What to Expect During Group Meal Support

Reviewed by Clinical Director, Jillian Walsh, RD, RP

Group meal support can help your loved one complete a meal, particularly if you are concerned they are struggling to eat on their own. Group meal support can provide:

  • accountability for meal completion
  • peer support
  • exposure to adequate and varied food choices
  • distraction and support to manage challenging emotions that may arise during the meal
  • awareness of eating disorder behaviours they may subconsciously engage in 

Recent research demonstrated that folks living with an eating disorder were concerned about the eating disorder worsening due to a lack of social support during the COVID-19 pandemic. Findings identified meal support as one of their greatest treatment needs during this time. This emphasizes the benefits and importance of social support, specifically meal support during eating disorder recovery. 

There is a key distinction between group meal support and meal support therapy. Group meal support helps folks during the meal and after the meal, while meal support therapy helps folks before the meal, during the meal, and after the meal.

Meal Support Therapy

Image of three circles. Text above circles reads, before meal, during the meal and after the meal. In the circle under before the meal, it reads meal planning and meal preparation. In the circle under during the meal, it reads support and encouragement. In the circle under after the meal, image reads activities and distraction.

Group Meal Support

Image of three circles. Text above circles reads, before meal, during the meal and after the meal. In the circle under before the meal, it reads meal planning and meal preparation. This circle has an X over it. In the circle under during the meal, it reads support and encouragement. In the circle under after the meal, image reads activities and distraction. The other two circles are circled.

Group meal support includes:

  • Strategies to help meals go more smoothly
  • Structure and support to reduce pre- and post-meal anxiety
  • Support during and after the meal

Group Meal Support Is Not Force-Feeding

Like meal support therapy, attendees of group meal support are expected to meet the following expectations: 

  • To complete the meal in 30 minutes 
  • To aim for 100% meal completion (if unable to complete the meal within the specified timeframe, attendees can access a “top up” nutrition supplement)
  • To challenge eating disorder behaviours

Join our waitlist for our Drop-In Meal Support and be the first to know when we begin offering it.

References

  1. Couturier, J., & Mahmood, A. (2009). Meal support therapy reduces the use of nasogastric feeding for adolescents hospitalized with anorexia nervosa. Eat Disord, 17(4), 327-332. https://doi.org/10.1080/10640260902991236
  2. Kelty Mental Health Resource Centre. (2018). Eating Disorders Meal Support: Helpful Approaches for Families [Pamphlet]. https://keltyeatingdisorders.ca/wp-content/uploads/2022/06/Meal-Support-at-a-Glance_2022.pdf
  3. Kelty Mental Health Resource Centre. (n.d.). Parents Survive to Thrive Guide: A resource guide for parents of a child with an eating disorder. Written by parents with lived experience. https://keltyeatingdisorders.ca/wp-content/uploads/2016/09/BCMH026_EatingDisorder_FullGuide_v6-Web.pdf
  4. Levinson, C. A., Sala, M., Fewell, L., Brosof, L. C., Fournier, L., & Lenze, E. J. (2018). Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study. Behav Res Ther, 105, 36-42. https://doi.org/10.1016/j.brat.2018.03.008
  5. Termorshuizen, J. D., Watson, H. J., Thornton, L. M., Borg, S., Flatt, R. E., MacDermod, C. M., Harper, L. E., van Furth, E. F., Peat, C. M., & Bulik, C. M. (2020). Early impact of COVID-19 on individuals with self-reported eating disorders: A survey of ~1,000 individuals in the United States and the Netherlands. Int J Eat Disord, 53(11), 1780-1790. https://doi.org/10.1002/eat.23353
  6. Wolfe, S., & Carter, S. (2017). Meal Support: A Novel, Individualized Approach. National Eating Disorder Information Centre.

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