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Table of Contents

FLOW DIAGRAM 2

This document shows the pathway.

INFORMATION REQUIRED WHEN MAKING A REFERRAL 3

When making a referral to your local CAMHS team please

complete this form as well as the SPE forms. This will allow

us to better assess urgency.

DSM-IV CRITERIA FOR ANOREXIA NERVOSA 5

DSM-IV CRITERIA FOR BULIMIA NERVOSA 5

DSM-IV CRITERIA FOR EATING DISORDER NOT OTHERWISE SPECIFIED 5

CAMHS EATING DISORDER ASSESSMENT FORM 6

Used by local CAMHS teams.

TRANSITION PLANNING FOR 16 & 17 YEAR OLDS 16

Highlights the possible routes for 16 & 17 year olds.

WHAT YOU CAN EXPECT FROM YOUR CAMHS TEAM 17

Information for patients, which includes previous patients

experiences and a helpful website.

FLOW DIAGRAM

INFORMATION REQUIRED WHEN MAKING A REFERRAL

1. Eating Disorder Symptoms

- calorie restriction and preoccupation with food

- distorted body image

- fear of fatness

- excessive exercise

- purging

2. Duration of Symptoms and history of weight loss

3. Any recognised Co-Morbidity

- OCD

- depression

- Aspergers

- Anxiety

- self-harm

4. Current Weight, Height and BMI – (historical if possible)

5. Menstrual history - LMP

6. Sitting and Standing Bp and Pulse

7. Past Medical History

8. Medication History

9. Family Structure

10. Current diet and eating pattern

We would also recommend the following blood tests

|Full Blood Count |Anaemia, low white cell count, ferritin |

|Urea & Electrolytes |Hypokalaemia from vomiting/Diuretic use |

| |Hyponatraemia from water loading |

| |Abnormal renal function, raised urea |

|Liver Function Tests |Total protein, albumin |

|Calcium, magnesium, |Hypophosphataemia |

|Potassium | |

|Glucose |Hypoglycaemia |

Children and Adolescents Requiring Acute Medical Admission

Occasionally Children and Adolescents may present with an extremely low BMI after a prolonged period of starvation and/or have biochemical disturbance after vomiting/dehydration. Below are the recommended indications for an acute Medical Admission;

1. Dehydration with ongoing fluid refusal

2. Evidence of physiological instability as indicated by;

- cold, blue peripheries

- low volume pulses, especially in the foot

- bradycardia (bpm10 mmHg, Bp ................
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