Review of the past Where have we come from

1
Treatment Standards and Strategies Review Forum

• Review of the past Where have we come from?
• Literature review
• Resources review
• Service Mapping
• Evidence review and research findings
• The present - What quality information do we have
  and what are the gaps?

2
Treatment Accessibility - Issues

• Mapping of services identified many gaps
• Regional and rural Australia,
• Some states better resourced than others but all
  sectors report significant limited resources
• Number IP beds, treatment options inconsistent
  b/w sites
• Funding barriers
• Medicare rebates mismatched to chronicity of
  illness presentation and evidence based treatment
  (eg. FBT)
• Structural and systemic barriers

3
Integration, Co-ordination and Treatment Options
- Issues

• Lack of co-ordination of care and referral
  pathways b/w
• IP, OP, Day program, Primary through tertiary
  care
• Medical and psychiatric services
• Public and private services
• Inconsistent and limited options of models of
  care across full spectrum of ED presentations
• Acute to chronic, across the lifespan, different
  diagnoses
• Inclusive of carers
• Specialist care in regional/rural settings
• Specific treatment options that address
  multi-cultural issues

4
Education, Training and Support - Issues

• Lack of training for Health Professionals (all
  disciplines) and Carers
• University courses
• Worksite training, supervision and support
• Skills based support groups for carers
• Limited ongoing specialist support and training
  from tertiary services
• In particular models of care (eg. FBT)
• Collaboration between services (eg. specialist
  and generalist services)

5
No Unified Standards of Care Limited Research

• Standards of Care encompass
• Accountability
• Co-ordination
• Minimum standards for treatment delivery
  quality health care
• Guidelines based on evidence practice
• Considers resources required to deliver care
• Facilities, staffing, services,
  multidisciplinary team approach
• Diverse treatment settings across Australia
• Limited treatment related research that is of
  high quality, collaborative across disciplines,
  sites and areas of expertise and delivers
  outcomes that informs practice

6
The Future Opportunity for Change

• Consensus despite great efforts and expertise,
  current treatment standards and strategies are
  less than optimal for Australians with Eating
  Disorders
• Opportunity for Australia to become world leaders
  in service delivery and care, research and
  training in the field of Eating Disorders.