The Newbridge Treatment Model
At Schoen Clinic Newbridge, where we are wholly focused on eating disorders, we harness the multiple interventions required to address all the elements of the illness
The Newbridge Treatment Model describes the multiple interventions and treatment we provide in our inpatient programme. We also have an outpatient clinic which adults as well as young people can access, treating a range of eating disorders.
Outpatient clinic for the treatment of bulimia, binge eating disorder and OSFED
This involves coming to Schoen Clinic Newbridge for weekly appointments with a Consultant Clinical Psychologist for a programme of treatment that is best suited to the individual. This could be CBT-E which is Cognitive Behavioural Therapy (CBT) developed specifically for people with eating disorders and is recognised as the treatment of choice for bulimia and binge eating disorder. This service is also suitable for some patients with OSFED, which means a person has feeding or eating behaviours that cause clinically significant distress and impairment, but do not meet the full criteria for any of the main eating disorder categories.
Our outpatient service is open to adults and young people aged 14 and above.
How can I access the service?
It is best if you can first visit your GP and ask for a referral to our service. This is because your GP has a record of your health, including issues which may be relevant to your eating disorder, and it is best if they are fully involved. However, it is also possible for you to make a self-referral (contact us and make an appointment directly).
A comprehensive review of your psychological condition will be carried out, including the nature of the problems you are experiencing and what would be an appropriate treatment for you. Your assessment will conducted by a one of our specialists such as a nurse, a therapist or one of our consultant psychiatrists.
To be seen within this outpatient service, it is important that you are medically stable; our Consultant Psychiatrist will assess this. During treatment, patients with medical concerns will have access to the Schoen Clinic Newbridge Consultant Psychiatrist and dietetic team. Following the initial assessment, a treatment plan is devised which will establish what treatment an individual will receive.
What does the treatment involve?
There are several different treatment options available. As a form of cognitive behavioural therapy, CBT-E is a treatment approach which focuses on the connections between your thoughts, feelings and behaviour. It is a practical, logical, problem solving approach; you will need to observe and record your thoughts, feelings and behaviour and try carefully structured experiments.
How long will it take?
The recommended treatment is 20 weeks for patients with bulimia and binge eating disorder. There may be individual variation of course, particularly for patients with OFSED and after your initial assessment, we will be best placed to advise you on likely duration.
Does it work?
There is very strong evidence for the use of CBT for people with bulimia and binge eating disorders. CBT-E for bulimia was first recommended by NICE (National Institute for Health and Clinical Excellence) in 2004. It is a widely used and well-established treatment, also applied to binge eating disorder and there is now a large body of evidence from research to support its effectiveness.
This outpatient service is also designed for people with OFSED if they are medically stable. We will carry out a full assessment and if we believe this is not the right service for you, we will advise you on the best pathway for you.
Schoen Clinic Newbridge quality assurance
This outpatient programme is delivered by Schoen Clinic Newbridge: one of a very small number of services to achieve an ‘Outstanding’ rating from the Care Quality Commission. Established in 2008, Newbridge is a major centre for the treatment of eating disorders, receiving referrals from throughout the UK and overseas. You have the assurance that our outpatient service is delivered and managed by Schoen Clinic Newbridge specialists who are nationally recognised experts within their field. Appointments are in the high-quality facilities, which are located in a pleasant suburban area of Sutton Coldfield, to the north of Birmingham.
Please be advised our outpatient programme is a private service. We would be happy to advise you on costs. If you have private medical insurance, this treatment is recognised by insurance companies, but it is best if you check with your cover. We can supply advice and supporting information for this. Please contact us to book an appointment or to find out more about this service and whether it may be suitable for you or your child.
The Newbridge Treatment Pathway
The Newbridge treatment pathway shows how an individual progresses from admission to discharge. Time spent in each stage and overall inpatient treatment time will vary for individuals, depending upon their eating disorder and needs. But for everyone, the pathway shows the behavioural, emotional and life changes that are made to move through each stage of treatment and on to the process of recovery.
1) Recognising and accepting that you have an eating disorder
- There will be psychological assessments
- You will be encouraged to start thinking about your personal goals
- You will be supported in the dining room to overcome some of your eating behaviours
- You will have the opportunity to discuss your worries with specific members of staff
- You will be introduced to your key nurse, co-worker and the therapy team.
2) Making links, changes and sense of the causes of your eating disorder
- This stage begins when you have shown that you can, with support, tolerate the behavioural changes introduced in stage 1.
- You will be able to take more responsibility for managing your choices and behaviours around food
- With support from staff, you will start choosing meals, meal planning and preparation
- You will start to take part in leisure activities
- You will go shopping for clothes with staff and eating snacks in the community
- You will reach and maintain your weight within an agreed range
3) Consolidation and maintenance of progress made and preparing to leave Newbridge
- You will engage in body image work and relapse prevention
- You will go food shopping with staff and be supported to develop other independent living skills appropriate for your age
- You will be supported to eat out with your family
- You will spend increasing time at home, less time at Newbridge
- Return to school/college or work, often initially on a part-time basis.
4) Leaving Schoen Clinic Newbridge and returning home
Recovery is not a destination; it is an ongoing process
- You will participate in outpatient services as agreed before discharge
- You will take part in leisure activities of your choice
- You will plan for the future and return to study or work