SADDLEBACKCOLLEGE
HS 185: BACKGROUND AND TREATMENT OF EATING DISORDERS
Spring 2014
January 21 – May 22, 2014
LEAD INSTRUCTOR: LORI PHELPS, PSY.D.
Email:
Telephone: (949) 582-4731
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Blackboard instructions:Blackboard Student Support Center:
Click on the links below for all of the information you will need for this course
Catalog Description / Blackboard Instructions / Course AssignmentsCourse Content / Email Instructions / Orientation
Course Requirements / grading / Textbooks
Class Meetings / Suggestions/Tips
COURSE DESCRIPTION
This online course is designed to provide the student with an understanding of the broad spectrum of needs in the eating disordered individual. Treating these needs demands knowledge in a number of areas of intervention. During this course the student will be exposed to numerous treatment modalities utilized in the eating disorder treatment milieu. These modalities are not expressed as the only treatment approaches nor are they presented in their entirety.
Each module is presented via the internet using assigned readings, Power Point lecture notes, discussion boards, chat rooms, and streaming video. The information presented offers the student the opportunity to expand on their therapeutic abilities. It is necessary, therefore, for each student to attend all modules presented in order to appreciate the vast amount of specialized knowledge necessary to be an effective eating disorders counselor.
• It is suggested that the student complete HS 181 prior to or concurrently with HS 185, although it is NOT required. Dr. Phelps has a folder in Blackboard with Introductory overview materials if you are taking HS 185 before you take HS 181.
LEARNING OUTCOMES
Upon completion of this course, the student will be able to:
l. Assess and screen for anorexia nervosa, bulimia nervosa, binge eatingdisorder and other eating disorders.
2. Explain and evaluate basic techniques of intervention for eating disorders.
3. Identify various theories of treatment used with eating disorders.
4. Identify roles and importance of all eating disorder treatment personnel(MDs, PhDs, Counselors, Registered Dieticians, Registered Nurses).
5. Articulate and apply knowledge and intervention methods provided by classlectures and role playing.
6. Identify internship sites and potential career possibilities.
COURSE CONTENT:
There will be 12 modules presented online. These will consist of the following:
1.Introduction to Treatment and Prevention of Eating Disorders
a. An overview of Eating Disorder Services
b. Clinical Assessment of Patients with Eating Disorders (DSM-5)
2.Cognitive-Behavioral Therapy for Bulimia Nervosa and for Anorexia Nervosa
3.Family Therapy and Eating Disorders
4.Interpersonal Psychotherapy for Eating Disorders
5.Pharmacological Treatment of Anorexia Nervosa and Bulimia Nervosa
6.DayHospital Treatment of Anorexia Nervosa and Bulimia Nervosa
7.Inpatient Treatment and Medical Management of Anorexia Nervosa and Bulimia Nervosa
8.Compulsory Treatment in the Management of Eating Disorders
9.Management of Patients with Intractable Eating Disorders
10.Binge Eating Disorder
a.Psychological Treatment of
b.Pharmacological Treatment of
11.Self-Help in the Treatment of Eating Disorders
a.Psychoeducational Principles in Treatment
b.Self-Help Bibliotherapy
c.12 step groups
12.Eating Disorders and the Internet
LINKS TO ALL QUIZZES CAN BE FOUND UNDER THE ASSIGNMENTS BUTTON IN BLACKBOARD. LINKS TO ALL MODULES, READING ASSIGNMENTS, VIDEOS, ETC. CAN BE FOUND FROM ASSIGNMENTS AND/OR COURSE DOCUMENTS.
Each module is designed to introduce the student to the elements necessary for a foundation in the treatment of eating disorders. It is necessary, therefore, for each student to complete all modules presented in order to appreciate the vast amount of specialized knowledge necessary to be an effective eating disorders counselor. The course is 16 weeks in duration (not including Spring Break and Finals Week) so a calendar is provided below which gives offers a suggested timeline for completing the modules assignments.
REQUIRED TEXTS: Handbook of Treatment for Eating Disorders. 1997. Edited by David Garner and Paul Garfinkel.
Eating Disorders and Obesity: A Comprehensive Handbook. 2001. Edited by Kelly Brownell and Christopher Fairburn.
Selected Readings and related web sites
COURSE REQUIREMENTS:Successful completion of this course will be based on participation and completion of all assigned work.
CLASS DATES: January 21 – May 22, 2014
CLASS MEETINGS & ORIENTATION:
Class meets online only at
Online orientation via Blackboard course website
Credit:Three (3) Semester Units
The following is a tentative schedule of topics and due dates.
It is NOT required that you submit quizzes or other assignments on a certain date;
this calendar is designed to give you an idea of where you should be on a weekly basis in order to
complete all of the work due for the course by May 22, 2014
Date /Topic / Modules
/Assignments
Week 1January 21 / Introduction and Welcome
Read Announcements
Scan through the Assignments Folder in Blackboard
Look Around at all of the great material in the course website / Buy books
Log into Course website via the Portal
Course Introductions on Discussion Board
Watch Blackboard Tutorial Videos and complete Blackboard Quiz
Week 2
January 27 / Begin Assignments for Treatment Center and self-help meetings. Get started on these now so that you can complete them by the end of the semester. You are asked to visit a treatment center and to attend two live self-help meetings HOWEVER, online options are provided if you have difficulty visiting in person. / --Visit or Investigate a Treatment Center and interview a professional who treats Eating Disorders (outline provided below)
--Attend 2 eating disorder self-help groups for Anorexia and/or Bulimia (Instructions below)
Weeks 3 / Module 1
Introduction to Treatment and Prevention of Eating Disorders
a. An overview of Eating Disorder Services
b. Clinical Assessment of Patients with Eating Disorders (DSM-IV-TR) / Introduction to Treatment and Prevention of Eating Disorders. Reading Assignments: Read Chapters 52 and 53 in Fairburn; Chapters 3-5 in Garner & Garfinkel. Review all items in the Module One folder.
.
Week 4 / Module 2
Cognitive-Behavioral Therapy for Bulimia Nervosa and for Anorexia Nervosa / Cognitive Behavioral Therapy for Anorexia Nervosa and Bulimia Nervosa. Read Chapters 54-55 in Fairburn and Brownell and Chapters 6, 7 & 10 in Garner & Garfinkel. Review the Power Points Lecture Slides found inside the module folder as well as articles and/or abstracts
Week 5 / Module 3
Family Therapy and Eating Disorders / Family Therapy and Eating Disorders. Read Chapter 16 in Garner & Garfinkel and chapter 56 in Fairburn. Also read articles attached in the module folder.
Week 6 / Module 4
Interpersonal Psychotherapy for Eating Disorders / Interpersonal Psychotherapy for Eating Disorders. Read Chapter 57 in Fairburn and Brownell and chapter 14 in Garner and Garfinkel as well as all materials contained inside the module folder.
Week 7 / Module 5
Pharmacological Treatment of Anorexia Nervosa and Bulimia Nervosa / Pharmacological Treatment of Anorexia and Bulimia (Read Chapter 20 in Garner and Garfinkel and chapters 58, 60 and 64 in Fairburn and Brownell and all readings inside this module folder).
Week 8 / Module 6
Day Hospital Treatment of Anorexia Nervosa and Bulimia Nervosa / Day Hospital Treatment of AN and BN (Chapter 59, Fairburn and Brownell; Chapter 18 in Garner and Garfinkel).
Week 9 / Module 7
Inpatient Treatment and Medical Management of Anorexia Nervosa and Bulimia Nervosa / Inpatient Treatment and Medical Management of Anorexia Nervosa and Bulimia Nervosa (Chapter 60, Fairburn and Brownell; Chapter 17 in Garner and Garfinkel).
Week 10 / Module 8
Compulsory Treatment in the Management of Eating Disorders /
Compulsory Treatment in the Management of Eating Disorders (Chapter 61, Fairburn and Brownell; chapters 17 and 26 in Garner and Garfinkel).
Week 11 / Module 9Management of Patients with Intractable Eating Disorders /
Management of Patients with Intractable Eating Disorders
(Read Chapter 62, Fairburn and Brownell; Read Motivational Interviewing Website).
Week 12 / Module 10Binge Eating Disorder
a. Psychological Treatment of BED
b. Pharmacological Treatment of BED /
Binge Eating Disorder (Chapters 29-30 Garner and Garfinkel; chapter 63 & 73, Fairburn and Brownell)
Complete Eating Disorder Treatment Center ReportWeek 13 / Module 11
Self-Help in the Treatment of Eating Disorders
a.Psychoeducational Principles in Treatment
b.Self-Help Bibliotherapy
c.12 step groups / Self-Help and Group Psychotherapy in the Treatment of Eating Disorders (chapter 65, Fairburn and Brownell; chapters 27 & 30 Garner & Garfinkel).
Reminder: Attend 2 eating disorder self-help groups for Anorexia and/or Bulimia (Paper outline in Blackboard)
Week 14 / Module 12
Eating Disorders and the Internet / Eating Disorders and the Internet (Chapter 66, Fairburn and Brownell; Chapter 30 Garner and Garfinkel).
Weeks 15-16 / Complete all exams
Prepare to submit final assignments / Complete and submit self-help meeting paper
Week 17
May 18-22 / All work to be completed and submitted by May 22
CLASS ASSIGNMENTS:
1. At the completion of each module, the student will be given an objective exam pertaining to the topics covered in the module. Exams will be multiple choice, fill-in and short essay.
2.Research (visit if possible) an Eating Disorders treatment program or center and interview with an eating disorders treatment professional. I have given you lots of links to Eating Disorder Treatment Centers and Treatment Finders in External Links in Blackboard and scattered throughout your course website. If you cannot get access to visit a site, you may research a site online and do the professional interview by phone.
Answer the following questions in the form of a regular paper with headings and complete sentences/paragraphs (a fill-in form is available in Blackboard under Assignments)
1.Name and address of the treatment facility (include website address and all contact information)
2.Date of your visit and name of person(s) interviewed (or date of website visit and name of person contacted by phone for additional information not on website)
3.History of the program (length of years in existence, how started, founders, owners, etc.)
4.How does it provide care and to whom?
5.How does the client(s) find out about the service? What means of networking and marketing does this agency use?
6.Size of program (How many clients/patients are served weekly/monthly/yearly? How large is the facility? How many beds? Etc.)
7.SourAre they non-profit or for-profit? What is the cost of treatment in the facility? Do they accept insurance? Do they ever give scholarships? How many professionals are employed and at what capacity do they work. What degree and experience are required to work in this facility? Do they accept interns and if so, at what educational level?
Interview with an eating disorders treatment professional.
Use the following guidelines for your interview:
1.Name of Eating Disorders Therapist
2.Background and education of the therapist (degrees, college/university, clinical experience)
3.According to the professional, what are the important qualities in a professional providing direct treatment? (Include personality characteristics, education, and experience). Should the counselor be in recovery?
4.What is his/her preferred theory of ED’s and recovery?
5.What is his/her role at the treatment facility?
6.In this person’s opinion, what is the most important thing to know about eating disorders clients?
7.To my student: What are your impressions of the individual and his/her approach to treatment?
PAPER #2:
Attend two (2) self-help groups for eating/body/weight related issues (Overeaters Anonymous for anorexics or bulimics [please DO NOT attend OA meetings that focus on weight loss], ANAD, Eating Disorders Anonymous, etc.). IF YOU CANNOT FIND A LIVE MEETING IN YOUR AREA, YOU MAY GO TO BLOGS AND ONLINE MEETINGS. I have given you lots of links to Eating Disorder self-help groups in External Links in Blackboard and scattered throughout your course website. Write a minimum two-page reaction paper for each meeting. Include date, time and location of meeting, how you found the meeting, your thoughts and feelings prior to attending the meeting, the format of the meeting, general topics covered at the meeting, your feelings and reactions to the meetings and whether or not you would refer clients to these meetings. AN OUTLINE FOR YOUR PAPER IS PROVIDED FOR YOU UNDER ASSIGNMENTS.
CLASS GRADING: To receive a grade of A in the course the student must complete all assignments by May 22, 2014 with a score of 90% or higher. A grade of B requires completion of all assignments with a score of 80% to 89%. A “C” requires completion of all assignments with a score of 70% to 79%.
Extra credit is possible ONLY after completion of all required assignments. Please discuss extra credit options with your instructor.
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Some Suggestions Before You Start:
- If you use AOL as your dialup (internet service provider/ISP), it is best to dial in, shrink the AOL browser, and then open Internet Explorer or Netscape or Firefox. The AOL browser often doesn’t work with Blackboard.
- It’s a good idea to have Microsoft Word for essays and papers, but you can use Works or any text editor (Wordpad, Notebook, etc.)
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