Montrose Manor Brochure

Montrose Manor, the latest addition to the Montrose family, furthers

the Montrose vision to become a world-leader in the treatment of

addictions, eating disorders and compulsive behaviours, governed by

the highest standards of evidence-based practice.

Montrose Manor is a specialised retreat, with a unique programme

designed to provide exceptional treatment and clinical care for clients

suffering from anorexia, bulimia, compulsive over-eating and other

forms of disordered eating.

South Africas premier extendedcare retreat specialising in

the treatment of eating disorders.

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We believe that every individual has the capacity to live a

fully empowered life, making effective choices for optimal

physical, emotional, cognitive and spiritual health.

With this belief we aim to help our clients to attain freedom

from the painful, self-destructive behaviours associated

with eating disorders.

WE BELIEVE

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Surrounded by acres of garden and located in the exclusive suburb of Bishopscourt, Cape Town, Montrose Manor

boasts the unrivalled combination of a luxurious environment, world-class facilities and an exceptional step-forward

clinical programme.

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With a homely atmosphere and gentle clinical

ethos, treatment at Montrose Manor is

less institutional than the standard primary

in-patient eating disorder facility and it is,

therefore, the ideal setting for extended care.

Our experienced staff encourages healing

through awareness; helping clients to

focus on their relationship with themselves,

with others, and with their environment.

A holistic, mindfulness-based programme

such as this encourages reconnection with

the core self, immeasurably increasing the

clients quality of life, and chance of a full

and lasting recovery.

an introductionto the

montrose manorprogramme

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Eating disorders are thought to be caused, and

perpetuated, by a complex constellation of

issues including genetics, environmental factors,

traumatic events and concurrent psychological

problems; depression, anxiety, obsessive-

compulsive disorder or addiction.

The acts of food restriction, binge eating, purging

and excessive exercise can be viewed as

an attempt to control and cope with internal

sources of conflict and stress.

- To offer treatment at a critical phase of the clients recovery

providing a crucial bridge between primary in patient care and

a return to their homes and lives. As such our principal objective

is to introduce clients to a path of self-sustainable recovery.

- To promote re-integration into healthy community living by

encouraging clients to take increasing responsibility for their

own recovery within a safe and nurturing home-like space thatis conducive to personal growth.

- To utilise a variety of group and individual therapies that attend

to the complicated issues underlying eating disorders; with a strong

focus on exposure therapy, re-entry issues and relapse prevention.

Eating disorders are chronic, relapsing problems

and treatment requires addressing long-standing

maladaptive patterns of behaviour. Having

established a regular eating schedule and dealt

with any critical associated medical concerns in

primary care we assist our clients in utilizing

the plethora of treatment modalities available

at Montrose Manor to explore key personal

issues relating to their illness.

ABOUT eating disorders PROGRAMME OBJECTIVES

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Our highly skilled team of mental health and nursing professionals are

experienced in the presentation of eating disorders as primary or secondary

processes, and are trained to manage dual diagnoses or concurrent/

co-morbid disorders. On admission a psychiatrist will evaluate all clients;

thereafter a comprehensive treatment protocol is established. Each client

is then assigned a counsellor who will manage their programme, seeing

the client a minimum of twice weekly for individual counselling.

- Individual therapy

- Group therapy

- Self-awareness groups

- Body image groups

- Special focus groups exploring a variety of topics including gender, bereavement, trauma, sexuality and spirituality

- Life skills groups focusing on a variety of topics including relationships, communication skills, assertiveness, conflict

and anger management, co-dependency, understanding and coping with criticism, handling stress and anxiety

and self-esteem and self-concept enhancement

- Workshops exploring emotions and boundary setting

- Expression workshops using clay, collage, music and art

- Experiential therapy; psychodrama, role play, outdoor activities

- Equine Assisted Psychotherapy

- An exploration of the 12-Step principles in relation to eating disorders, including workshops on coping with fear,

guilt and shame

- Food and Me nutritional groups

- Individual weekly sessions with the dietician

- Meal planning groups

- Psycho-educational lectures

- Attendance of fellowship meetings/external support groups

PHASE ONETHE TREATMENT

PROGRAMME

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- Weekly restaurant outings

- Groups exploring trauma and family of origin issues

- Self-directed reading and reflection to encourage personal growth

- Relaxation and recreation

- The Wellness Programme

- Planning and preparation of house meals

- Continue to attend weekly fellowship meetings / support groups, have a sponsor and meet with him / her at least

once a week

- Continue to attend a certain number of therapeutic / programme groups

- Take increasing responsibility for the planning and preparation of house meals

The focus at this stage of treatment is on re-entry and relapse prevention. All clients in Phase Three will also have access

to assessments for career guidance and an Imago image consultant who will offer guidance on clothing and

personal presentation.

PHASE TWO

PHASE THREE

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The nutritional programme at Montrose Manor

strives to incorporate the latest medical and

nutritional findings and recommendations.

Depending on the phase of treatment, and

under the guidance of our dietician, clients

will be encouraged to take responsibility for

the planning and preparation of daily meals.

They will eventually be taken on regular

restaurant outings and food shopping trips.

PROGRAMMENUTRITIONAL

THE

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THE WELLNESS PROGRAMME

Towards the end of Phase One each clients current

relationship with exercise is explored, and a goal

is defined as to how s/he would like that relationship

to develop. Montrose Manors wellness facilities

include a swimming pool, walking trails, yoga

and Pilates classes.

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Our family programme consists of individual counselling with a specialist family counsellor, family sessions with

an eating disorders expert and family counsellor, group counselling and interactive psycho-educational lectures.

The family will have the opportunity to explore new ways of communicating feelings and needs, understanding

and setting healthy boundaries, developing and renewing intimacy and overcoming problems that have arisen from

broken lines of communication.

Relapse is common (although not inevitable) so clients and family can discuss vulnerabilities together and develop

a relapse prevention plan to refer to when the client is discharged.

THE FAMILY PROGRAMME

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The multi-disciplinary team consists of the following in-houseand /or consulting professionals:

At Montrose Stables, a short drive

from Montrose Manor, clients have

the opportunity to participate in

Equine Assisted Psychotherapy

sessions.

EAP is an experiential treatment

process, which consists of clear

and concrete tasks that motivate

the client and address a variety

of human development issues.

montrose stables

The EquineAssisted

PsychotherapyProgramme

- Psychiatrist

- Clinical Psychologist

- Dietician

- Occupational Therapist

- Drama Therapist

- Art Therapist

- Psychotherapist

- Counsellor

- 24hr Nursing Personnel

- Wellness Programme Coordinator

- Yoga/ Pilates Instructor

- Equine Assisted Psychotherapist

the clinical team

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Please read more about our staff on the loose inserts at the back of the brochure.

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admission criteria- Clients must be 18 years or older, and may be of either gender.

- We expect clients to have a Body Mass Index (BMI) of 16.5 or higher. In the case of a BMI lower than 16.5 (an extra-

ordinary case may be made) a physicians assessment and evidence of a stabilized eating routine is required before

admission will be considered.

- Clients must have done a form of primary treatment/intervention, and be referred by their counsellor, psychotherapist,

psychiatrist or primary care treatment center; with a formal letter of referral. The client must, additionally, be deemed

medically fit by a medical doctor.

- Blood tests, including Full Blood Count; Electrolytes, Urea and Creatinine; Liver Function Test and TSH must be sent

to Montrose Manor PRIOR TO ADMISSION.

- The client must agree to being transferred to a local primary care facility should s/he begin to purge or restrict, such

that weight loss, or an inability to engage in the programme, occurs.

- A minimum of two months treatment, preferably three, must be agreed to prior to admission.

- For clients in recovery from a concurrent chemical dependence; in the event of a relapse prior to or during admission,

s/he will be referred to a medical facility to detoxify for a minimum of 48hrs.

- All clients will be expected to complete an assessment questionnaire.

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As a therapist or professional it is critical

to understand both the Montrose Manor

admissions process, and the foundation

of our treatment programme.

We believe that your involvement is

essential to the ongoing recovery of your

client and we are committed to regular

communication with you throughout the

treatment process, thereby providing

a smooth transition for your client back to

their primary therapist at the end of their

stay at Montrose Manor.

WE ARE COMMITTEDto Professional Partnerships

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Montrose Manor is a turn-of-the-century

manor house, lying adjacent to the

Kirstenbosch Botanical Gardens, with clear

views of Table Mountain. A combination

of elegant, designer-styled interiors and

antique furnishings befit both the location

and the houses history.

The Residence

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M. +44 (0) 782 574 4182F. +44 (0) 207 323 3136E. jgriffin@montroseplace.co.za

Please telephone or email Jo Griffin for further information and a prompt and confidential response to your enquiry at:

Montrose. 47 Devonshire Street. London, W1G 7AW. United Kingdom

- Advice regarding admission

- Assistance in organising assessments, clinical evaluation and referral prior to admission to Montrose Manor

- Accompanying clients to Montrose Manor

- Aftercare for clients returning to the UK after treatment at Montrose Manor

- Support for relatives, friends and associates of our clients prior to, for the duration of, and after treatment

- Seminars and events for Montrose Manor alumni, new clients and the professional community

Montrose is a member of Leading Health Care International (LHCI)and European Association for the Treatment of Addiction (EATA)