Introduction

Introduction

Organisation Name
STEPS Eating Disorders Bristol
Description

The STEPs service was set up in 1999 in
response to a growing need for specialised NHS treatment for people with difficulties around eating. We are currently based at the STEPs Unit at Southmead Hospital in North Bristol, and see people living in the Bristol area, South Gloucestershire, North Somerset and North-East Somerset. We work with people between the ages of 18 and 65, who are struggling with Anorexia Nervosa, Bulimia Nervosa or an ‘Eating Disorder not otherwise specified’ (EDNOS). (Please note that we are not currently able to see people with a diagnosis of Binge Eating Disorder). We are a dedicated team with an established reputation for working in a sensitive and individual way with each person we see.

THE STEPS PHILOSOPHY
At STEPs we follow a specific approach to working with each person we see. This is based around the ‘Transtheoretical Model of Change’ (Prochaska and DiClemente, 1982). Within this, change is seen as a process
associated with a number of distinct stages.

Within this the individual’s stage of motivation is key to effective and lasting change.
Therefore any form of treatment needs to be matched appropriately to each person with regard to the work they want to do. As a
result we aim to offer a therapeutic intervention for each motivational stage. This is either done individually, via a group or working alongside a secondary team worker supporting someone in the community. Consideration is given at all times to issues around medical safety and monitoring. We liaise closely with your GP and with other Health Professionals working with you.

CONTEMPLATION WORK
For many people Contemplation Work is a good starting point in beginning to understand their Eating Disorder. This work is about weighing up the pros and cons of how things are at the moment, and considering how it might be to make changes. It focuses upon the functions an Eating Disorder can play in each person’s life. People are encouraged to explore the idea of recovery, without any expectation of change being placed upon them.
Contemplation Work is usually delivered as part of a group but can be offered on a 1:1 basis. where appropriate.

PREPARATION AND ACTION
Clients can actively work on their illness in a range of therapeutic groups and activities, with input from our team. We run several community groups, including, Compassion Focused Therapy, LEAP, exercise, cooking and art therapy.
We also offer group or 1:1 Cognitive Behavioural Therapy for clients with anorexia or bulimia in line with the NICE clinical guidelines for eating disorders (2004).

INPATIENT TREATMENT
There are 10 inpatient beds available on our Unit at Southmead Hospital for people who require high levels of input in challenging their eating disorder. Clients on the ward are able to take part in a range of individual and group work whilst working on restoring weight and behavioural change.

COMMUNITY TREATMENT
Team members hold individual caseloads of people to whom they offer support and therapy. Community Psychiatric Nurses cover the areas of Bristol, South Gloucestershire, North Somerset and North East Somerset, and work with people on a 1:1 basis either at home or elsewhere in the community.

FAMILY WORK
We offer family work to partners and family members who are close to someone being seen at STEPs. This can be one or a number of
sessions, and offers family members space to talk about their experiences. It is also an opportunity to learn more about Eating Disorders in an
impartial way. Family work is confidential, and involves meeting a member of the Team who does not work directly with the person receiving treatment. We also run bi-monthly groups.

OTHER WORK AVAILABLE
The STEPs Team brings together professionals from different disciplines and backgrounds. Other forms of support / therapy include:
Art Therapy, Dietetic input / support, Body Image Work, Cognitive Analytical Therapy, Outpatient work, Community exercise group, Meal preparation skills

HOW TO ACCESS STEPS
If you feel that some work with STEPs could be of help to you, you will need to visit your GP who will refer you to your local Primary Care Liaison Team. They will make contact with you to arrange an initial assessment. After this they will refer onto STEPs. You will be sent an opt in letter inviting you to call and book an appointment. This appointment will take around an hour, and is an opportunity for you to talk in a safe and understanding environment about how things are feeling for you at the moment and what, if anything, you would like to be different. You are welcome to bring a friend or family member along to support you. Having an assessment with us does not mean you are obliged to undertake treatment. Many people find that simply being able to think about their current circumstances and what the various options open to them are to be of help.

Organisation Type
Statutory Service
This organisation provides support around
Personal Health Services Emotional Support
Regions
South Gloucestershire Bristol Bath and North East Somerset North Somerset Somerset
Is there a cost for these services?
No
How can people access this service?
Professional Referral
Business Hours
MondayFrom 09:00To 17:00
TuesdayFrom 09:00To 17:00
WednesdayFrom 09:00To 17:00
ThursdayFrom 09:00To 17:00
FridayFrom 09:00To 17:00
SaturdayCLOSED
SundayCLOSED
Out of hours answer machine

Primary Organisation Details

Primary Address Details

Address 1
Steps Unit
Address 2
Clifton Building, Southmead Hospital
Address 3
Westbury on Trym
Town
Bristol
County
Avon
Postcode
BS10 5NB

Organisation Contact Methods

Telephone

Venue Address Details

Contact Details

Contact Name
Colette Rogers
Job title / Position
Clinical Team Leader

Venue Contact Methods

Telephone

Services

Service Descriptions

Services Available to People at Home

Community Psychiatric Nurses cover the areas of Bristol, South Gloucestershire, North Somerset and North East Somerset, and work with people on a 1:1 basis either at home or elsewhere in the community.

Helpline Details

Will calls I make to this helpline show on my bill?
N/A

Limitations and Associations

Limitations / Restrictions

Please note that we are not currently able to see people with a diagnosis of Binge Eating Disorder.

Accessibility

General Accessibility

Tick here to add details of how your services is accessible to people with a physical disability.

Access Questions

Are there bus stops nearby?
Approx. distance?
5-10 mins walk
Bus numbers?
54/54B, 776/77, 517, 518, 585
Is there a rail station nearby?
Approx. distance?
3-4 miles
Is there a car park nearby?
Approx. distance?
2 minutes walk
Is there parking for disabled drivers on site or outside the building?
If so, how many spaces?
This is a busy hospital site and so parking is limited.
Disabled parking telephone

External Access

Are external doors 900mm or more wide with flat thresholds?

Internal Access

On internal doors are the handles a contrasting colour and tone to the door?
Are there internal steps?
If so, how many?
17, not for client use, staff only.
Do these steps have a handrail?
Are the edges of the steps a contrasting colour to the steps?
Is there more than one floor at the premises?
Does the toilet have a minimum size of 2200mm × 1500mm
Does the toilet have a minimum door size of 1000mm
Does the toilet have grab rails - 2x horizontal?
Does the toilet have grab rails - 2x vertical?
Does the toilet have grab rails - 1x drop-down?

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