General information, eating disorder inpatient program

 We encourage a return to normal eating that can be sustained after discharge from hospital with appropriate professional support. The admission also aims to help parents feel equipped in managing some of the challenges they will face.

  • Management decisions are made by the treating doctors with help from members of the multidisciplinary eating disorder team.
  • Meetings are held twice weekly, usually on Monday and Friday.  
  • The goals of the admission, criteria for discharge, anticipated length of stay, and treatment after discharge will be discussed in these meetings.
  • All decisions are discussed with and made in consultation with parents.
  • Discharge and integration back into the home and school is a vital part of the process.

Program aims

The overall aim of admission is for a gradual increase in weight at the rate of 0.8-1kg per week to recover from the immediate effects of weight loss and under nutrition.

  • This will allow for recovery from the immediate effects of weight loss and under nutrition.
  • A return to regular eating and improved variety in hospital is essential to establishing ongoing
    improvements at home.
  • We also aim to assess other medical and psychological needs and provide emotional support.

The admission also aims to help families feel better equipped to manage eating disorder challenges after discharge. It commonly requires 2-3 weeks in hospital to meet the admission goals. The recovery process can start in hospital, but a full recovery will require sustained support from an outpatient treating team. Most young people will only need one admission. If another admission is required, additional aims and a longer period may be needed. 

Program description

The foundation for the inpatient program is a highly specialised understanding of both the medical and psychological aspects of eating disorders. Providing a high level of supervised care in a range of ways is essential to starting the recovery process. 

  • A high level of supervision is important because when a young person is experiencing an eating disorder, there are a range of behaviours that are having a negative impact on their physical and psychological health.
  • Disordered eating behaviours are often outside the person's control and leads to anxiety.
  • To address the many eating disorder behaviours, the program has a series of interventions and guidelines that create clear and consistent expectations.
  • Most eating disorder admissions occur on a medical ward but in the case of an admission due to mental health deterioration or increased safety risks, a transfer to the adolescent mental health ward may be necessary. If this occurs the young person will remain on the Eating Disorder Program.
  • During the mental health admission process the team will discuss with the young person and family the expectations and goals for admission and how the mental health ward and program is different.

Message to inpatients

Being admitted to hospital can come as a shock. You may feel overwhelmed about what is ahead or even upset and angry. A part of you may be relieved that your family finally know what is going on - it has probably taken a big effort to keep the eating disorder hidden. Maybe another part of you might be worried about losing control.

We've noticed that young people may worry about the impact on their family and have feelings of self-blame and guilt for having an eating disorder. We want to acknowledge that this may also not be how you are feeling at all. 

Part of being in hospital is using the opportunity for us to get to know you and how you think and feel about experiencing an eating disorder. Sometimes there are lots of additional stresses on top of eating and hospital is a good chance to let people know about these as well.

  • We do not think a young person is to blame for developing an eating disorder and our goal is to support you to start to feel better.
  • As you start to feel a bit better you might like to learn more about what eating disorders are and how they develop.
  • While you are in hospital, you will have the opportunity to talk to different team members.
  • If you are feeling anxious or distressed about something, please speak to the nursing staff, one of the therapists or your doctor.
  • It is very common when you are experiencing an eating disorder to see parts of your care differently to the team and disagree with what is being asked. This is actually a defining aspect of an eating disorder because eating causes such anxiety that it doesn't seem logical to eat.
  • Even though we may not always agree, we want to hear your feedback and will try to listen and understand. 

About eating disorders

Eating disorders are serious complex physical and mental health illnesses, often beginning in adolesence. They occur for people of all genders, sizes and backgrounds.

  • They are characterised by very noticeable changes in nutritional intake and behaviours that lead to weight loss.
  • There may be a disturbance in body image and fear of gaining weight.
  • Some young people are very aware that they are unwell with an eating disorder while others can find it hard to understand why people are worried.
  • There are a number of different eating disorders that affect children and adolescents. We most commonly care for young
    people with anorexia nervosa and avoidant restrictive food intake disorder.
  • We will talk through your child鈥檚 diagnosis during the admission.  

Level system

The program consists of a level system. It is based on a combination of weight gain, improvement in eating habits, medical and psychological well-being.

Level 1 or bed rest

  • 60 minute rest after main meals  
  • Meal plans adjusted as ordered and documented  
  • Physiotherapy, school and group activities
  • Gate passes as documented from the review meeting (internal on weekend only)  

Level 2

  • 60 minute rest after main meals  
  • Meal plans adjusted as ordered and documented  
  • Physiotherapy, school and group activities
  • Gate passes as documented from the review meeting (internal on weekend only)  

Level 3

  • 60 minute rest after main meals  
  • Meal plans as ordered and documented  
  • Menu and meals as per dietary guidelines  
  • Physiotherapy, school and group activities
  • Gate passes as documented from the review meeting, requires overnight leave prior to DC
  • Leave from the ward with parents for up to 20 minutes per day  
  • Meals off ward with parents up to 2 times a week 

More information

While the level system at times may appear restrictive, the aim is to provide medical safety and consistency for parents and young people. Activities and nutrition are matched to individual needs. Levels, gate passes, and timetable may vary if admitted to Hall Ward and variations will be discussed by the team and nursing staff.

  • In the case of admission due to mental health deterioration and increased safety concerns, a transfer to Hall Ward in the Child and Adolescent Mental health Unit may be necessary.
  • Your child will remain on the Eating Disorder Program and receive regular therapy around safety planning, developing skills and receiving psychological support.
  • During the admission process the team will discuss with you and your child the expectations and goals for a Hall Ward admission.
  • Adjustments to the Eating Disorder Program may be needed.  

Practical information

Accomodation

Parents hostel:

  • The parents hostel is located on level 2.
  • Children are not permitted.
  • Parents are required to pay daily for accommodation at a rate of $25鈥痯er night.
  • Contact: (02) 9845 2958  

Ronald McDonald House:

  • Provides accommodation for families who live more than 100km from the hospital.
  • Contact (02) 9806 7111 to discuss availability.
  • can be found on their website.

You can find a list of external accomodation on our website. 

: IPTAAS is a state government subsidy program to assist people travelling more than 100km each way to attend an appointment with their nearest medical specialist. Eligibility criteria apply. 

Parking

There is a multi-storey car park located on the corner of Hawkesbury and Hainsworth Street near the Kids Corner Caf茅.

Parents of patients who will require frequent hospital trips or lengthy admissions or on a concession card may be eligible for reduced parking rates. You can speak to the ward clerk and they will be able to advise you of the concession eligibility criteria and organise the next step.

Siblings and carers

Sibling care is located on level 1 in the Hospital. They provide occasional childcare for pre-school age siblings of children in hospital. It is staffed by volunteers.

The carer support service is located on Level 2. It offers support and assistance to the parents and carers of hospital patients. The centre is staffed by volunteers and offers a pleasant space for parents/carers to relax, a computer, information about local services and other services. 

Financial assistance

The hospital is very limited in the financial assistance it can give to families. If you have particular needs, please contact the social worker for the eating disorder service via 02 9845 2446. They will be able to assess your situation and provide advice regarding what might be possible.  

Resources

  • has general information.
  • has information to support families and a family forum.
  • Survive FBT: Skills Manual for Parents Undertaking Family Based Treatment (Fbt) for Child and Adolescent Anorexia Nervosa - Maria Ganci (LMD Publishing, USA)
  • Anorexia and Other Eating Disorders: How to Help Your Child Eat Well and be Well: Practical Solutions, Compassionate Communication Tools and Emotional Support for Parents of Children and Teenagers - Eva Musby (APRICA, UK)
  • Help your teenager beat an eating disorder - James Lock and Daniel le Grange (The Guilford Press, 2005)
  • My kid is back: Empowering parents to beat Anorexia Nervosa - June Alexander with Daniel le Grange (Melbourne, 2009)  
  • Anorexia, Maudsley and an impressive recovery: One family鈥檚 story. Featured in the Journal of Paediatrics and Child Health, 44 (2008) 70-73. This article was written by a Queensland couple who got their daughter well using Family Based Treatment.