The community team is based at The STEPs Unit, Southmead
Hospital with community psychiatric nurses covering the outlying
areas of South Gloucestershire, Bath and North East Somerset and
North Somerset. We are a multidisciplinary team with a wide skill
mix including medical, psychological, dietetic, physiotherapy,
occupational therapy, art psychotherapy and nursing input.
The approach we utilise at STEPs is based around the
transtheoretical model of change (Prochaska and DiClemente, 1982).
In this model the client's motivation is key to effective and
lasting change. Therefore any intervention needs to be matched
appropriately to the client with regard to the work they want to
do. As a result we aim to offer a therapeutic intervention for each
motivational stage a client is in. This is either done
individually, via a group or working alongside a secondary team
worker supporting someone in the community.
Team members hold individual caseloads to whom they offer
support and therapy. We liaise closely with the relevant community
teams and are always available to do joint assessments on complex
eating disorder cases, or provide support and education as
The STEPs service is available to help provide a resource of
specialist knowledge in the Trust concerning eating disorders. We
can provide advice and supervision to secondary teams working with
eating disordered clients. We also offer trust wide education
and training courses for workers in the trust and
external attendees as requested.
Referring to STEPs
As a tertiary service we accept referrals from primary care mental
health liaison teams in the Avon area and First Step in Bristol.
Please note we do not accept direct referrals from GPs. Therefore
to access the STEPs service, sufferers will need to visit their GP,
who will refer them to the appropriate primary care liaison team,
who in turn will contact us. Upon receiving an appropriate referral
we conduct an assessment to establish the best role for our service
in line with a client's needs.