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Overcoming Barriers to Partnering with Caregivers in the Treatment of Children and Adolescents: An Interdisciplinary Approach


Thursday, March 22, 2018: 8:30 AM-10:00 AM
Royal Dublin (Omni Championsgate)

Background: With Family Based Treatment gaining momentum in the eating disorder treatment field, there is an increased focus on partnering with caregivers. The opportunity to include family members in treatment can be incredibly helpful and rewarding, however also presents clinicians with new challenges. This workshop, led by a therapist, a medical doctor and a registered dietitian will review the most recent research regarding strategies for working with caregivers followed by three in-depth case studies in which obstacles and successes will be highlighted. Cases will cover various presentations including divorced parents, neglect, caregivers with eating disorders and cultural diversity.

Objectives: Following this presentation, participants will be able to: Identify at least three methods for intervening with caregivers. Explain the benefits of joining with family members in treatment. Explore opportunities for improving outcomes with challenging family dynamics using an interdisciplinary team and FBT informed approach.

With Family Based Treatment gaining momentum in the eating disorder treatment field, there is an increased focus on partnering with caregivers. The opportunity to include family members in treatment can be incredibly helpful and rewarding, however also presents clinicians with new challenges. What is the role of the parent in treatment? How do extended family members fit into care? How do we handle split home situations? When neglect is a concern, how do we proceed with the partnering process? How can we prevent burnout in caregivers and help them stay mobilized? What can we do to support FBT informed treatment in families with financial constraints? This workshop, led by a therapist, a medical doctor and a registered dietitian will review the most recent research regarding strategies for working with caregivers followed by three in-depth case studies in which obstacles and successes will be highlighted. Cases will cover various presentations including divorced parents, neglect, caregivers with eating disorders and cultural diversity. A variety of possible strategies to use in a multitude of treatment settings such as inpatient medical, partial hospitalization and outpatient clinics will be discussed. The role of various interdisciplinary team members in joining with carers as well as supporting one another will be explored. Attendees will be strongly encouraged to participate in case discussions, as well as to bring their own challenging cases to the workshop for group review.

This presentation will be led by an interdisciplinary team in an effort to explore opportunities for joining with caregivers in treating individuals with eating disorders. Through an interdisciplinary framework the discussion will focus on various perspectives and potential for peer support. The workshop will begin with a brief introduction to the setting in which the presenting team works, followed by a literature review focused on partnering with caregivers in Family Based Treatment informed interventions. At the conclusion of this review, three cases which the speakers found to offer various challenges will be presented. Cases will be specifically chosen as those that represent common yet significant challenges that participants will likely have encountered in their own practice. At the time of case discussion, workshop attendees will be divided into small groups with an aim for groups to include various disciplines. Once cases are presented, groups will be asked to brainstorm and share ideas for family interventions. Presenters will discuss interventions used and lessons learned during the course of treatment in each case. Themes will include team collaboration, making difficult decisions in treatment, ethical considerations and building compassion and empathy for caregivers. The importance of learning from one another as professionals as well as from parents will be highlighted. The main goal of this workshop will be to enhance the knowledge of the experience of the caregiver, the difficulties faced by providers and broaden the scope of treatment tools available to attendees.
Primary Presenter:
Allison Hall, LICSW, CEDS

Allison Hall is the Founding President and current Immediate Past President of iaedp, RI. Ms. Hall is a Licensed Independent Clinical Social Worker through the state of Rhode Island and a Certified Eating Disorder Specialist through iaedp. She is currently employed with The Eating Disorder Program at Hasbro Children’s Hospital in Providence, RI, where she has served as the lead Clinical Social Worker since 2004. Ms. Hall earned her BS at Stonehill College and was awarded her MSW at the University of California, Berkeley. She has presented nationally and published numerous articles on various topics including eating disorders in the college population, eating disorders in gender nonconforming youth and the use of yoga in treatment. Ms. Hall has served as a mentor for high school students, a supervisor for BSW and MSW interns and as a guest lecturer for multiple local colleges and universities.



Co-presenters:
Abigail Donaldson, MD

Abigail Donaldson, MD is the Medical Director of the Eating Disorders Program at Hasbro Children’s Hospital/Brown University School of Medicine and board certified in Adolescent Medicine. She has cared for numerous adolescents and young adults with eating disorders in the inpatient and outpatient settings. She has instructed trainees and lectures regularly on the care of eating disordered patients regionally, and has published on the care of eating disordered patients. She has actively collaborated with college health providers across the country to successfully transition eating disordered patients into/out of the college setting.



and Shannon Simones, RD, LDN

Shannon Simones is a clinical dietitian at Hasbro Children’s Hospital specializing in the outpatient treatment of eating disorders. Shannon received her B.S. in Dietetics from Idaho State University. She has co-presented at the Society for Adolescent Health and Medicine 2016 Annual Meeting in Washington, DC. She is a member of the Academy of Nutrition and Dietetics, and a new member of iaedp, RI Chapter. In addition to her pediatric nutrition skills, Shannon is an accomplished first mate and chef, and has designed meal plans for passengers with allergies and specialized nutrition needs on yacht excursions.



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