Treatment

Assessment at Cotswold House

The first step for everyone using Cotswold House services is to have an assessment with one or two team members. This means finding out about you and the problems you want help with.

At the end of your assessment appointment, we will discuss all the options for treatment with you and decide together on the best way forward.

Our services

We offer the following services for our patients:

Inpatient specialist care

This includes 24-hour nursing care and intensive therapy. You will have both group and individual programs.

Day programme

This is less intensive support. You can stay at home and take care of some weekday evening and weekend meals. In other ways, you get the same treatment as inpatients.

If you are coming to Cotswold House, you may find it helpful to look at our Patient Information Guide.

High-quality care

With a specialised team and excellent staff-to-patient ratios, we offer high-quality individualised care.

Medical stabilisation

This is usually needed when you are admitted. We will do a full physical check-up, including ECG and blood tests, as often as needed. Patients will be offered a DEXA scan if they haven’t had one in the last two years.

Refeeding

This is managed by the dietician, medical, and nursing staff.

Supported eating

This happens six times a day (three meals and three snacks). The content depends on meal plans. We can offer a vegetarian diet but not a vegan diet.

Special diets for medical or religious reasons can be provided. See our allergies and food intolerances guide for more information.

Therapy

Group and individual therapy are available to all inpatients and day patients.

Occupational therapy

This is provided after an individual assessment, with weekly reviews.

Nasogastric feeding

Our staff are trained in nasogastric feeding to minimise the need for treatment in a general hospital. This is used in only a small number of patients (about 6%) and usually for a short time, with the aim of returning to oral nutrition as soon as possible.

Containing environment

We provide 1:1 support as needed.

Mental Health Act

We offer treatment for patients detained under the Mental Health Act.

Family support

We provide family therapy, couple therapy, and support for family and friends, including a regular weekend group.

CBT and DBT

We use a CBT-based model but also offer DBT with trained therapists. This is helpful for patients with co-morbid personality disorder, and DBT skills are useful for many others.

Dietician input

We provide tailored meal plans to promote healthy weight restoration and nutritional knowledge.

Liaison with local teams

We regularly liaise with local teams and commissioners. We offer telephone or video conferencing to help with CPA reviews.

Day treatment

Day treatment can be tailored to the individual patient. This can include part-time work or study, with intensive support for eating and therapy.

Day treatment can vary from one intensive day a week to 5-7 days, including three main meals and snacks. The day programme with overnight stays can be offered in certain cases for patients who live far away.

Outpatient and community support

For patients living in Wiltshire, we also offer outpatient and community support. Please visit the Wiltshire Community Eating Disorders Service page for more information.