Discharge can be a vulnerable time for eating disorder patients so we prepare for discharge from the point of admission.
Important aspects of treatment in preparation for discharge include:
- opportunities for family and friends to participate in treatment and leisure activities from the ward;
- self-catering, meal planning and support for snacks and meals out; and
- periods of home leave.
We use the Care Programme Approach (CPA) to ensure that an appropriate after care package is in place and that inpatient and day patient care prepares patients and their families as effectively as possible for the level of after care available. We tailor the timing and frequency of CPA review meetings to individual need, but typically, this will involve at least one review in the first six weeks of admission, and another close to the point of discharge. We aim to facilitate attendance of local services, families and others in the support network whenever possible, making use of remote access through teleconferencing when necessary.
The service can offer further treatment in the day patient and outpatient setting following discharge from inpatient or day-patient care when appropriate (depending on feasibility of travel and availability of funding for further treatment). When appropriate, necessary and agreed with local services, we can provide ongoing Responsible Clinician (RC) role for patients treated under a Community Treatment Order (CTO) following discharge. In these circumstances, funding is required for monthly outpatient review with the RC; agreement for funding for Tribunal and Manager’s hearing work as required; and funding agreement for a minimum of two weeks' readmission to hospital if recall is required. Further funding for admission will be negotiated and agreed after the initial assessment following recall to hospital is completed.
Following discharge, we provide:
- A discharge summary and CPA care plan.
- Clinical support to the local team: typically, monthly phone contact with a lead professional for a period of months equal to the duration of inpatient and day patient treatment with the service (up to six months).
- Ongoing access to the Carers' Support Group for up to three months.
- Access to the Carer Skills Workshop, if not already completed.