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        CMHA Middlesex

Adult Eating Disorders Service

The Adult Eating Disorders Service (AEDS) is a community based program provided by London Health Sciences Centre and Canadian Mental Health Association (CMHA) Middlesex. This service has been developed to meet the needs of adults who require treatment for anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified. We offer a wide range of programming which reflects the diversity of our clients’ needs.

Contact Information
111 Waterloo Street, Suite 309 A
London, ON, N6B 2M4
T: 519 685 8500 ext 74793
F: 519 433 4412

Hours of Operation
Regular business hours are 8:30am to 4:30pm
Note: Some groups and services are offered outside business hours

Frequently Asked Questions


How do I contact the AEDS?

If you have any questions that are not addressed on this website, please phone the AEDS secretary using the contact information below:

Tara Cummings
Secretary supporting the Adult Eating Disorders Service
T: 519 685 8500 ext 74793
F: 519 433 4412

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Who is eligible for services?

Individuals 18-years-old or over who live in Ontario, and:

  • have a valid Ontario Health Insurance Plan (OHIP) card
  • are being followed by a physician
  • have a diagnosed eating disorder (e.g. anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified)
  • are prepared to work in a group therapy format
  • are motivated to engage in treatment, as this is a voluntary service
  • if appropriate, are willing to work towards a healthy stabilization weight
  • if appropriate, are prepared to address addictions or substance use and abstain if choosing to participate in the day treatment service

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Exclusion criteria:

  • if your goal is weight loss, rather than weight gain or maintenance
  • Acute suicidality
  • Active psychosis
  • Active substance dependency
  • Previous stomach-reduction surgery
  • binge-eating disorder is not currently being treated
  • any groups that involve supported meals (readiness group, maintenance group, and day treatment service) cannot support veganism

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How can I be referred to the AEDS?

The AEDS requires a physician referral. Physicians complete the AEDS referral sheet found here or by contacting Tara Cummings at 519 685 8500 ext. 74793.

After the referral is received, you will be contacted with a date and time to meet with a nurse practitioner and psychiatrist for an initial assessment. A medical assessment may be recommended. Following the assessment, treatment recommendations will be made and reviewed with you.

A consultation note will be forwarded to the referring physician unless otherwise requested.

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What services are provided?

Assessment and Consultation: After a referral has been received by your physician, an assessment and consultation is then provided by members of our clinical team to help determine an appropriate care plan.

Psychoeducation Group: This group takes place once weekly for four weeks. It is tailored to provide support and education to you and those who will play an important role in your recovery, including family members and friends. Information is presented about the nature and consequences of eating disorders as well as the process of normalized eating and recovery. These groups are primarily educational, but you are able to ask questions as they arise.

Motivational Enhancement Therapy Group: This group takes place once weekly for eight weeks. It provides an opportunity to gain a better understanding of your eating disorder, identify tensions, explore ambivalence regarding treatment and to make informed choices regarding the next steps towards recovery.

Readiness Group: This group is designed for those who plan to attend our day treatment service. It is held once weekly and includes a supported meal and other related activities to promote recovery. Anticipated involvement in readiness group will be individualized and range from a minimum of 4 weeks to a maximum of 12 weeks.

Coping Skills Group: This six session skill building group is designed to provide information and guidance in the use of various coping skills to manage emotions, thoughts, and behaviours. Individuals may attend this group in combination with the Readiness Group with a view to prepare for attendance in the Day Treatment Service.

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What services are you planning to provide in the future?

*Group descriptions are subject to change

Day Treatment Service (DTS): The DTS involves intensive group based treatment for those who suffer from serious eating disorders. Those attending the DTS will work with a multidisciplinary team and participate in a wide range of group programming. The aim of treatment is to normalize eating and activity levels, facilitate weight restoration as needed, and increase participants’ quality of life.

Maintenance Group: Individuals who complete intensive treatment in London or elsewhere will be offered continued follow up within a group setting to support long-term recovery and minimize potential for relapse. To be eligible for this service, you must have completed, or “graduated” from, a day treatment or hospital based eating disorders program. The expectation is that you to maintain a minimum stabilization body mass index (BMI) of 20. This group consists of a supported meal, goal setting, and review of therapy homework.

Residential Treatment: This service will allow individuals to participate in treatment for their eating disorder while living in a staffed, supportive environment.

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Who is on the treatment team?

The AEDS is staffed by a multidisciplinary team, including:

  • Psychiatrist
  • Social workers
  • Psychologist
  • Nurse practitioners
  • Registered nurses
  • Clinical dietitian
  • Mental health workers
  • Administrative staff
  • Students and physicians in training who work with us under supervision

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Where is the service located?

Map111 Waterloo Street, Suite 309 A
London, ON, N6B 2M5

Parking is available on site for a fee and metered street parking is also available.

The 1 Kipps Lane/Thompson Road bus route stops on the corner of Hill St and Waterloo St. The 13 Wellington Rd bus route stops near South St and Wellington Rd. See the London Transit Commission’s website for more information on routes at www.ltconline.ca

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Is there individual therapy in the AEDS?

All of the services provided by the AEDS are offered in group format only. We believe that collaboration is valuable and there is an opportunity to create a personal recovery plan which addresses your unique needs and preferences. Group format can help to increase coping and wellbeing while allowing you to practice interpersonal effectiveness and gain confidence and self-esteem.

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Are there services available for family and friends?

Family and friends of individuals who are receiving treatment at the AEDS are welcome to attend our psychoeducation group at any time (see “What services are provided?”). For those enrolled in our day treatment service, family therapy can be arranged.

Hope’s Garden Resource and Support Centre, in London, Ontario, provides a family and friends support group for the loved ones of individuals living with eating disorders. Visit their website at www.hopesgarden.org to view their schedule online.

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Does the AEDS have residential treatment?

In partnership with CMHA Middlesex and funding support provided by the Eating Disorders Foundation of Canada and the London Health Sciences Foundation, the AEDS is working towards creating a residential treatment facility. However, this service is not available at this time. We will post updates regarding the development of this service as they are available.

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Do I have to pay for services?

The cost for the AEDS is covered by the Ontario Health Insurance Plan (OHIP). There are some costs associated with participating in community outings while attending the day treatment service.

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Is participation voluntary?

Yes, clients who participate in our services have chosen to work towards recovery from their eating disorder. This is not to say that individuals who enter our service are free of conflicting feelings regarding their motivation to change; however, they have made the choice to take a step towards recovery.

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External Links

Hope’s Garden Eating Disorder Support and Resource Center
Eating Disorders Foundation of Canada
National Eating Disorder Information Centre
Canadian Mental Health Association (CMHA) Middlesex
Canadian Mental Health Association
Center for Addiction and Mental Health
Addiction Services of Thames Valley

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Last Updated October 10, 2014 | © 2007, LHSC, London Ontario Canada