Family-based treatment (FBT) originated without Registered Dietitian Nutritionist (RDNs). Many RDNs are now finding themselves either being asked to contribute to a treatment team who uses FBT or are interested in launching the FBT principles in their work with adolescents who have eating disorders. It makes sense to me to follow the only evidence-based treatment for adolescence with eating disorders. My hope is to share my wisdom gleaned over the nearly 10 years working with a collaborative team in an outpatient setting. RDNs are well positioned to coach parents in the vital task of in-home re-feeding.
Here is my top 10 things to know, use and expect... One at a time.
ONE: Identify potential team members
- Discuss who will discuss and make exercise recommendations.
- Review protocols for checking clients who are at medical risk.
- Agree on treatment weight goals.
- Do you have their cells phones, emails and fax numbers?
- Know your residential or IOP options
- Suggest discharge meal planning happen directly with the parents not child or adolescent.
Melanie Jacob RDN is a seasoned eating disorder professional that found her niche in treating adolescents with eating disorders. When the FBT research surfaced in 2006 she transitioned her approach to follow the evidence.