Results

Risk Level Meter

Positive Screen: Risk Level = HIGH

Result: Patient screened positive for an eating disorder (no score found. Treat this page as a sample)

Intervention: Counseled patient on eating disorder symptoms of concern; provided with information on referrals to specialty care

Plan: Follow up on referral at next visit

Instrument: SBIRT-ED – Eatingdisorderscreener.org

Result: Patient screened positive for an eating disorder  (no score found. Treat this page as a sample)

Intervention: Counseled patient on eating disorder symptoms of concern; provided with information on referrals to specialty care

Plan: Follow up on referral at next visit

Instrument: SBIRT-ED - Eatingdisorderscreener.org

Note: Screener results will not be saved once you leave this page

Use the following scripted prompts for conversations with your patient.

Review responses

Review purpose of screener

“Thank you for responding to our initial questions about your eating habits and your thoughts about your weight and shape. Your responses from today indicate you are at a high risk for having an eating disorder. What thoughts or questions might you have about what this means?”

“The purpose of the screener was to assess your risk for an eating disorder. Is your relationship with food and/or your body something you’ve ever been concerned about?

Review endorsed responses

“I noticed you indicated ‘yes’ to [insert symptoms endorsed from screener]. Tell me more about that.”

Suggested follow-ups: “How often is that happening?” “When was the last time that happened?” “Has your weight loss been intentional?” “What tells you that you are fat/overweight?” “In what way do you feel that food dominates your life?”

Goal: briefly walk through endorsed items to obtain clarity
    (e.g., if applicable: frequency of vomiting, amount of weight lost)

Express concern

State potential risks

“I am very concerned about your struggles with [insert symptoms endorsed from screener]. These types of symptoms are dangerous for your health and overall well-being.”

“The types of symptoms you’re reporting are actually signs of an eating disorder, which are common mental health issues like depression and anxiety, but can be very serious and need specialty treatment.”

“I’m very concerned that the symptoms you’re reporting will get worse if they go without specialty treatment, which I believe you need based on your responses to the screener.”

Discuss next steps

Explicitly recommend referral to specialty care

“As your provider, I want to make sure that we get you the care you need to treat these symptoms. Because of that, I’m strongly recommending that you immediately see a specialist who can do a more thorough assessment and determine what type of treatment is needed.”

“I know that this can feel scary and/or intimidating, but as your provider it’s my job to make sure these types of problems are taken care of quickly and by the experts who know how to treat them. Do you have questions or concerns about getting this kind of treatment?”

“Because I believe this is so important, at the end of today’s visit I’ll be providing you with a step-by-step guide on how to find this kind of treatment.”

If clinic has behavioral health resources: “Our clinic behavioral health provider will work with you to get you referred to an eating disorder specialist(s).”

“I’ll plan to follow up on this referral/ specialty treatment during your next visit to make sure you’ve been able to schedule an appointment/ establish care.”

Next Steps

Provide patient with Step-By-Step Referral Guide (pdf).