PARALLEL SESSION 9: It Takes a Community: Developing Partnerships for Treatment Access for Marginalized Populations - Marcella Raimondo, Norman Kim, and Tiffany Rush-Wilson
In an increasingly diverse world, we must consider how to serve people from diverse communities in equitable ways and overcome barriers to treatment that exist for those in marginalized groups. According to a 2014 Policy Brief using data from SAMHSA and OMH, Minorities 1) have less access to mental health services, 2) are less likely to receive needed mental health services, 3) often receive a poorer quality of mental health care, and 4) are underrepresented in mental health research. Eating disorder professionals agree that all people—regardless of their backgrounds—deserve eating disorder treatment that meets their unique needs and that our current treatment systems are not working as well as they should for people of all intersecting backgrounds. We will discuss how researchers and clinicians can collaborate to embark on addressing treatment barriers to better meet the needs of marginalized populations with eating disorders. We will dialogue with participants to identify improvement areas and strategies for their practices and examine areas of need for researchers using Jackson’s “Five A’s” Matrix: Awareness, Accessibility, Affordability, Appropriateness, and Acceptability of services.
Learning Objectives of the Presentation include:
1. Identify opportunities to partner with community organizations and establishments to help marginalized people access eating disorder treatment.
2. Navigate the logistics, barriers, and politics of healthcare systems for initial approaches to create treatment opportunities for marginalized populations suffering from eating disorders
3. Identify ways to attract more clinicians of diverse backgrounds to enter and engage in the field of eating disorders
Knowledge Level: Advanced
Marcella Raimondo, PhD, MPH is a passionate and spirited clinical trainer speaking from her heart on social justice issues in eating disorders since 1995. Marcella is a licensed Psychologist for Kaiser Permanente's adult eating disorder clinic in Oakland and part of a regional leadership team. She runs her own practice in Oakland. She is also on the Board for Eating Disorders Recovery and Support (EDRS) as President, advisory board for Association for Size Diversity and Health (ASDAH), Nalgona Positivity Pride (NPP), Board of Founders for About-Face and conference committee for Binge Eating Disorder Association (BEDA). Marcella herself recovered from anorexia nervosa over 20 years ago. Her recovery and her martial arts training inspires her dedication to multicultural body nurturance and community celebration. www.marcellaedtraining.com
Norman Kim completed his BA at Yale University where he studied music and psychology and was the recipient of a Mellon Fellowship for Research. He completed his PhD in Psychology at UCLA, where he was the recipient of an individual National Research Service Award from the National Institutes of Health. His research and clinical interests include the neurobiology and social development of people with autism and Asperger’s syndrome, the developmental course of childhood bipolar disorder, and the treatment of anxiety disorders. In conjunction with these interests, Norman has developed an expertise in treating and teaching about psychiatrically complex populations, multi-modal treatment, and diagnostic assessment with a particular focus on Eating Disorders, Trauma, and Bipolar Disorder. He is a regular national speaker, educator, and passionate advocate for eating disorder awareness and legislation with a particular focus on marginalized communities. He is on the Board of Directors for the Eating Disorders Coalition, the co-chair of the Transcultural SIG for the Academy of Eating Disorders, and on the Advisory Boards of Recovery Warriors, Spectrum CBT and Tikvah V’Chizuk, Norman is the co-founder of the Reasons Eating Disorder Center and is the National Director for Program Development for Reasons and Center for Change.
Tiffany Rush-Wilson is a licensed counselor and licensed psychologist in Ohio who has been in practice for 20 years. She is a Board Certified Telemental Health counselor (BC-TMH), Certified Eating Disorder Specialist (CEDS) and Certified Canadian Counsellor (CCC), Dr. Rush-Wilson is a member of the American Counseling Association, Canadian Counselling Association and is SIG co-chair of Transcultural SIG of the Academy for Eating Disorders. She also volunteers at Eating Disorders of York Region (Toronto). She has worked in graduate education for 15 years, is the Associate Department Chair in Clinical Mental Health Counseling at the Chicago School of Professional Psychology (online campus), maintains an in-person and telebehavioral/video clinical practice in Ohio and is the current Team Clinician for the Cleveland Browns. Dr. Rush-Wilson has authored, or co-authored numerous publications and has presented at local, state, national and international conferences. She lives in both Toronto, ON and near Cleveland, OH.
PARALLEL SESSION 10: Providing Culturally and Clinically Competent Care for LGBT2SQGnC Persons - Devan Nambiar
Lesbian, gay, bisexual, transgender, Two-Spirit, queer, and gender non-conforming communities (LGBT2SQGnC) are affected by higher rates of health concerns such as depression, anxiety, substance use issues, suicidal ideation, and eating disorders (NEDA, 2012). Studies have shown that eating disorders are attributable to a myriad of factors that include coming-out, fear of rejection, internalized homo/bi/transphobia, and experiences of violence. Due to these lived experiences and internalized sense of shame, self-loathing, lack of self-esteem, LGBTQ2SQGnC persons have a greater need for clinically and culturally competent services. The experience of acute and chronic low-level stress contributes to high stress related illness. Fledman & Meyer (2010) reported, eating disorders surface later in LGBT2SQGnC. This session will address the competencies required for providing client-centered care to LGBT2SQGnC persons.
1. Explore social and historical context of oppression and discrimination of sexual and gender minorities and impact on eating disorders
2. Understand differences between sexual behaviours, sexual orientations, gender identities, and gender expression
3. Increase confidence to provide cultural and clinical inclusive healthcare to LGBT2SQGnC patients
4. Understand how to remove barriers to creating safer spaces for LGBT2SQGnC patients
Knowledge Level: All levels
Devan Nambiar, MSc has been providing LGBTI2SQ and HIV training, education and lectures for over 20 years. Devan is guest lecturer on 2SLGBTQ2S+ cultural and clinical competencies for MDs, NPs, RNs, RSW and psychologists. He was a Co-Investigators of the national Trans*Needs Assessment Project, CAS (2015) and Co-principal Investigator of Improving the Capacity of the HIV Sector to respond to the Ethno-Racial MSM.OHTN (2008). At CATIE, Devan co-authored four national publications. In 1998-2002, Devan initiated an antiretroviral recycling program at Gov. Hospital of Thoracic Medicine, Chennai, India. In 2006, he was the recipient of the Canadian AIDS Society Leadership Award. In his professional capacity, he provides input on community based research and has served on numerous boards and ethics review committees.
PARALLEL SESSION 11: The "When" and "How" to Transition to Intuitive Eating in Eating Disorder Recovery - Shawna Melbourn, Dina Skaff, and Josee Sovinsky
Intuitive Eating is a well-researched, well-documented set of principles that promote on one’s internal cues to nourish one’s body. It is a model of care founded on the belief and evidence that people are born with the innate ability to feed themselves and is a self-driven, non-diet approach to eating and well-being. For people struggling with eating disorders, however, the capacity to connect with and use this inborn ability is hindered and often completely obstructed.
In this workshop we will:
1. Introduce or review the concepts of Intuitive Eating.
2. Discuss the intersection of eating disorders and Intuitive Eating.
3. Explore physiological hunger and satiety cues, rather than situational and emotional cues, and how eating disorders distort eating behaviours.
4. Review how malnourishment affects behaviours and thoughts, and therefore, underlines your client’s readiness to integrate interoceptive awareness and Intuitive Eating concepts.
5. Through case discussions and experientials, offer participants the necessary, practical knowledge and skills to best support clients moving from a place of disordered eating to a place that may include Intuitive Eating.
Shawna Melbourn, RD, CEDRD, Certified Intuitive Eating Counselor has dedicated her 15-year career to helping individuals find recovery from eating disorders/disordered eating. She is deeply rooted in a non-diet, Health At Every Size® approach, and applies these strategies to eating disorder care. Shawna supports clients of all ages and backgrounds to find connected eating and well-being, alongside a team of psychologists and dietitian at Anchor Psychological Services in Ottawa, Canada. In addition to outpatient care, Shawna is committed to teaching dietitians practical tools to support clients affected by eating disorders/disordered eating. She has taught hundreds of dietitians and RDs-to-be through workshops, peer supervision, University classes, webinars and online courses - specifically in her online course, ED for RDs: Eating Disorder EDucation for Registered Dietitians.
Josée Sovinsky (she/her) is a Registered Dietitian and Nutrition Therapist based in Toronto, Canada who specializes in eating disorders, Intuitive Eating and community nutrition. She holds an Honours Bachelor in Nutrition Sciences from the University of Ottawa, and is currently completing a Master of Arts in Counselling Psychology. She has experience working in community health, health promotion and clinical nutrition with a variety of populations including seniors, people with disabilities, newcomers, children and youth. Her practice is rooted in the non-diet, weight inclusive, feminist, and Health At Every Size® approaches. She believes dietitians can play an integral role in providing compassionate and individualized support to people with eating disorders.
Dina Skaff is a Registered Dietitian who has dedicated the majority of her career to working with people suffering from eating disorders, disordered eating, and those who struggle with their relationship with food. She is dedicated to using a non-diet, non-weight-centered approach, rooted in Intuitive Eating, in order to help clients build a positive relationship to food and their bodies. She currently runs her private practice through Anchor Psychological Services in Ottawa, Canada. Dina is featured as a Subject-Matter Expert in the online ED for RDs: Beyond Fundamentals course, where she has helped educate Registered Dietitians in eating disorder care. She is a member of the International Federation for Eating Disorders Dietitians, and is working towards becoming a Certified Intuitive Eating Counsellor.
PARALLEL SESSION 12: Who Controls the Message? Promoting Critical Media Literacy - Lorayne Robertson and Joli Scheidler-Benns
Universal body image programs reach the broadest audiences and sometimes schools, through the Health and Physical Education curricula, can promote factors that protect against the development of body image problems and be sites for prevention work.
The workshop has two segments. In the first, participants will identify what they would like to see in an ideal health and physical education program for children and adolescents. Lorayne and Joli will share some of their findings from an analysis of curriculum policies in Ontario and across Canada. Participants in this segment of the workshop will gain an appreciation for how politics shapes the curriculum offered in schools. In the second segment, participants will contribute their ideas for key messages for children and adolescents around bodies, food, physical activity, and critical media literacy. Lorayne and Joli will share their research findings about key words and messages that may or may not be in the curriculum and connect them to the need for critical media health literacy. Participants will gain a set of criteria with which to judge key messages surrounding health, physical activity, food, and media in any curriculum.
Dr. Lorayne Robertson is an Associate Professor in the Faculty of Education at UOIT. Her current research interests include body image, literacies, and equity and policy studies. Lorayne has previous professional experience as a teacher, principal and district superintendent, working in national and international contexts to provide curriculum, assessment, and technology support. Her current research focuses on knowledge mobilization to encourage critical body literacy approaches in pan-Canadian curriculum policies (www.teachbodyimage.org).
Joli Scheidler-Benns, BA, BEd, MA is a PhD Candidate in Health Policy and Equity at York University. Her research includes the examination of Canadian Curriculum documents through a critical lens of health media. Her recent focus has been to create a framework for examining media in which media can be deconstructed. Part of her past research was to attend and report on an adolescent prevention program based on body positive messaging. At the end of the program the adolescent girls created digital artifacts to combat media messaging to be posted on the website, Teachbodyimage.com. Joli is passionate about resilient outcomes for all Canadians and believes that changing policy and thus health curriculum could be a means to ensure better health outcomes, including mental health concerns. Joli also teaches for the Faculty of Education at UOIT including courses such as Equity and Diversity and Designing Inclusive Learning Environments. Her aim in teaching is to expose her students to a variety of social justice issues, including issues around body image.
PARALLEL SESSION 13: Promoting Body Trust® in Your Work - Hilary Kinavey and Dana Sturtevant
Weight bias impacts people of all shapes and sizes and helping professionals are not immune. Weight bias is commonplace in medical settings and permeates eating disorder treatment communities (Puhl, 2013). Weight stigma is a social justice concern which intersects with racism, ableism, ageism, homophobia, transphobia, classism and more. For the well-being of our populations, it is necessary for providers of all types to prioritize moving from the current weight-based or “normative” approach to a trauma-informed weight inclusive approach to bodies and health (Tylka, 2014).
Healing body dissatisfaction and embracing body acceptance is a complex and ongoing process, especially in a world where weight stigma is normative. The Body Trust® approach is a strengths-based, trauma-informed, scientifically grounded model of care informed by shame resilience theory, social justice movements and self-compassion while working from the principles of Health at Every Size® and Intuitive Eating. A Body Trust approach can help reduce body shame, improve relationship with food, and invite more satisfaction and joy to support increased resiliency in a world filled with weight bias. Body Trust is a pathway to acceptance of the body, an alternative dialogue to the conventional paradigm of food, body image and weight concerns in our culture.
This workshop is designed to help clinicians across a variety of practice settings deliver care that promotes inclusivity and helps to heal body shame. We will invite attendees to bring a critical lens to the way people are treated based on body size, including examining the practices and clinical decision making that may have roots in implicit and explicit weight bias. We will present data on weight bias in healthcare, including the eating disorder treatment community, and explore how this bias may influence our work, treatment and communication strategies. We will share the elements and phases of a Body Trust approach including offering examples and strategies for meeting people in their lived experience and honoring the inherent wisdom of their body stories and coping strategies. Together we will name ways each of us can influence and provide equitable, non-stigmatizing care for others.
Hilary Kinavey is a professional counselor, facilitator, educator, speaker, writer, and activist. With Dana Sturtevant, MS, RD, she co-founded Be Nourished, LLC and the Body Trust approach which encourages movement toward a liberation-based model of care to address internalized body shame and associated patterns of chronic dieting and disordered eating. Her counseling framework is collaborative and informed by a relational, systemic and social justice lens. Hilary has additional training in workshop facilitation, mind-body coaching, and is a certified Daring Way facilitator. She is a sought after speaker on topics such as weight-inclusive approaches, weight bias, Body Trust and the intersections of activism and therapy. She offers individual counselling and coaching, consultation, and trainings for organizations and professional groups. Find her at www.benourished.org
Dana Sturtevant, MS, RD, is a nutrition therapist, facilitator, educator, speaker, writer, and activist specializing in chronic dieting, disordered eating, and body acceptance. A Certified Kripalu yoga teacher, Dana draws from her yoga teaching experience to
incorporate mindfulness and self-acceptance practices into her conversations about food, body shame, health, and healing. After becoming a member of the Motivational Interviewing Network of Trainers in 2002, Dana has traveled around the country training thousands of helping professionals in the art and science of behaviour change counselling. Dana advocates for compassionate, weight-neutral self-care and offers virtual and in-person sessions, as well as supervision, training, and consultation for helping professionals. For more information, visit benourished.org.
PARALLEL SESSION 14: Body Image in Female Youth Sports: Identifying Strategies to Quell Weight Commentary and Body Talk - Catherine Sabiston and Eva Pila
Concerns related to appearance, body shape, size, and weight disproportionally affect adolescent females and may impact their sport experiences. Specifically, female adolescents are less likely to participate in sport, are more likely to drop out of sport, and report enjoying sport less compared to boys. In our mixed-methods research, the sport environment appears to perpetuate both positive and negative body-related emotions such as shame, guilt, envy, embarrassment, and pride that relate to poor sport experiences and drop out. In our longitudinal study of 518 adolescent females, the negative emotions significantly increased and the positive emotions significantly decreased over three years. In an attempt to understand these changing emotions, we interviewed 12 female adolescents who had dropped out of sport and a main theme was the high prevalence of weight commentary and body talk in female sport. From these results, we conducted 87 interviews among female athletes, parents, coaches, and referees on the context of weight commentary and body talk among female youth athletes. We have also interviewed key female sport stakeholders to identify the priorities of body image in sport. Taken together, this program of research has helped understand the association between sport and body image, and has identified strategies to foster positive body image among adolescent girls involved in sport. These ideas for action will be presented during the workshop to engage discussion on further resources required to help improve body image among young female athletes. In this way, the objectives of this symposium include: informing the audience on the challenges of body image in youth sport, presenting and discussing strategies to mitigate weight commentary and body talk, and developing next steps for resources, programs, and policy targets.
Knowledge level: All levels
Dr. Catherine Sabiston is a Professor in the Faculty of Kinesiology and Physical Education at the University of Toronto and holds a Tier II Canada Research Chair in Physical Activity and Mental Health. She has 192 peer-reviewed publications, over 400 presentations, and has held over 19 million dollars in funding for her research broadly focused on physical activity and mental health, with a predominant focus on body image and self-conscious emotions in healthy and clinical populations across the lifespan.
Dr. Eva Pila is an Assistant Professor at Western University in the School of Kinesiology. She has a longstanding interest in body image and women’s health that started in her undergraduate career. She recently finished a PhD at the University of Toronto, which focused on understand the influence of body- and weight-related self-conscious emotions on health outcomes and behaviours such as diet, exercise, and sport participation. Her most recent work is focused on developing and implementing compassion-focused intervention strategies among individuals at risk of body- and weight-related concerns. Eva has experience doing clinical research in the treatment of adolescent eating disorders and has been involved with various community projects to promote healthy balanced living and positive body image, including eating disorder prevention programs, and self-esteem interventions with a variety of populations.
Parallel Session 15: Supporting Eating Disorder Recovery in the Technological Age - Michelle Pitman, Andrea Miller, Lori Short-Zamudio, and Julie Sweeney
Eating disorder treatment centres across Canada are lacking funding, strategy, and resources to fully and quickly service the ever-increasing population of eating disorder patients across the spectrum. Accessing a treatment facility in a timely manner can be a frustrating and lengthy ordeal, as well as dangerous to one's physical health. Furthermore, there are barriers to accessing support and resources specific to individual needs.
In this panel discussion, the team from Under the Lilac Tree will provide a comprehensive account of how they use the virtual environment to provide a surrogate option for the eating disorder healing and recovery process. Goals of the presentation are as follows:
1. To unpack the challenges that exist today in standardized treatment
2. To provide a review of online resources that offer promise for eating disorder interventions
3. To encourage participants to consider how they might implement online tools as an innovative, empowering adjunct to treatment
Knowledge level: All levels
Michelle Pitman is the program director for Under the Lilac Tree, a virtual program of recovery support for those struggling with eating disorders and body image disturbances. Using her certifications in personal training, vinyasa yoga, restorative yoga, and Yoga Tune Up®, Michelle coaches the idea of using movement and other embodiment practices as tools of self-discovery, connection and healing.
Andrea Miller graduated with honours from Ryerson University's undergraduate program in human nutrition. She completed her dietetic internship at St. Michael's Hospital in Toronto and her Master’s degree in Health Sciences at the University of Ontario Institute of Technology, in Oshawa. Andrea has worked in a wide range of practice settings, including Family Health Teams, Long Term Care, Teaching and Community hospitals. Andrea has been on the Board of Directors of Dietitians of Canada, she has been a National Media spokesperson for Dietitians of Canada and she is Co-chair of two provincial Nutrition Networks, for the profession. She is a sessional instructor at the University of Ontario Institute of Technology. Andrea owns and operates a private nutrition consulting practice in Whitby where she works with clients to develop a healthy relationship with food and their bodies.
Lori Short-Zamudio is a Registered Dietitian with over 10 years experience working with clients with eating disorders, Type 1 diabetes and various GI issues. Over this time Lori has shaped her work to have a Health at Every Size focus and works to assist clients in restoring their relationship with food and exercise. Lori also works with individuals to become more body positive in their daily lives. Lori teaches at the College level at a large school in the Toronto area and lives with her family in the town she grew up in.
Julie Sweeney is a client-centered, solution-focused counsellor who specializes in supporting people in finding freedom for themselves. Registered with the OCSWSSW as a social service worker and the ACCT as an Master Therapeutic Counsellor, Julie offers openness, honesty, and a willingness to be part of your journey in a way best suited to your needs. Through a HAES-based lens aimed at helping clients feel less alone in their struggles with body image, Julie offers the opportunity to develop new skills and ways of thinking. Outside of her specialty with body image and self-esteem, she also works with clients experiencing anxiety, focusing on self-care and changing negative coping habits. Julie works with clients one-on-one, in workshops, and in groups – both in person and online.
PARALLEL SESSION 16: Solution-Focused Approaches To Answering The Weight-Loss Question: A Guide For Professionals - Annina Schmid
Whether you work in health or mental health care, offer free time activities such as Yoga classes, or are simply meeting with a friend, you are bound to come across a variation of the statement: “I want to lose weight.” This workshop will discuss solution-focused approaches to engaging in conversations around weight loss without doing harm. It will provide a basic framework that will aid the practitioner in approaching this sensitive topic in a helpful way, as well as conversational strategies that can help the practitioner identify aspects of the client’s preferred future aside from weight loss or body image concerns.
Workshop participants will learn:
1. Solution-focused conversational strategies that will assist them in their everyday work environments and help them broach difficult subjects with clients, patients, colleagues and caregivers.
2. A basic understanding of how three current key approaches - Health At Every Size, Intuitive Eating, and Feminism - will help us guide the client away from harmful thoughts of weight loss and towards seeing a future for themselves in which they are able to allocate their cognitive and timely resources to areas of their lives that will make them feel better about themselves instead.
Knowledge Level: All levels
Annina Schmid (M.A.) is a feminist counsellor who specializes in helping people recover from disordered eating, binge drinking and cannabis use. She works from a solution-focused, harm reduction framework. Most recently, Annina was awarded the Online Addiction Medicine Diploma by the British Columbia Centre On Substance Use. Previously, she has completed the Addictions Careworker Diploma at McMaster University and has trained as Restorative Yoga teacher (Octopus Garden Yoga) and Preventive Care Practitioner (SGD Darmstadt). Annina sees clients in person in her office in Toronto, Canada, as well as online worldwide through video counselling.
PARALLEL SESSION 17: Innovative Initiatives: Positive Prevention through Partnership - Sara Santarossa and Luciana Rosu-Sieza
This interactive workshop will showcase a unique partnership between a community organization, the Bulimia Anorexia Nervosa Association (BANA), and a PhD Candidate collaborating to create unique and innovative knowledge exchange opportunities around the topics of body image, self-esteem, and eating behaviours/disorders. It will provide an overview of current collaborative research projects, as well as the role this partnership has played in implementing new and/or improving existing programs within BANA. Participants will be engaged with participatory learning opportunities, experiencing these unique and innovative knowledge exchange opportunities first hand. It will provide an opportunity for self-reflection and feedback on how these exemplars, activities, and strategies could be applied to own practice.
Sara Santarossa is a fourth year PhD candidate in the Department of Kinesiology, at the University of Windsor. Sara is generally interested in the area of health and wellness. Specifically, her research examines the relationship between social media and technology with psychosocial variables like gender roles, body image, self-esteem, eating behaviours, eating disorders, and physical activity. Sara has received research funding at both the provincial and national level, and was most recently awarded a Joseph-Armand Bombardier CGS Doctoral scholarship from the Social Sciences and Humanities Research Council (SSHRC). Her dissertation work is exploring mother/daughter dyads on social media. Sara has published and presented her research locally, nationally, and internationally. Sara hopes to continue her career in academia and to create interventions that promote positive behaviour change.
Luciana Rosu-Sieza is the Executive Director at the Bulimia Anorexia Nervosa Association (BANA) for 14 years. For 8 years she held the position of Health Promotion Manager prior to being appointed as the Executive Director. She is an alumni of Leadership Windsor Essex class of 2008. She is involved in many aspects of prevention, education and advocacy for those who are directly and indirectly affected by Eating Disorders. She has delivered hundreds of workshops on topics of self-esteem, body image, media literacy, nutrition. She has had the privilege of wearing many hats in her career from volunteer management, fundraising, community engagement, leadership, advocacy and more. Her proudest accomplishment in life is being the mom of Gabriela, Antonio and wife to Tony.
PARALLEL SESSION 18: Relearning Communication: Emotion Focused Approach - Sue Huff **Video Session
As parent, I spent the first two years of my daughter's illness desperately trying to understand, control, prevent, manage, anticipate, fix and save my child from the grips of an eating disorder. I spent countless hours learning everything I could about Anorexia Nervosa, but it wasn't until I learned Emotion Focused Family Therapy (EFFT) skills, that I actually learned how to help. It wasn't until I learned to listen and sit with the pain, that I could offer any comfort.
**This session will be delivered remotely. Karin Jasper, PhD and Sarah Farrell will be in the room to answer questions and offer their insights to attendees.
Sue Huff is the mother of a child in recovery from anorexia and the author of "Book of Hope, Stories of love, courage and recovery from families who have battled eating disorders". She is the former Executive Director and founding board member for the Eating Disorder Support Network of Alberta (EDSNA.ca). Under Sue's direction, EDSNA has developed into a impressive provincial network in four short years and has become a leader in Eating Disorder awareness in Alberta.