Interventions for Eating disorders

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Awareness creation to communities on eating disorders and how to prevent them Distribution of IEC materials on eating disorders Community health workers education on eating disorders, including prevention measures	Early identification and referral for treatment of mothers with eating disorder Education to mothers on effective ways of coping with emotions Education and guidance to mothers on health exercises Guidance to mothers on healthy balanced diets/healthy eating		Early Recognition of signs indicative of eating disorder such as eating extremely small amounts of food or severely overeating,This may be coupled with weakness, fatigue, weight loss, growth failure Recognition of signs of any concurrent mental ailments as indicated by signs such as nervousness, withdrawal, trouble sleeping Encourage school Age children to eat healthy diets/Guidance on Diet/Nutrition counseling Encourage school age children with eating disorders to do healthy exercises e.g. exercise moderation/reducing excessive exercises Referral to a health facility for school age children with eating disorder and any associated ailments for further management		Family & Community social support systems where people can share their feelings
Primary Care
Awareness creation to mothers, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and management of eating disorder among mothers Education/guidance to mothers on effective ways of coping with emotions Education and guidance to mothers on healthy exercises Guidance to mother on healthy balanced diets/healthy eating		Early detection and management of eating disorders Assessment mental and social well being Diet education and advice/Nutrition counseling Advisory on exercises/exercise moderation/reducing excessive exercises Recognition of any concurrent mental ailments like depression and anxiety disorders. Monitoring: and recognition of any complications related to eating disorders in women such as infertility, threat of miscarriage Monitoring and recognition of other complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) Referral of mothers with severe eating disorders and any associated complications to a hospital for further management		Counselling services for mothers with eating disorder and their families Linkage of mothers with eating disorders to Self-help/support groups
Referral Facility: General
Awareness creation to mothers, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of eating disorder among mothers Guidance to mother on healthy balanced diets/healthy eating Education/guidance to mothers on effective ways of coping with emotions Education and guidance to mothers on healthy exercises		Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice/Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation /reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of any concurrent mental ailments like depression and anxiety disorders. Monitoring: prevention and management of complications related to eating disorders in women such as infertility, threat of miscarriage Monitoring and management of other complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) Hospitalization for more serious cases. Follow up		Counselling services for mothers with eating disorder Family therapy Linkage of mothers with eating disorders to Self-help/support groups
Referral Facility: Specialist
Awareness creation to mothers, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of eating disorder among mothers Guidance to mother on healthy balanced diets/healthy eating Education/guidance to mothers on effective ways of coping with emotions Education and guidance to mothers on healthy exercises		Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice/Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation /reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of any concurrent mental ailments like depression and anxiety disorders. Monitoring: prevention and management of complications related to eating disorders in women such as infertility, threat of miscarriage Monitoring and management of other complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) Hospitalization for more serious cases. Follow up		Counselling services for mothers with eating disorder Family therapy Linkage of mothers with eating disorders to Self-help/support groups

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Awareness creation to communities on eating disorders and how to prevent them Distribution of IEC materials on eating disorders	Guidance to children on healthy balanced diets/healthy eating Education to children on effective ways of coping with emotions Education and guidance to school age children on health exercises Guidance to children on coping with peer pressure Protection of children from trauma including sexual abuse		Early recognition of signs indicative of eating disorder Referral to a health facility for children with eating disorder		Family & Community social support systems where people can share their feelings
Primary Care
Awareness creation to children, families, school communities on eating disorders and how to prevent them	Early identification of eating disorder among children Guidance/advice to children and their families on a healthy development before the occurrence of eating disorders. Guidance to children/parents/families on healthy balanced diets/healthy eating including body image Education to children on effective ways of coping with emotions Education and guidance to children on healthy physical exercises Guidance to children on coping with peer pressure		Early detection and management of eating disorders Nutrition counselling Advisory on exercises/exercise moderation/reducing excessive exercises Recognition and referral to a hospital for child with severe eating disorder, mental disorders and severe complications		Counselling services for school age children with eating disorders and their families Linkage of school children with eating disorders and their families to Self-help/ support groups
Referral Facility: General
Counselling of children, families, on causes and prevention of eating disorders.	Early identification of eating disorder among children Sensitize children and families on eating disorders, prevention measures and management. multi-sectoral engagement in addressing eating disorders		Assessment of mental and social wellbeing of children with eating disorder multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers Medical nutrition therapy Psychological interventions Cognitive behavioural therapy Behavioural therapy Oral medications for eating disorders Management of any concurrent mental ailments like depression and anxiety disorders. Hospitalization for serious cases Referral		Counselling age children with eating disorders services for school Family therapy Linkage of school children with eating disorders and their families to Self-help / support groups
Referral Facility: Specialist
Counselling of children, families, on causes and prevention of eating disorders.	Early identification of eating disorder among children Sensitize children and families on eating disorders, prevention measures and management. multi-sectoral engagement in addressing eating disorders		Assessment mental and social wellbeing of the school age child with eating disorder multi-disciplinary treatment approach involving psychiatrists, psychologists’ physicians, dieticians or nutritional advisers, social workers Medical nutrition therapy Psychological interventions Cognitive behavioural therapy Behavioural therapy Oral medications for eating disorders Management of any concurrent mental ailments like depression and anxiety disorders. Hospitalization for serious cases		Counselling age children with eating disorders services for school Family therapy Linkage of school children with eating disorders and their families to Self-help / support groups

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Awareness creation to communities on eating disorders and how to prevent them Distribution of IEC materials on eating disorders Community health workers education on eating disorders, including prevention measures	Guidance/advice to adolescents and their family on a healthy development before the occurrence of eating disorders. Early identification and referral for treatment for persons with eating disorder Guidance to adolescents on healthy balanced diets/healthy eating including body image Education to adolescents on effective ways of coping with emotions Education and guidance to adolescents on health exercises Guidance to adolescents on coping with peer pressure Guidance on avoidance of drugs and alcohol abuse among adolescents		Early Recognition of signs indicative of eating disorder such as eating extremely small amounts of food or severely overeating. This may be coupled with weakness; fatigue; weight loss Encourage adolescents to eat healthy diets/Guidance on Diet/Nutrition counseling Encourage adolescents with eating disorders to do healthy exercises /e.g. exercise moderation/reducing excessive exercises Recognition of signs of any concurrent mental ailments as indicated by signs such as nervousness; withdrawal; trouble sleeping Referral to a health facility for adolescent patients with eating disorder and any associated ailments for further management		Family & Community social support systems where adolescents with eating disorders can share their feelings
Primary Care
Awareness creation to adolescents, families, school communities on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of an eating disorder among adolescents Education to adolescents on effective ways of coping with emotions Education and guidance to adolescents on health exercises Guidance to adolescents on coping with peer pressure Guidance/advice to adolescents and their family on a healthy development before the occurrence of eating disorders. Guidance to adolescents on healthy balanced diets/healthy eating including body image		Early detection and management t of eating disorders Diet education and advice /Nutrition counseling Advisory on exercises/exercise moderation/reducing excessive exercises Recognition of any concurrent mental ailments like depression and anxiety disorders. Monitoring and recognition of any complications associated with eating disorders such as obesity, diabetes, Referral to a hospital for adolescent patient with severe eating disorder and any complications for further management		Counselling services for adolescents with eating disorder and their families Linkage for adolescents with eating disorders to Self-help/support groups
Referral Facility: General
Awareness creation to adolescents, families on eating disorders and how to prevent them Education to health workers on eating disorders; prevention measures and management	Early identification and treatment of any eating disorder among adolescents Guidance to adolescents on coping with peer pressure Guidance/advice to adolescents and their family on healthy development before the occurrence of eating disorders. Education to adolescents on effective ways of coping with emotions Education and guidance to adolescents on health exercises Guidance to adolescents on coping with peer pressure		Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice/Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation/reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of concurrent mental ailments like depression anxiety disorders and substance abuse Monitoring and management of any complications associated with eating disorders such as obesity, diabetes, Hospitalization for more serious cases. Follow up		Counselling services for adolescents with eating disorder Family therapy Linkage for adolescents with eating disorders to Self-help/support groups
Referral Facility: Specialist
Awareness creation to adolescents, families on eating disorders and how to prevent them Education to health workers on eating disorders; prevention measures and management	Guidance/advice to adolescents and their family on healthy development before the occurrence of eating disorders. Early identification and treatment of any eating disorder among adolescents Guidance to adolescents on healthy balanced diets/healthy eating including body image Education to adolescents on effective ways of coping with emotions Education and guidance to adolescents on health exercises Guidance to adolescents on coping with peer pressure		Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice/Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation/reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of concurrent mental ailments like depression anxiety disorders and substance abuse Monitoring and management of any complications associated with eating disorders such as obesity, diabetes, Hospitalization for more serious cases. Follow up		Counselling services for adolescents with eating disorder Family therapy Linkage for adolescents with eating disorders to Self-help/support groups

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Awareness creation to communities on eating disorders, early recognition and how to prevent them Distribution of IEC materials on eating disorders Community health workers education on eating disorders, including prevention measures	Early identification and referral for treatment for persons with eating disorder Promoting healthy balanced diets/healthy eating for the adults Promoting healthy exercises Social support systems for at community level Guidance and support on effective ways of coping with emotions		Early Recognition of signs indicative of eating disorder such as eating extremely small amounts of food or severely overeating,This may be coupled with weakness, fatigue, weight loss Recognition of signs of any concurrent mental ailments as indicated by signs such as nervousness, withdrawal, trouble sleeping Encourage elderly to eat healthy diets/Guidance on Diet /Nutrition counseling Encourage elderly to do healthy exercise moderation /reducing excessive exercises Referral to a health facility for elderly patients with eating disorder and any associated ailments for further management		Family & Community social support systems where people can share their feelings
Primary Care
Awareness creation to adults, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of any eating disorder among adults Education to adults on effective ways of coping with emotions Education and guidance to adults on health exercises Guidance to adults on healthy balanced diets/healthy eating including body image		Advisory on exercises/exercise moderation/reducing excessive exercises Recognition of any concurrent mental ailments like depression and anxiety disorders. Clinical and physical examination Early detection and management of eating disorders Diet education and advice/Nutrition counseling Monitoring and recognition of any complications associated with eating disorders such as obesity, diabetes, Referral to a hospital for adult patient with severe eating disorder and any complications for further management		Counselling services for adult patients with eating disorder and their families Linkage of adult patients with eating disorder to Self-help/support groups
Referral Facility: General
Awareness creation to adults, families on eating disorders and how to prevent them Training health workers on eating disorders, prevention measures and management	Early identification and treatment of any eating disorder among adults Education to adults on effective ways of coping with emotions Education and guidance to adults on health exercises Guidance to adults on healthy balanced diets/healthy eating including body image		Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice/Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation/reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of concurrent mental ailments like depression and anxiety disorders. Monitoring and management of any complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) and heart disease. Hospitalization for more serious cases. Follow up		Counselling services for adult patients with eating disorder Family therapy Linkage of adult patients with eating disorder to Self-help/support groups
Referral Facility: Specialist
Awareness creation to adults, families on eating disorders and how to prevent them Training health workers on eating disorders, prevention measures and management	Early identification and treatment of any eating disorder among adults Education to adults on effective ways of coping with emotions Education and guidance to adults on health exercises Guidance to adults on healthy balanced diets/healthy eating including body image		Advisory on exercises/exercise moderation/reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors clinical and physical examination Early detection and treatment of eating disorders Assessment mental and social well being Hospitalization for more serious cases. Follow up Medical nutrition therapy Medications Management of concurrent mental ailments like depression and anxiety disorders. Monitoring and management of any complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) and heart disease. Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice/Nutrition counseling		Counselling services for adult patients with eating disorder Family therapy Linkage of adult patients with eating disorder to Self-help/support groups

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Awareness creation to communities on eating disorders and how to prevent them Counselling services for elderly persons with eating disorder Family therapy Linkage of elderly with eating disorder to Self-help/support groups Encourage elderly with eating disorder to attend social activities Distribution of IEC materials on eating disorders Community health workers education on eating disorders, including prevention measures	Early identification and referral for treatment for elderly persons with eating disorder Promoting healthy balanced diets/healthy eating for the elderly Social support systems for elderly persons at community level Guidance and support to elderly persons on effective ways of coping with emotions		Early Recognition of signs indicative of eating disorder such as eating extremely small amounts of food or severely overeating,This may be coupled with weakness, fatigue, weight loss Encourage elderly to eat healthy diets/ Guidance on Diet/Nutrition counseling Encourage elderly to do healthy exercises/exercise moderation /reducing excessive exercises Recognition of signs of any concurrent mental ailments as indicated by signs such as nervousness, withdrawal, trouble sleeping Referral to a health facility for elderly patients with eating disorder and any associated ailments for further management		Family & Community social support systems where people can share their feelings
Primary Care
Awareness creation to elderly, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of an eating disorder among the elderly Education to elderly on effective ways of coping with emotions Education and guidance to elderly on health exercises Guidance to elderly on healthy balanced diets/healthy eating including body image		Advisory on exercises/exercise moderation/reducing excessive exercises Clinical examination Early detection and treatment of eating disorders Diet education and advice/Nutrition counseling Early detection and management of eating disorders Recognition of any concurrent mental ailments like depression and anxiety disorders. Monitoring and recognition of any complications associated with eating disorders such as obesity, diabetes Referral to a hospital for elderly patients with severe eating disorder and any complications for further management	Physical rehabilitation program to enhance mobility and endurance for the elderly persons with eating disorders	Counselling services for elderly persons with eating disorder Family therapy Linkage of elderly with eating disorder to Self-help/support groups Encourage elderly with eating disorder to attend social activities.
Referral Facility: General
Awareness creation to elderly, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of an eating disorder among the elderly Education and guidance to elderly on health exercises Education to elderly on effective ways of coping with emotions Guidance to elderly on healthy balanced diets/healthy eating including body image		Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice /Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation /reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of concurrent mental ailments like depression and anxiety disorders. Monitoring and management of any complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) and heart disease. Hospitalization for more serious cases. Follow up	physical rehabilitation program to enhance mobility and endurance for the elderly persons with eating disorders	Counselling services for elderly persons with eating disorder Family therapy Linkage of elderly with eating disorder to Self-help/support groups Encourage elderly with eating disorder to attend social activities
Referral Facility: Specialist
Awareness creation to elderly, families on eating disorders and how to prevent them Education to health workers on eating disorders, prevention measures and management	Early identification and treatment of an eating disorder among the elderly Education and guidance to elderly on health exercises Education to elderly on effective ways of coping with emotions Guidance to elderly on healthy balanced diets/healthy eating including body image		History and clinical examination Early detection and treatment of eating disorders Assessment mental and social well being Multi-disciplinary treatment approach involving psychiatrists, psychologists, physicians, dieticians or nutritional advisers, social workers, Diet education and advice /Nutrition counseling Medical nutrition therapy Advisory on exercises/exercise moderation /reducing excessive exercises Psychological interventions Cognitive behavioral therapy to help the patient control their thoughts Behavioral therapy focusing on assisting patient to gain control and change unwanted behaviors Medications Management of concurrent mental ailments like depression and anxiety disorders. Monitoring and management of any complications associated with eating disorders such as obesity, diabetes, hypertension (high blood pressure) and heart disease. Hospitalization for more serious cases. Follow up	physical rehabilitation program to enhance mobility and endurance for the elderly persons with eating disorders	Counselling services for elderly persons with eating disorder Family therapy Linkage of elderly with eating disorder to Self-help/support groups Encourage elderly with eating disorder to attend social activities