem.b) The client is acutely suicidal or in crisis.c) Acute psychiatric disorders account for decreased food intake such as: Thought Disorders (e.g. someone with schizophrenia who has delusions around food). Major Depression or Post-Partum Depression where decreased food intake is due tomood.d) Binge eating disorder (i.e. binge eating without any compensatory behaviour).As part of the referral process, ADULT clients are required to attend an Information SessionThese are held on the 2nd and 4th Wednesday of the month from 5-6 pmThe Information Sessions are held via Zoom WebinarWebinar ID: 690 701 067 Password: VCHPlease arrive on time. If you are more than 10 minutes late for the session,you will not be admitted into the session.For more information please visit - http://www.vch.ca/Locations-Services/result?res id 896Vancouver Coastal Health Eating Disorders Program New Client Referral1
Vancouver Coastal Health Eating Disorders ProgramNEW CLIENT REFERRALPlease complete the form and fax to (604) 675-3894.If you have any questions, please contact (604) 675-2531Date of Referral:REFERRAL SOURCE: (Primary Care Provider: GP, Paediatrician, Nurse Practitioner)Name:Office Phone:Office Fax:Address:Client’s Surname:Gender:Client’s First Name:DOB: (yyyy/mm/dd)PHN:Age:E-mail:Current Address (include postal code):Primary Phone #Home/CellCan Messages be left? Y N Discreet OnlyParent/Guardian Name: (Child & Youth)May we contact the Client’sParents/Guardian/Contact?Contact Person: (Adult)Alternate Phone #Can Messages be left? Y N Discreet OnlyPhone #Email:YesNoHome Phone #Alternate Phone #Current Height: Current Weight:*Please do not use patient’s self- reported weight. Ifrequired please weigh patient with back to scale anddo not tell them their weight.Has there been a recent significant weight loss?YesNoPlease explain:Vancouver Coastal Health Eating Disorders Program New Client Referral2
EATING DISORDER sNoFrequency:VomitingLaxativesOther (diuretics, thyroid medications, ipecac, appetite suppressants, insulin manipulation etc.)Binge Eating (Eating an objectively large amount of food within any 2 hour period, associated with a lossof control)YesNoFrequency:Medical causes of low weightor vomiting ruled out?YesNoAmenorrheaYesNoOther Comments:MEDICAL HISTORY:Last menstrual period:Oral contraceptive:YesNoPregnant:YesNoDiabetes: (insulin dependent)YesNoWeek of Pregnancy at Referral:GI Disorders:Allergies:Other medical conditions:Current Medications (Please list with dosage):Vancouver Coastal Health Eating Disorders Program New Client Referral3
PSYCHIATRIC HISTORY:Please describe any psychiatric symptoms of concern or current diagnoses:(i.e. co-morbid psychiatric dx, suicidal ideation, self-harm, substance abuse)Is the patient accessing any other psychiatric or psychological support? Other comments?EATING DISORDER DIAGNOSIS:Anorexia Nervosa: Restricting type Binge-eating/purging type Persistent restriction of energy intake leading to significantly low body weight (in context of what is minimallyexpected for age, sex, developmental trajectory, and physical health).Either an intense fear of gaining weight or of becoming fat, or persistent behaviour that interferes with weightgain (even though significantly low weight).Disturbance in the way one’s body weight or shape is experienced, undue influence of body shape and weighton self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.Bulimia Nervosa: Purging type Non-purging type (exercise and fasting)Recurrent episodes of binge eating. An episode of binge eating is characterised by both of the following:o Eating, in a discrete period of time (e.g. within any 2-hour period), an amount of food that is definitelylarger than most people would eat during a similar period of time and under similar circumstances.o A sense of lack of control over eating during the episode (e.g. a feeling that one cannot stop eating orcontrol what or how much one is eating).Recurrent inappropriate compensatory behaviour in order to prevent weight gain, such as self-induced vomiting,misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.The binge eating and inappropriate compensatory behaviours both occur, on average, at least once a week forthree months.Self-evaluation is unduly influenced by body shape and weight.The disturbance does not occur exclusively during episodes of Anorexia Nervosa.Other Specified Feeding or Eating Disorder (OSFED)To be diagnosed as having OSFED a person must present with a feeding or eating behaviours that causeclinically significant distress and impairment in areas of functioning, but do not meet the full criteria for any ofthe other feeding and eating disorderso E.g. Atypical Anorexia Nervosa: All criteria are met, except despite significant weight loss, theindividual’s weight is within or above the normal range.o Bulimia Nervosa (of low frequency and/or limited duration): All of the criteria for Bulimia Nervosa aremet, except that the binge eating and inappropriate compensatory behaviour occurs at a lowerfrequency and/or for less than three months.Vancouver Coastal Health Eating Disorders Program New Client Referral4
Lab Work – A current (within 2 months) copy of the following is required:1) ECG2) Full blood biochemistry including all of the below:- CBC and Diff- Serum Phosphate, Magnesium, Zinc- Ferritin- BUN, Creatinine- Random Blood Sugar- Na, Cl, K, Bicarb- TSH- Serum Protein- ALT, AST, Alk Phos, Bilirubin3) As part of the “Seek and Treat for Optimal Prevention (STOP) of HIV/AIDS” we ask thata routine HIV test be included. For more information on this initiative please contact theMedical Health Officer for Vancouver at 604-675-3900 and/or visit http://hiv.ubccpd.ca/4) Microscopic Urinalysis to include Specific Gravity.PLEASE REMEMBER TO COMPLETE THE REFERRAL FORM FULLY AND INCLUDECOPIES OF REQUIRED LAB WORKIncomplete referral forms result in delays.I understand the VCH Eating Disorder Program is an outpatient eating disorders service and willnot assume responsibility for the primary care of this client. Ongoing care is the responsibility ofthe referring Primary Care Provider.Primary Care Provider SignatureDatePlease fax completed referral to: 604-675-3894If you have any questions about the services offered or about completing the referral, please call usat 604 675-2531Vancouver Coastal Health Eating Disorders Program New Client Referral5
Vancouver Coastal Health Eating Disorders Program New Client Referral 1 604-675-3894. Vancouver Coastal Health Eating Disorders Program . NEW CLIENT REFERRAL . Referral Criteria: The Eating Disorder Program provides treatment to clients with eating disorders as outlined in the DSM-5. Please See Page 5 for more information on diagnostic criteria.
6. Detection of Eating Disorders 63 7. Diagnosis of Eating Disorders 73 8. Interventions at the Different Levels of Care in the Management of Eating Disorders 81 9. Treatment of Eating Disorders 91 10. Assessment of Eating Disorders 179 11. Prognosis of Eating Disorders 191 12. Legal Aspects Concerning Individuals with Eating Disorders in Spain 195
1900 NW Bliss Rd, Vancouver 13003 SE 7th St, Vancouver 2623 NW Sierra St, Camas 9201 NW 9th Ave, Vancouver 2921 Falk Rd, Vancouver 512 SE Ellsworth Ave, Vancouver 2700 NW 119th St, Vancouver 12001 NE 9th St, Vancouver 21609 NE 72nd Ave, Battle Ground 3800 SE Hiddenbrook Dr, Vancouver 3301 Fruit Valley Rd, Vanco
An estimated 2.5 million dogs visit Metro Vancouver's regional parks annually. Metro Vancouver Parks has established a procedure to collect and treat the dog waste. In the current . the ity of Vancouver, the ity of North Vancouver, the District of North Vancouver, the District of West Vancouver, the Township of Langley, the ity of Port
What are eating disorders? Eating disorders are serious medical illnesses marked by severe disturbances to a person's eating behaviors. Obsessions with food, body weight, and shape may be signs of an eating disorder. These disorders can affect a person's physical and mental health; in some cases, they can be life-threatening.
Mar 04, 2014 · 2. Substance-induced disorders -- intoxication, withdrawal, and other substance/medication-induced mental disorders (psychotic disorders, bipolar and related disorders, depressive disorders, anxiety disorders, obsessive-compulsive and related disorders, sleep disorders, sexual dysfunctions,
Eating Disorders: About More Than Food Author: National Institute of Mental Health Subject: This brochure provides information about eating disorders including who is at risk, common types of eating disorders and symptoms of each, treatment options, and resources to find help for yourself or someone else. Keywords: Eating disorders Created Date
the basis for all psychological therapy to be provided for eating disorders. 3. Ensure Specialist Eating Disorder Assessments and Reviews are undertaken by Eating Disorder Mental Health Practitioners. 4. Group therapy is not recommended as the primary choice of therapy for eating disorders but may be a useful supplementary treatment option. 5.
America’s Problem-Solving Courts: The Criminal Costs of Treatment and the Case for Reform CYNTHIA HUJAR ORR President, NACDL San Antonio, TX JOHN WESLEY HALL Immediate Past President, NACDL Little Rock, AR NORMAN L. R EIMER Executive Director, NACDL Washington, DC EDWARD A. M ALLETT President, FCJ Houston, TX KYLE O’D OWD Associate Executive Director For Policy, NACDL Washington, DC .