The Montrose Model (Three Phase Residential Programme)

Montrose Manor provides comprehensive eating disorder treatment programmes that address the biological, psychological, relational and spiritual aspects of Eating Disorders, including;

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge Eating Disorder
  • Other specified/unspecified feeding or Eating Disorders

Our objective in providing structured extended care treatment is to address the deep-seated psychological issues that underlie eating disorders, using evidence-based therapies.

Where present, concurrent psychiatric disorders are managed in close association with a consultant psychiatrist, who prescribes medication when necessary. All treatment is offered in a safe, gentle and supportive environment.

Clients receive weekly one-on-one counselling. Their counsellor serves as the point of co-ordination for the client’s care plan as s/he moves through the various phases of treatment (please see below). The individual counsellor provides regular progress reports to referrers (with the client’s consent) and compiles a detailed discharge report with recommendations for ongoing recovery/care.

Examples of concurrent disorders, which are commonly managed at Montrose Manor include:

  • Bipolar Disorder
  • Obsessive-Compulsive Disorder
  • Other Anxiety Disorders
  • Major Depressive Disorder
  • Post Traumatic Stress Disorder
  • Addiction/Alcoholism

The Montrose Manor treatment programme integrates traditional and innovative psychotherapeutic modalities, employing a wide spectrum of group-based activities and weekly individual consultations.

Life-skills components are used in addition throughout the various phases of treatment, facilitating enhanced physical, spiritual and social development. A comprehensive family programme is offered to address the crucial relational dimension of eating disorders.

On admission each client is individually and comprehensively evaluated by the clinical team. The therapeutic programme is then tailored to meet each client’s specific treatment goals and needs.

PHASE ONE

  • Individual Therapy
  • Group Therapy
  • Dialectical Behaviour Therapy
  • Self-esteem and self-concept enhancement groups
  • Wellness
  • Self-awareness groups
  • Body images groups
  • Special focus groups exploring a variety of topics including bereavement, trauma,sexuality and spirituality
  • Life skills groups focusing on a variety of topics including relationships, communication skills, assertiveness, conflict and anger management, co-dependency, understanding and coping with criticism, handling stress and anxiety
  • Workshops exploring emotions and boundary setting
  • Art therapy
  • Drama therapy
  • Movement therapy
  • Crafts
  • An exploration of the 12 step principles in relation to eating disorders, including workshops on coping with fear, guilt and shame
  • Nutritional groups
  • Individual weekly sessions with the dietician
  • Psycho-educational lectures
  • Attendance of fellowship meetings/external support groups
  • Mindfulness

Phase Two

In addition to the activities and groups offered in phase one, phase two offers:

  • Restaurant outings
  • Groups exploring trauma and family of origin issues
  • Self-directed reading and reflection to encourage personal growth
  • Relaxation and recreation
  • The Wellness Programme
  • Supervised self service of meals
  • Graded freedom of movement over weekends
  • Family work which includes conjoint family sessions and time spent with family

Phase Three

At the start of phase three, clients are re-evaluated and re-structure their programme around their changing needs.

Clients in phase three will be expected to:

  • Self serve meals
  • Assist in preparation of meals
  • Continue to attend weekly fellowship meetings/support groups, have a sponsor and meet with him/her at least once a week
  • Continue to attend a certain number of therapeutic/programme groups
  • Do voluntary community service, or follow a course or skills training
  • Participate in Advanced Exposure Therapy
  • Study relapse prevention
  • Conduct pre-discharge planning

Clients gain clarity of their self-destructive behaviours, develop alternative behaviours and consolidate these changes in a supportive environment. In short, they develop and practice ‘relapse prevention tools’ to prepare them for re-integration into their home, work and social environments.