The specialist eating disorders service (Seds) at Aneurin Bevan health board in Wales is taking a vital step forward by expanding its services to accept self-referrals. This initiative aims to promote early intervention, allowing individuals to seek help directly without the need for a referral from a general practitioner (GP). The expansion represents a significant shift in how eating disorders are managed, making it easier for those affected to access the necessary support.
Emma-Jayne Hagerty, a key figure within the service, highlights the complexity of identifying the true scale of eating disorders. She notes that individuals of all "ages, sizes, shapes, and weights" are affected, yet many live with the condition in secrecy.
"Recent stats say about one in 50 people will have an eating disorder, but I think it's difficult to tell because so many people live with it in secrecy and don't seek help," Emma-Jayne Hagerty explains.
The service's expansion means that individuals in this part of Wales can expect an immediate response and telephone assessment upon referral. The maximum wait time for starting early intervention programs is capped at four weeks, ensuring timely access to care. The service comprises a diverse team of specialists, including support workers with lived experience of eating disorders, providing a comprehensive approach to treatment.
Rhi Rennie-Morgan, who developed an eating disorder at 19 and was referred to the service at 22, underscores the importance of seeking help early.
"You don't have to reach that low point to get help. The earlier we can help people, the better," she states.
The service endeavors to equip individuals with the tools needed to manage their condition effectively.
"It's just about building the tools up in the person to manage it, or upskill themselves to look at a menu, see the calories, but still order what they want, not what the eating disorder wants," says Emma-Jayne Hagerty.
Ann Knapman serves as an inspirational figure within the service. As the first carer peer support worker for eating disorders in Wales, her dedication stems from personal experience—her daughter developed anorexia at university six years ago. Knapman absorbed every bit of support offered by the service, reinforcing its positive impact on families.
The Seds service began in 2011, initially focusing on individuals with high-risk presentations. At that time, community mental health or primary care teams supported lower-risk patients. Since then, the service has grown substantially. From a team of four supporting 30 patients, it now boasts a robust team of 25 professionals assisting nearly 200 patients. Consistent funding has been crucial in facilitating this growth and enhancing the quality of services offered.
Rhi Rennie-Morgan's journey exemplifies the challenges faced by those with eating disorders. It took her three years to seek help because she didn't consider herself "skinny enough" to warrant intervention. Her story highlights the need for broader awareness and understanding of eating disorders beyond stereotypes.
As part of its ongoing development, the service is working towards creating an all-Wales model for early intervention. This includes expanding the skills of healthcare staff across Wales to better address the diverse needs of those affected by eating disorders.
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