This document provides an overview of the Bulimia Anorexia Nervosa Association (BANA). It discusses the history and funding of BANA since 1983. It also summarizes BANA's clinical treatment continuum, which includes specialized diagnostic assessments, psychoeducation therapy, nutrition education, and aftercare. Additionally, it outlines BANA's health promotion continuum, including workshops on self-esteem, media literacy, and individualized programs. Maps show the processes for clinical services and health promotion services. The document also covers types of eating disorders, signs and symptoms, proposed causes, and two sample workshops on body image and analyzing media messages.

1. BULIMIA ANOREXIA NERVOSA
ASSOCIATION
NEW MEMEBER ORIENTATION
Presented by:
Mia Tannous
Amanda Raffoul

3. HISTORY OF BANA
• Dr Moriarty founded BANA in 1983, as a self
help group for parents of kids with eating
disorders;
• Funded through United Way and private
donations;
• First wave of funding from Ministry of Health
& Long Term Care in 1989 for clinical
treatment for adults;
• Second wave of funding in 1996 for clinical
treatment for adolescents;

4. History of BANA Cont’d
• First wave of prevention funding in 2002 for
three years from Ontario Trillium Foundation
(OTF), to focus on health promotion
• Third wave of funding from MOH&LTC in 2006
to stabilize the programme
• Second wave of prevention funding from
OTF for Body Based Harassment
• First wave of funding from Ministry of Health
Promotion 2010 for Healthy Community Fund
Grant

5. TYPES OF EATING DISORDERS
(BASED ON DSM IV CRITERIA)
Anorexia Nervosa – 2 subtypes:
• Restrictive (ANR),
• Binge/purge (ANBP)
Bulimia Nervosa – 2 subtypes:
•Purge (BNP),
•Non purge (BNNP), subtypes
Eating Disorder Not Otherwise Specified
(EDNOS):
• EDNOS – ANR/ANBP, EDNOS – BNP/BNNP;
• Binge Eating Disorder (BED)

6. SIGNS AND SYMPTOMS OF EATING
DISORDERS
Anorexia Nervosa:
• Loss or failure to maintain at least 15% of
normal body weight;
• Intense body dissatisfaction;
• Weight loss not due to other medical
condition;
• May alternate restrictive eating with binge
purge episodes (ANR or ANBP).

7. Signs Cont’d
Bulimia Nervosa (BN)
• Binge episodes, eating large quantities of
food in a short period of time, at least twice
per week over a three month period;
• Body dissatisfaction;
• Purge episodes (BNP) or other
compensatory behaviours following the
binges (BNNP).

8. Signs Cont’d
Eating Disorder Not Otherwise Specified
(EDNOS)
• Disordered Eating,
• Doesn’t meet the weight criteria for AN,
(EDNOS AN)
• Doesn’t meet the binge/purge frequency
criteria for BN (EDNOS BN)

9. Signs Cont’d
Binge Eating Disorder (BED):
• Recurrent episodes of binge eating at least
twice weekly over a six month period
• Body dissatisfaction
• Feeling powerless to control the binging
• No other compensatory behaviours

10. Causes
SOCIO-CULTURAL:
• Presentation of negative stereotypes of
the feminine ideal in the media
• Pressure to be thin/oppression of fat
• Historical perspective of ED
• Economy of Weight Loss Industry

11. Causes Cont’d
Families don’t cause eating disorders, but:
• Perfectionism in families may discourage
feelings for fear of criticism, and the
tendency to be overly concerned with
what others think may overshadow
individual experiences
• Chaos in families such as addictions, sexual,
physical, emotional abuse contribute to
feelings of lack of control

12. Causes Cont’d
• Being over-protective can interfere with the
adolescent developmental stages of
autonomy and identity and parental role

13. Causes Cont’d
• Individual is perfectionist
• Genetic Predisposition
• Low self esteem
• Lacks awareness of emotions
• Confusion of fullness and satiety

14. BANA’s Clinical
Treatment Continuum
•Specialized Diagnostic Assessment
•Psycho-education
•Cognitive Behavioural Therapy
•Nutrition Education
•After care/support

15. Map of Clinical Service Recipient Process
ENTRY POINT
FROM
COMMUNITY
CHILD/ADOLESCENT Intake
ADULT
Via Informal
Other Service
Track
Via Formal
Clinical Track
Psycho-
Intake Follow-up education
Follow-up @ 3 months
@ 3 months Via Informal Therapy
Other Service @ 6 months 10 week group
@ 6 months @ 12months
@ 12months Track 4 per year
Via Formal 8-10 registered
Clinical Track Specialized
Specialized Diagnostic
.
Diagnostic Assessment
.
Assessment Structured
Structured interview + 8
interview + 8 Psychometric tests Nutrition
Psychometric tests Referral Out Education
Psycho- 10 week group
OCOPED
Referral Out education 4 per year
Local Community
OCOPED Therapy
Local Community 10 week group
Clinical Rounds
4 per year
Clinical Rounds 150 Diagnoses
8-10 registered
20 Diagnoses and and treatment
treatment plans; plans; local referral
local referral intensive
Specialized Cognitive
intensive programme
Protocols Behaviour
programme Weekly check in Therapy
for Anorexia; 20 week group
Pregnancy 2 per year
Hospital Visits Family Therapy
and Support
Hospital Visits Family Therapy
and Support
MAP LEGEND May 31, 2010
15
= Adult Service Recipients = Adolescent/Child Service Recipients = Clinical Rounds & Specialized Diag. Assessment = Cost of Service = Decision Made = Path of Service

16. BANA’s Health
Promotion Continuum
• Specialized Health Promotion Assessment
• Self esteem workshops
• Media savvy workshops
• Individualized program

17. Map of Health Promotion and Education
Service Recipient Process
Health
Fairs
ENTRY POINT
Intake FROM
Self Esteem Agency or COMMUNITY
Presentations Institution
Request
Sizing up Specialized Nutrition
the Media Community Education
Presentations Assessment Presentations
(English/French)
Specially
General
Offered
Information
Programmes
May 31, 2010
MAP LEGEND
17
= Service Recipients = Primary Task/Activity =Specialized Community Request Assessment = Cost of Service = Decision Made = Path of Service

18. BODY IMAGE WORKSHOP
• Every BODY Is A Somebody” by The Body
Image Coalition of Peel:
• Delivered to students in grades 5-8;

19. BODY IMAGE CONT’D
• Workshops include an interactive power
point presentation followed by two
activities;
• What is Self- Esteem?
• Why is Self-Esteem so important?
• How is Self-Esteem Developed?
• Gender Socialization and Stereotypes;
• Societal Influence;
• Building Positive Self-Esteem.

20. Sizing Up The Media:
Decoding the Messages
• Statistics on ED:
• 1 in 5 women will suffer from an eating
disorder;
• 70% of women and 35% of men are
dieting at any given time;
• 98% of all diets fail and not for lack of will-
power

21. Sizing Up The Media:
Decoding the Messages
• Canadian children in grades 3 & 4 say
they’d rather lose a parent, get cancer
or live through a nuclear war than be fat;
• In one study of 500 schoolgirls, 81% of 10
year olds reported they had dieted at
least once;

22. Impact Of The Media
• Average person sees 400-600 ads per
day, that’s 50 million ads by the age of
60 years. 1 out of 11 commercials has
a direct message about beauty
• Thinness not only represents
attractiveness but also symbolizes
success, self-control, and higher SES
• The weight-loss industry grosses $32
billion annually
• Women earn more than men on
average in only two job categories:
modeling & prostitution

23. 23

24. 24

25. PORTION DISTORTION IN OUR SOCIETY

26. 26

27. 27

29. Media Cont’d
Use of
scenes of
violence
against
women as
an
acceptable
practice to
sell
products.

30. Media Cont’d
Composite of
many features
to make one
image.

31. 31

32. Media Cont’d

33. 33

34. THANK YOU!
• Questions/Comments