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Instilling Passion into Dietary Treatment by Bridging the Gap Between Residential and Outpatient Dietary Programs: Dispelling Misconceptions and Controversies


Friday, February 8, 2019: 8:30 AM-10:00 AM
Springs Salon D/E (JW Marriott Desert Springs Resort and Spa)

Background: The purpose of the presentation is to help bridge the gap between residential and outpatient dietary programs including a conversation regarding the misconceptions and controversies about the many different dietary meal plans and dietary approaches used in the treatment process. This presentation will outline dietary solutions for the successful transition of a client between the levels of care, increase the understanding for structured meal plans within residential treatment environments, differentiate between various meal plans and provide an explanation of the importance of dietary training for new dietitians entering private practice with a specialization in eating disorder care.

Objectives:

  1. Utilize knowledge regarding the "love/hate" relationship the client often has towards registered dietitians.
  2. Explain how dietary eating disorder recovery is about the food as it relates to nutrition healing, while also working within the confines of a “corporate” agenda within RTC care.
  3. Utilize knowledge for collaboration, compassion and care for all dietary approaches to meal planning and food/meal support in the recovery process.

  • Outline the current Guidelines for RDs in Mental Health/ED Care – essentially, we do not have a Standard of Care to follow which leaves the field open to many different ideas
    • Outline the positives and negatives
    • Meal Plans Vs. Intuitive Eating Vs. Mindful Eating Vs. Plate Model Vs. Percentages, etc.
      • Decreasing client confusion about why there are so many different approaches
    • Transitioning between care (when meal planning methods are different)
    • Working with client burn-out and confusion
    • Identifying your clients’ individual nutrition “well-being” for recovery outcomes
  • The role of the RD in ED care – treatment center “models”
    • Growing roles for leadership and standardization – Nutrition Directors on the rise
      • Pros and Cons for working within a “corporate” agenda
    • Why transition through the levels of care is so effective (step down process)
    • Working through professional burn-out and fatigue
    • Working with conflicting methodologies within the treatment team (OP)
  • Growing number of RDs in Private Practice
    • Appeal! HAES, Meal Planning structure, care approaches/practices, schedule, autonomy in care practices
    • Concerns: TX Centers need great RDs, consistency is key (training, young RDs, turnover)
    • How to work with other RDs (or professionals) who don’t share your methodologies or beliefs regarding best nutrition care

The expanding role of the registered dietitian has led to a stronger presence and influence of the registered dietitian in the care process. Treatment Centers, now more than ever, are establishing leadership positions and nutrition philosophies to be carried into the bigger picture messaging for treatment approaches. Often time, an emerging nutrition philosophy can become the defining principle for which someone would decide where to receive help. However, there is not one Standard of Care in Dietetics for nutrition support in eating disorders care. We will explore the pros and cons to these vague standards with the goal of creating a deeper understanding for why there can be differences in treatment approaches with successful outcomes for our clients. Attempting to highlight the continued need for RD care, addressing professional burnout in mental health, and outlining how to deal with differences within professional methodologies. The purpose of the presentation is to help bridge the gap between residential and outpatient dietary programs and traditional practices. Let us engage in a conversation regarding the misconceptions and controversies about the many different dietary meal plans and dietary approaches used in the treatment process. While there are various benefits to having different dietary methods to use for clients’ struggles, this can also lead to confusion and tension between practitioners with differing methodologies and ideologies.

The goals for this presentation are to explain dietary solutions for the successful transition of a client between the levels of care, increase the understanding for structured meal plans within residential treatment environments, differentiate between various meal plans and provide an explanation of the importance of dietary training for new dietitians entering private practice with a specialization in eating disorder care.

Primary Presenter:
Megan Kniskern, MS, RD, LD/N, CEDRD-S

Megan is the Director of Nutrition for ViaMar Health in Florida and a Lecturer at Arizona State University teaching graduate and undergraduate courses; including the development of an eating disorders and addictions graduate course. Megan is an 11 year Certified yoga instructor, a Certified Eating Disorder Dietitian (CEDRD) and Approved Supervisor through the International Association of Eating Disorder Professionals (iaedp). She additionally serves as the Chair Elect for the Behavioral Health Nutrition practice group through the Academy of Nutrition and Dietetics and serves as the Phoenix Ambassador of the International Federation of Eating Disorder Dietitians.



Co-Presenter:
Julia Cassidy, MS, RD, CEDRD-S

Julia Cassidy is the Director of Dietary for Center for Discovery where she has worked for over 15 years. Julia is a Certified Eating Disorder Specialist and a Licensed Body Positive facilitator. Julia is also the Co-Chair for the Nutrition SIG with AED (Academy for Eating Disorders. Julia has presented on the topic of eating disorders, food exposures in the treatment of eating disorders and intuitive eating both nationally and internationally. Through her passion of nutrition, food, positive body image and eating disorder recovery, Julia oversees 17 Dietitians nationwide and has developed the RD Manual in addition to updating the nutrition program, which focuses on using food exposure and response prevention, used with all clients in the adolescent residential programs at Discovery.



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