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 purpose of screener
“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
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)
State potential risks
“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
“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.”
Provide patient with Step-By-Step Referral Guide (pdf).
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