EATING DISORDER CARE TEAM **

Effective Date: 
Wed, 01/01/2003
Reviewed: 
Sun, 08/01/2021
Revised: 
Sun, 08/01/2021
Policy: 
The UCSC Student Health Center supports a team of providers to care for students with disordered eating. The Associate Medical Director chairs this team and is responsible for scheduling meetings and the meeting agenda. 
 
Specific medical, nursing, psychiatric, counseling and nutrition staff members are designated to provide care for students with disordered eating. The team meets monthly during the fall, winter and spring quarters  to discuss management of specific cases, and keep up-to-date on best practices in the care of these patients. Off-campus therapists with expertise in treating disordered eating are invited to join this monthly meeting.
 
The role of the Student Health Center in the care of patients with disordered eating is identification of students with this condition, evaluation and management of associated medical conditions, and referral for psychological counseling, inpatient treatment or specialist care. 
 
The Student Health Center does not provide intensive outpatient services for disordered eating.
 
In cases where more intensive medical care exceeding the capacity of the Student Health Center is required, the Associate Medical Director works with the therapist, patient, and family (if appropriate) to facilitate the referral. 
 
In cases where a patient fails to agree to recommendations for a higher level of care, the policy on Involuntary Medical Withdrawal outlines the specific steps to be taken when a student with disordered eating is unable to safely care for themselves and must be asked to leave school.  
Procedure: 
Students with disordered eating are identified by providers or present themselves for care. 
 
The diagnosis is entered onto the patient's Problem List. 
 
If the initial visit was with a provider not on the ED Team, a follow-up appointment is scheduled with a clinician on the ED team.   
 
A 40 minute intake appointment is made with a medical member of the ED Team for an initial evaluation. 
The clinician should specifically document the patient's medical acuity. 
 
Every attempt should be made to link patients to mental health care.  If possible, a Release of Information to work with the therapist should be obtained.   
 
Frequency of follow-up visits with the clinician is based on clinician and therapist levels of concern. 
 
The student should be encouraged to use the additional services available at the Student Health Center including both the services of our nutritionist and the opportunity to join the Eating Awareness group run by CAPS.  
 
If appropriate, a psychiatric evaluation may be scheduled.  
 
The Associate Medical Director facilitates a monthly meeting of the professional staff working with students with disordered eating. These meetings include a continuing education component, an opportunity to discuss difficult situations, and a review of high acuity cases.  The meetings include an opportunity to seek help with difficult situations from oher colleagues. 
 
If a clinician determines that a student's disordered eating has reached a life threatening acuity or their behavior puts them at grave danger, the clinician may request that an Ad Hoc Committee be convened to consider requesting that the student be placed on involuntary medical leave in order to receive a higher level of care.   This process is delineated in the policy on Involuntary Medical Withdrawal.  
 
The Associate Medical Director works with the families of students with disordered eatiing, if appropriate, to help identify the plan of care, including hospitalization.
 
Key Points: 
  • Specific providers in the Student Health Center care for students with disordered eating.
  • These providers make up the Eating Disorder Care Team which meets monthly for continuing education, support, and clinical case review to maintain a high level of quality care for the student. The team is lead by the associate medical director.
  • The Student Health Center clinicians monitor physical complications due to disordered eating but recognizes that therapy is the cornerstone of treatment for disordered eating. Clinicians collaborate with the student's therapist to provide care.
  • In the event that a clinician determines that a students condition is grave or life threatening, the student is referred for a higher level of care.  If the student does not comply with the recommendations of SHS, an Ad Hoc Committee can be convened to consider placing the student under Involuntary Medical Withdrawal.