Collaborative Outpatient Treatment: An Essential Step in the Recovery Journey

Friday, March 23, 2012: 10:40 AM-12:10 PM
Blue Topaz (The Charleston Marriott)
Are you in practice on your own and have a desire to be a leader in your community? Providing good clinical care in an outpatient care setting will be challenged if there is not a strong business model to support it. The formulation of a collaborative outpatient team becomes essential.
Introduction: The outpatient care provider has envied the structure and designed programming that inpatient has modeled.  It is the challenge now to outpatient providers to implement similar organized care and treatment management.  Insurance has forced outpatient providers to move past this envy and get into action.  It is no longer enough to say that “I see eating disorder patients”.  The modern day outpatient clinician must be well-educated and trained and provide comprehensive well-managed care.  This organized approach provides the clinician with the data to work with insurance and drive comprehensive care. 

Program development with inclusion of all aspects of nutritional and therapeutic assessment and management business, marketing, education of staff, team professionals, community and communication at all levels.  Program development encompasses clinical, business, and organizational support systems.  The Worldwide Charter for Action on Eating Disorders (AED) is a “collaborative global initiative to change the way eating disorders are treated and those with eating disorders are supported.”  This Charter delineates the rights of eating disorder patients and their support systems.  Outpatient care is called to rise to these standards. 

(1)   Clinical –

  1. Patients are clinically sicker and more behaviorally complex
  2. Patients are presenting with a higher rates of comorbidities
  3. Therefore, we will discuss a comprehensive definition of recovery
  4. Assemble a strong trained clinical team
  5. Assessment: comprehensive and ongoing
  6. Goal-oriented and strength-based treatment plans/defined care plan with recovery objectives
  7. Discharge plan and aftercare plan
  8. Review of communication systems
  9. Research
  10. Standards of care (i.e., liability, practicing within the scope, codes of ethics)

(2)   Business

  1. Facility/location
  2. Administration and organization of services
  3. Establishing outside resources (i.e., catering, marketing)
  4. Financial (i.e., collections, fees)
  5. Review of communication systems

(3)   Support systems

  1. Education and training of clinicians, staff, and community defined and ongoing (from the secretary and beyond)
  2. Wide scope professional development outside of eating disorder organizations
  3. Establish and maintain relationships with treatment centers and other community clinicians (i.e., referral source base)
  4. Review of communication systems

 

The advancement of research and recognition of eating disorders has paralleled with an increase of treatment options.  A patient is often engaged in multiple steps of treatment to reach full recovery.  This presentation will focus on intensive outpatient and outpatient treatment with emphasis on effective team collaboration, standards of care and measurable outcomes.  

Three behaviorally measurable learning objectives: 

(1)   Following this presentation, participants will be able to identify models of collaborative care.

(2)   Participants will be able to understand the importance of the team adopting a cohesive definition of recovery.

(3)   Participants will be exposed to the models including but not limited to financial, business, marketing, clinical, educational, communication, in order to bridge the quality of outpatient care to the quality standards modeled by inpatient facilities. 

Introduction: The outpatient care provider has envied the structure and designed programming that inpatient has modeled.  It is the challenge now to outpatient providers to implement similar organized care and treatment management.  Insurance has forced outpatient providers to move past this envy and get into action.  It is no longer enough to say that “I see eating disorder patients”.  The modern day outpatient clinician must be well-educated and trained and provide comprehensive well-managed care.  This organized approach provides the clinician with the data to work with insurance and drive comprehensive care.                    

Program development with inclusion of all aspects of nutritional and therapeutic assessment and management business, marketing, education of staff, team professionals, community and communication at all levels.  Program development encompasses clinical, business, and organizational support systems.  The Worldwide Charter for Action on Eating Disorders (AED) is a “collaborative global initiative to change the way eating disorders are treated and those with eating disorders are supported.”  This Charter delineates the rights of eating disorder patients and their support systems.  Outpatient care is called to rise to these standards. 

 

Primary Presenter:
Elisha M. Contner, MS, LMFT, CEDS

Elisha M. Contner, M.S., LMFT, CEDS, is a Licensed Marriage and Family Therapist and Certified Eating Disorders Specialist. She is co-owner and Program Director of Blue Horizon Eating Disorder Services, LLC. She also maintains a private practice in Winter Park, Florida. She is President of the Eating Disorder Network of Central Florida, a clinical member of the American Association for Marriage and Family Therapy, and a member of the Academy for Eating Disorders, International Association of Eating Disorders Professionals, National Eating Disorders Association, Central Florida Association for Marriage and Family Therapy.



Co-Presenter:
Karen Sue Beerbower, MS, RD, LD, CEDRD

Karen Beerbower, MS, RD, LD is a licensed, registered dietitian with a Masters degree in Medical Science from Indiana University School of Medicine. She is co-owner and Clinical Director of Blue Horizon Eating Disorder Services, LLC. She is the President of the private practice firm, Nutritional Guidance, Inc. Karen is a Board Member of the Eating Disorder Network of Central Florida and a member of the ADA, Orlando Dietetic Association, IAEDP, NEDA, Academy of Eating Disorders, National Association of Anorexia Nervosa and Associated Disorders, Sports Cardiovascular & Wellness Nutritionists and Nutrition Entrepreneurs.



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