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Dáil Éireann díospóireacht -
Wednesday, 9 Oct 2002

Vol. 554 No. 5

Written Answers. - Eating Disorders.

Jan O'Sullivan

Ceist:

927 Ms O'Sullivan asked the Minister for Health and Children if he will consider introduc ing measures to help prevent eating disorders, including preventative programmes in schools and public information measures such as an eating distress awareness week, in order to address this growing problem; if he will review current treatment provision; and if he will make a statement on the matter. [15508/02]

The Department of Health and Children recognises the importance of introducing measures to prevent eating disorders. In relation to public information measures, the health promotion unit of my Department has published a leaflet on eating disorders in association with BODYWHYS a support organisation for persons with anorexia and bulimia nervosa. This leaflet is available through the Department of Health and Children and health boards nationwide.

In relation to preventative measures The National Health Promotion Strategy 2000-05 has as one of its key objectives to promote healthy eating habits and a healthy body image among school going-children and young people. The health promotion unit of my Department, the community nutrition and dietetic services in health boards, and the schools health promotion teams have been working together to draw up "Food and Nutrition Guidelines for Schools" which will be available before the end of the year. My Department has invested heavily in community nutrition and dietetic services in health boards and in schools health promotion officers in the last five years to help influence and encourage healthy eating behaviours especially in children. Community dietitians also work in the general practice setting, and therefore are more accessible to work with people with eating disorders. Another key objective in the national health promotion strategy 2000-05 is to work in partnership with the Department of Education and Science to support the implementation of the social, personal and health education curriculum in all schools consistent with the health promoting school concept. The health promotion unit is working with the Department of Education and Science to draw up appropriate nutrition education tools for schools.

Other healthy eating initiatives for schools include the healthy school lunch policy and the attitude and behavioural programme – nutrition education at primary schools and the Department of Health and Children's participation in the recent review of the school meals scheme.

The health behaviour in school-aged children surveys, 1997-8 and currently, carried out every four years also provide important research information which helps inform nutrition and other lifestyle behaviour programmes undertaken by my Department.

Persons with eating disorders are generally treated through the psychiatric services of their local health board. Out-patient services are provided from a network of hospitals, health centres, day hospitals and day centres. Where in-patient treatment is deemed necessary, it is provided in the local acute psychiatric unit or hospital, beds being allocated on the basis of patient need at any particular time. A tertiary referral service for eating disorders is available in St. Vincent's Hospital, Elm Park, Dublin where three in-patient beds are designated for this purpose. A similar service is available privately at St. Patrick's Hospital, James's Street, Dublin and at St. John of God Hospital, Stillorgan, County Dublin.
In June 2000 I established a working group on child and adolescent psychiatry. The first report of this working group was published on 1 March 2001 and dealt with the provision of child and adolescent psychiatric in-patient units.
As outlined in the national health strategy, Quality and Fairness: A Health System for You, the working group on child and adolescent psychiatry will prepare a report on the services for people with eating disorders following completion of the review of psychiatric services for the 16-18 year old age group. The working group proposes to examine the needs of persons with eating disorders and how they can best be developed in the short, medium and long term. The working group has already invited submission from interested parties on how the needs of persons with eating disorders can best be met.
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