Background: Non-FBT therapist professionals such as dietitians, medical providers, and individual therapists are key collaborators in ED treatment. In the most evidence-based and increasingly utilized treatment, family-based treatment (FBT), the roles of parents and therapists are altered to support parental empowerment in re-feeding their child. Is your outpatient practice poised to support FBT and empower parents? How are the roles of professionals different from traditional outpatient teams? In this workshop a registered dietitian, a medical doctor, and an FBT therapist, who have all worked both within family-based teams and non-family-based teams, will discuss how to align your practices with FBT principles.
Objectives:
- the primary principles of and some of the techniques used in Family-Based Treatment of adolescents with eating disorders.
- the role of and how FBT is experienced by each member of the multidisciplinary team.
- the adaptations that dietitians, medical doctors, and individual therapists make to align practices with FBT and incorporate parents as part of the treatment team
- Speaker introductions
- Get to know audience (ie, profession, familiarity w FBT, treatment resources available to them)
- What proportion of time are they the first professional that identifies/is contacted to treat an ED client? Vs. client being referred to them
- Intro to FBT principles and the role of parents (Lauren)
- Key roles that could involve non-therapists: treatment goal weight, medical stability, meal planning, medication management
- Overlapping roles and how to determine who should do what (who weighs the patient, who assesses risk and monitors for refeeding syndrome, who helps with meal planning)
- The role of the medical doctor and adaptations made when part of an FBT team (Jennifer) including frequency of meetings and relationship to phase of treatment
- The role of the dietitian and adaptations made when part of an FBT team (Katie) including frequency of meetings and relationship to phase of treatment
- The role of individual therapists doing additional treatments such as exposure and response prevention (ERP) and DBT (Lauren)
- Collaborating with parents, engaging with adolescent patient
- Team alignment and problems
- Determining goal weights
- Case history #1
- What would each of us say/do in a traditional practice if she presented to us first;
- What would we do/say if we planned on using an FBT approach?
- What would we say to other professionals treating the patient to bring them on board with FBT principles to create an FBT Team approach?
- Barriers to FBT (audience participation)
- Questions
Lauren Muhlheim is a psychologist and eating disorder specialist who provides evidence-based treatment for eating disorders in the outpatient setting. She is certified in Family-based treatment (FBT). Dr. Muhlheim is a former board member of the Academy for Eating Disorders, is the Eating Disorder Expert for Verywell (formerly About.com), and is Clinical Director of the Eating Disorder Information website, Mirror-Mirror Eating Disorders. She is a fellow of the Academy for Eating Disorders. Dr. Muhlheim is an approved IAEDP supervisor and trains other professionals. She has co-authored a 2016 peer-reviewed paper, Eating disorders and scope of competence for outpatient psychotherapists. She is the author of a book with New Harbinger Publications, When your Teen Has an Eating Disorder: Practical Strategies to Help Your Teen Overcome Anorexia, Bulimia, and Binge Eating (September 2018). She directs an outpatient practice in Los Angeles, Eating Disorder Therapy LA. http://www.eatingdisordertherapy/.
Dr. Johnson is a medical doctor in private practice in Newport Beach, California. She has more than 25 years’ experience as an adolescent medicine specialist with particular focus on collaborative care in treating patients with eating disorders. Dr. Johnson is certified as a CEDS. She is certified by the American Board of Pediatrics in Adolescent Medicine. Dr. Johnson has been a professor and director of the Adolescent Medicine Program in the Department of Pediatrics at the University of California, Irvine School of Medicine. Dr. Johnson has taught trainees, faculty, and community physicians and has presented at national meetings of many organizations. Dr. Johnson has published research articles and book chapters.
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Katie Grubiak, RDN
Katie Grubiak, RDN practices with a focus on blending Western & Eastern philosophies regarding nutritional healing. She graduated from the University of Texas at Austin and first pursued a career in public health in San Diego & Los Angeles surrounding herself with different cultures and a mission to honor all those seeking healthcare nutritional support. Her involvement in eating disorder treatment started at the UCLA Arthur Ashe Student Health & Wellness Center. There she worked closely with the UCLA Counseling and Psychological Services Center in a treatment team approach to support students struggling with eating disorders. She has continued to work among eating disorder multi-disciplinary teams believing that holistic care means having all areas of health supported with practitioners communicating effectively. Katie’s other eating disorder employment affiliations include working alongside Dr. Lauren Muhlheim at Eating Disorder Therapy LA as well as California Center for Healthy Living & Optimum Performance Institute.
