Tasmanian Eating Disorder Service Project

The Tasmanian Eating Disorder Service is part of the first round of projects in the Community Health and Hospitals Program - a joint initiative between the Australian and State Governments.

Tasmania will receive $10 million in total from the Australian Government, in order to design, develop and deliver an eating disorder treatment service, which will have a residential treatment stream. The funding will be provided in instalments between 2019 and 2024.

The project to develop the Model of Care for the service is being managed by the Mental Health, Alcohol and Drug Directorate. A Working Group has been convened to provide expertise and advice on the Model. The Working Group includes representatives of services, people with lived experience of eating disorders and Primary Health Tasmania. The project is consulting with stakeholders on an ongoing basis.

If you have any queries, please contact the Mental Health, Alcohol and Drug Directorate on (03) 6166 0774 or director.mhadd@health.tas.gov.au

Working Group Meeting Summary - August 2020

Tasmanian Eating Disorder Service – Summary of August Working Group meeting

The first working meeting for the Tasmanian Eating Disorder Service (TEDS) Working Group took place on the 24 August 2020. Members of the working group include representatives from the Tasmanian Health Service (THS) units that currently provide treatment for eating disorders, such as Child and Adolescent Mental Health Services (CAMHS), Adult Community Mental Health Services (ACMHS), Paediatrics and Nutrition, Primary Health Tasmania, people with lived experience of an eating disorders from consumer or carer perspectives, and a consultant with extensive experience in treatment of eating disorders for both children and adolescents, and adults.

The TEDS will include a centre, which will be located in Hobart, and other aspects of the service including telehealth, outreach, and education and training.

Development of the Model of Care is taking place before the design and build of the Centre begins. This is crucial, in order to ensure that the capital works design brief and effort is based on best practice for treatment of eating disorders, and can therefore result in physical environments that allow the service to provide safe and high quality services to Tasmanians experiencing an eating disorder, and their family members and support persons. At this stage, we expect the Model of Care to be completed by the end of 2020.

Although we believe that the Working Group to develop the Model of Care is largely representative, we will be consulting with other stakeholders. Proposed mechanisms currently include:

  • feedback and feed forward to and from Working Group members for the services, professional networks and communities of interest that they belong to
  • direct contact with the project team
  • requests for feedback on the draft model

The mechanism used to engage will be determined on a case by case basis, to ensure that the consultation is effective for both the project team and stakeholders.

Development of a communications plan and consultation strategy is currently underway, as is the accessing, collection and analysis of data regarding level of need for eating disorder services in Tasmania. The project is receiving input from stakeholders, including primary care, private sector services and the Tasmanian Health Service.

The data sources being investigated include hospital inpatient admissions (both medical and psychiatric), Medicare billing items, the National Mental Health Service Planning Framework and servicelevel data.

There are many data gaps. Some of these reflect record keeping practises, while others reflect service gaps or barriers to access. One example reflected by both the data, and experience of service providers, is an extreme difficulty for adults experiencing eating disorders to access medical inpatient treatment. This means that a lower inpatient admission rate may not accurately reflect the need of adults with eating disorders, but may be representative of barriers to treatment or resistance to treatment.

Research into, and development of the Model of Care is progressing well, with the project team and Working Group collaborating on key considerations. Some of these include target population(s), therapy modalities, built environment characteristics and evidence base to support these, differentially by population and diagnosis. These are also being aligned with high level guiding principles provided by the Australian Department of Health.

If you have any questions regarding the Tasmanian Eating Disorder Service, or would like to provide feedback, please contact Shosh Longmuir (Mental Health, Alcohol and Drug Directorate) on 03 6166 0781 or by email at shosh.longmuir@health.tas.gov.au

Working Group Meeting Summary - September 2020

Tasmanian Eating Disorder Service – Summary of September Working Group meeting

The second working meeting for the Tasmanian Eating Disorder Service (TEDS) Working Group took place on the 28 September 2020.

While the Model of Care will articulate a range of requirements for the service, the primary focus of this session was on evidence-based treatment interventions required for an effective, stepped care model for Eating Disorder treatment in Tasmania.

In between the August and September Working Group meetings, the project team collated academic literature, discussion and feedback from the Working Group, and Models of Care for Eating Disorder services from other jurisdictions in Australia, and overseas.

The project team also met with certain stakeholders, to better understand the barriers and difficulties in accessing treatment in Tasmania. These stakeholders include services within the public health system, private providers, and people with lived experience of eating disorders.

Better understanding of the current barriers to, and gaps in, treatment will help the project team and Working Group design strategies to minimise these barriers and gaps, and design a service that better meets the needs of Tasmanians with an eating disorder.

Also discussed in this Working Group session were information and referral pathways, and assessment and intake for the service.

The Working Group and project team continue to work on the ways in which TEDS will interface with existing services to build capacity into the health system, reducing fragmentation and increasing coordinated, integrated care for Tasmanians with Eating Disorders.

The project team will continue to engage with stakeholders outside the Working Group, and will be seeking feedback on a draft Model of Care (the date for circulation of the draft is yet to be determined.).

If you have any questions regarding the Tasmanian Eating Disorder Service, or would like to provide feedback, please contact Shosh Longmuir (Mental Health, Alcohol and Drug Directorate) on (03) 6166 0781 or by email at shosh.longmuir@health.tas.gov.au

Working Group Meeting Summary - October 2020

This meeting will be held on Monday 26 October.

Working Group Meeting Summary - November 2020

This meeting will be held on Monday 23 November.