Welcome to 4NW
          Inpatient Eating Disorders Program 
                               Workbook
                                  BB.500.In7.PHC (2021.09.22)
                                                                     Inpatient Eating Disorders Program Workbook
                                                                                           © 2021 Providence Health Care
               Nutrition Guide for Portioning is the property of Providence Health Care, Provincial Adult Tertiary & Specialized Eating 
                    Disorders Program. No portion may be reproduced without permission. Please reference this document as follows: 
                           Providence Health Care, Provincial Adult Tertiary & Specialized Eating Disorders Program. February, 2021.
                   Meal Support Checklist, Copyright © 2019 by the Provincial Adult Tertiary & Specialized Eating Disorders Program 
                 (PATSEDP) at Providence Health Care (PHC), Vancouver, BC, Canada. No portion may be reproduced without written 
                                                                                                            permission.
               We would like to acknowledge all members of the inpatient eating disorders team (past and present) and patients of 4NW 
                                 (past and present) who have provided feedback and contributed to the completion of this workbook.
                                                                                             Edited & layout by Max Foss
                                                       The information in this book has been adapted from a number of sources –  
                                                                                                        our thanks to all.
                                                                                         References available upon request.
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                                                                                                                                                                            This material has been                E T
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                                                                                                                                                                            reviewed and approved by            A          D
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                                                                                                                                                                            patients, families and staff.      AP        VE
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              Contents 
             Introduction  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1       Leisure & Self-Care  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
             Exploring Your Goals  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2                    What Leisure Means to You   . . . . . . . . . . . . . . . . . . . . . .49
                   My Treatment Goals  . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4                    How Leisure Makes You Feel   . . . . . . . . . . . . . . . . . . . .53
                   SMART Goal   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8               Leisure Resource List  . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
                   Could I change?  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10              Self-care   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
             Managing Your Feelings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12                      Sleep   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
                   Functions of Emotions   . . . . . . . . . . . . . . . . . . . . . . . . . . 13              Exploring Spirituality   . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
                   DBT Skills - Emotional Regulation  . . . . . . . . . . . . . . . 15                              Compassion  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
                   DBT Skills – Distress Tolerance   . . . . . . . . . . . . . . . . . 16                           Connection   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
                   What is self-compassion?   . . . . . . . . . . . . . . . . . . . . . . . 17                      Contribution   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
             Planning for Meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20                Creativity   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
                  Preparing for Meals Outside of Hospital   . . . . . . . . . .21                              Building Supports  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
                  List of Safe Foods  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21               Family  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
                  Meal Plan  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22          Friends   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
                  Weekly Menu Planner  . . . . . . . . . . . . . . . . . . . . . . . . . . .23                      Creating Healthy Personal/Emotional Boundaries   .  .74
                  Weekly Menu Planner  . . . . . . . . . . . . . . . . . . . . . . . . . . .24                      Barriers to Boundary Setting   . . . . . . . . . . . . . . . . . . . . .75
                  Create a Grocery List  . . . . . . . . . . . . . . . . . . . . . . . . . . . .25                  Tips for setting Healthy Boundaries   . . . . . . . . . . . . . .76
                  Grocery Store Tips  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25            Planning for Home   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
                  Grocery List  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26           Nutrition and Meal Planning   . . . . . . . . . . . . . . . . . . . .79
                  Nutrition Guide for Portioning  . . . . . . . . . . . . . . . . . . .27                           Leisure Time   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
                  What do Portions Look Like?   . . . . . . . . . . . . . . . . . . . .33                           Activity and Exercise  . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
                  Sushi Guide  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34            Building Supports   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
                  Coffee Shop Beverages  . . . . . . . . . . . . . . . . . . . . . . . . . .35                      Successful Discharge Planning  . . . . . . . . . . . . . . . . . . .83
                  Choosing Recipes  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36            Planning Tools  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
                  Make time for meals and snacks in your day  . . . . . . .38                                       Three Day Planner  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
                  Choose helpful after-meal activities   . . . . . . . . . . . . . .38                              Activity Schedule    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
                  Prune Delight Recipe   . . . . . . . . . . . . . . . . . . . . . . . . . . .39                    Grocery List  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90
                  Food Record  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40            Meal Plan  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
                  Meal Support Checklist   . . . . . . . . . . . . . . . . . . . . . . . . .41                      Food Record  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
             Activity & Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46               Weekly Menu Planner  . . . . . . . . . . . . . . . . . . . . . . . . . . .93
                  Important Definitions  . . . . . . . . . . . . . . . . . . . . . . . . . . .47                    My Emergency Plan  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94
                  Points to Ponder  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47          Other Resources   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96