Enhanced
Cognitive-Behavioral Therapy Model
The River Centre Clinic uses a cognitive-behavioral therapy (CBT) model
specifically designed for treating eating disorders. It enhances
the basic CBT by integrating group and family therapy, applied in an individualized
manner for each patient. This model helps patients to identify negative
thought patterns and negative core beliefs that interfere with normal functioning,
and to learn how to modify their thought patterns and behavior to bring
about positive results. Family therapy is emphasized, especially for adolescents,
because parents have the potential to provide powerful directives in support
of therapeutic goals. Family involvement is a cornerstone of treatment
since eating disorder symptoms typically affect everyone close to the person
who is suffering with the eating disorder. Our approach to treatment
has been the subject of numerous scientific publications and presentations
over the past 25 years.
Evidence-Based
Treatment Principles
A cornerstone of the CBT model used at River Centre Clinic is its linkage
to evidence-based treatment principles. These principles influence how
treatment is applied in clinical practice based on what research has demonstrated
to be effective.
Individualized
Treatment Plans
Since each patient's eating disorder is unique, an individualized treatment
plan is developed and customized for each patient. This plan is based on
a comprehensive assessment and grounded in evidence-based treatment protocols
and principles. This plan is continually revised, based on changes that
occur during treatment, and incorporates discharge planning. It also encourages
the active participation of patients as well as family members who also
need individualized services, within the confines of treatment protocols.
Interdisciplinary
Care
Eating disorders are complex health problems and require a highly skilled
interdisciplinary team to optimally assess, treat, and manage them. River
Centre Clinic staff members include an experienced psychiatrist, family
practice physicians, a registered nurse, psychologists, licensed independent
social workers, a dietary technician, Master's level therapists,
residential staff, mental health workers, and a teacher to provide coordination
with schools as well as tutoring. Consultants in the community include
other areas of medicine such as cardiology, endocrinology, gastroenterology and internal
medicine.
Standardized
Measures
River Centre Clinic is committed to continually improving the service
delivery using data collected on a range of psychosocial assessment measures
to
determine the needs of persons served as well as to improve effectiveness
of treatment provided. Well-established standardized measures of change
are employed to assess outcomes. Our research has show that patient
acceptance of our treatment is high. The Partial Hospitalization
Program is viewed positively because it provides sufficient structure to
allow patients to attain symptom control and gain weight without the disadvantages
of a highly restrictive hospital environment.
Proprietary
Software Technology
Following recommendations within the research community for practice-based
evaluations, our program has developed software tools that graphically
generate measures of clinical change so that clinicians and patients
can visually evaluate progress. Patient evaluations also help clinicians
to identify effective treatment components and areas where the treatment
process can be continuously improved.
Community
Involvement
River Centre Clinic provides education and support
groups to enhance public understanding of eating
disorders within the local community. We sponsor
the Eating Disorders Support Network, a free, community-based
support group for parents, friends, and loved ones
of those who have eating disorders. We also provide
community lectures on eating disorders to schools,
high school and university athletic teams, and local
public health agencies to increase public awareness
of eating disorders. Our special relationship with
a local school system provides services for children
and adolescents who require more intensive and specialized
services than can be provided in the school setting.
This school program also offers training workshops
for teachers, guidance counselors, and administrative
staff members on more effective interventions for
those suffering from emotional problems in the school
setting.