Goal of Project
Illawarra Shoalhaven Local Health District
Implementation of Stage 1
NSW State-wide Eating Disorders Plan
Ms Paula Hakesley
Dr Rajiv Singh
Director of Mental Health Services
Clinical Director, CAYMHS
Goal of Project
To improve consumer experience
through safer, more responsive, timely and
accessible service provision
People with eating disorders in the
Illawarra Shoalhaven Local Health District
Background & Aims
The NSW Service Plan for People with Eating Disorders 2013-2018 has
determined that the implementation of the Statewide Service Plan will be a
Stage 1 (going through to June 2015) requires each Local Health District within
their geographical boundaries to:
– Identify current access points for services for people with eating disorders;
– Identify major gaps in the service spectrum and workforce capacity to treat
– Develop a Local Service Plan that will guide current and planned service
provisions through to 2018 and beyond.
The Statewide Service Plan identifies the LHD as the ‘central hub’ for health
care for its residents.
In keeping with the above priorities the Illawarra Shoalhaven Local Health
District (ISLHD) Mental Health Services are facilitating the implementation of
Stage 1 via the development of a Local Service Plan.
ISLHD Mental Health Services quickly identified that not having a
Local Eating Disorder Services Plan within our region had exposed
us to the following gaps/weaknesses:
o Lack of cohesiveness and cooperation between services
o No service and/or professional networking
o No specialist workforce plan
o No local public health awareness and promotion programs
The ISLHD region definitely required a Local Eating Disorders
High Level Flow
Detailed Level Flow
strengths & gaps
Closed Forum on
Planning for the
to produce Local
does not have a
ED Service Plan
Local Health Plan
for Eating Disorders
2. Policies &
Setting up of 3
Working Groups to
provide action plan
Local Service Plan
Planning & Implementation
The development and finalisation of a Local Service Plan will be established using the
Development of the vision for Eating Disorder Services.
Conduct a gap analysis and identify data sources via a forum and working parties.
Identify priorities for Eating Disorder Services development.
Identification and development of access points.
Development of Pathways to Care and evidence based treatments.
Identifying workforce capacity building, education, training and support.
Identification of Eating Disorder treatments/services within the geographical area of
Clear pathways to specialist tertiary services outside of ISLHD geographical area
Scoping Paper priorities communicated to peak bodies.
Project Committee constituted with wide representation from
Paediatrics, Dietetics, Mental Health, Emergency Department,
Consumer and Family Carer, Medicare Local, Statewide Eating
‘Closed’ Forum on Eating Disorders organised at WIN Stadium,
Wollongong on the 15 October 2015
o 58 people attended
o Representation from a wide range of services and backgrounds,
including from outside the LHD
The Eating Disorder Forum:
Presentations from Statewide Eating Disorders Coordinator
Director Mental Health and the Clinical Director CAYMHS
to set the stage.
Interactive patient journey mapping sessions based on
specially developed case scenarios – to identify services,
strengths and gaps
World Café-style session focusing on solutions and other
Eating Disorder Forum: Possible Solutions
An analysis of the solutions and ideas revealed the
following grouped themes:
Access to Information
Improving Shared Care
Strategies for Sustaining Improvement
Based on the feedback 3 Working Groups were set up:
o Strategic Service Development Group
o Policies & Protocols Group
o Workforce Development Group.
All Forum participants were invited to be on the 3
working groups. A very good response was received,
including a number who were unable to participate but
were keen on contributing electronically.
The Working Groups provided a final report and
proposed action plan to the Eating Disorder Project
Committee on the 30 January 2015.
2 Early Identification and Access to Treatment
Introduce a screening tool to identify people that may be
developing an eating disorder or have an eating disorder
presenting to mental health services, headspace, general
practitioners, school counsellors, emergency departments and
other health services.
– Literature review and selection of screening tool. By:
– Pilot and evaluate the screening tool at CAMHS and
Headspace. By: 31/12/15
– Rollout the screening tool and pathways to treatment to
extended services. By: 31/12/16
Establish an early intervention program at
Headspace with pathways to escalate treatment to
Child, Adolescent and Youth Mental Health Service
(CAYMHS), Illawarra Eating Disorders Service
(IEDS) and Shoalhaven Body Image and Eating
Behaviour Service (SBIEBS) when required.
– Review of evidence based therapies and
programs for early intervention. By: 28/2/15
– Pilot an early intervention program at Headspace.
– Evaluate the program. By: 31/12/15
Plans to sustain change
The Project Committee will continue to monitor and drive
The Working Groups will provide action plan for ongoing work in relation to further development and
implementation of the Local Service Plan.
The Local Service Plan will be the driver for continued
implementation of the Stage 1 of the Statewide Service
Plan (and will provide the basis for work and
development for the next stages).
Strategies for Spreading
Present finalised Local Eating Disorder Plan to the ISLHD
Board for sign off and to gain support and approval for both
local media and general public presentations and discussions.
In view of the strong interest and suggestions by participants
in the Local Forum, there is a plan to organise a second
Forum during 2015/16.
One of the positive results of the forum was the establishment
of a large data-base of interested clinicians/professionals from
a variety of backgrounds which has enabled and encouraged