It’s Complicated: Ethical Issues, Maintaining Factors and Barriers to Treating Eating Disorders is Module Three of the 4-course Eating Disorder Training Certificate Program (EDTC). For more information on the EDTC and discounted enrollment in the full program, please visit this page.
Eating disorders have a profound impact on an individual’s overall health and psychosocial functioning. In severe cases, eating disorder symptoms can result in the need for intensive treatment or other necessary medical interventions such as tube feeding or involuntary hospitalization for either medical or psychiatric reasons. The reality of providing treatment to individuals with severe eating disorders is that clinicians should expect to be faced with ongoing ethical and legal questions regarding how to best safely provide care, while also honoring our client’s autonomy and above all, doing no harm.
This course examines the many maintaining factors that can negatively impact treatment progress and recovery and increase client and clinician risk. Participants will learn strategies for evaluating and applying ethical decision-making models to complex circumstances that can arise, including questions when client choice and autonomy directly conflict with best practice and treatment guidelines. The field is beginning to recognize but is struggling to reckon with, the primary struggle of profound barriers to accessing care for marginalized individuals. These barriers exist along a continuum from lack of prevention efforts and adequate identification of warning signs to lack of ED-specialized training for healthcare providers. From the impact of implicit bias in assessment procedures that result in a missed or incorrect diagnosis, to the myriad of financial barriers created by the U.S. healthcare system this workshop will explore how to overcome those barriers to expand access to quality, specialized eating disorder care.
This is a non-interactive, self-study course that offers over 6 hours of recorded video instruction.
From the time of registration, you have six months to access the coursework.
Upon completion of this training, professionals will be able to do the following:
Identify the maintaining factors that inhibit treatment and recovery from eating disorders.
Discuss at least two sociocultural influences that impact the development and maintenance of eating disorders.
Apply an ethical decision-making model to the treatment of complex eating disorders.
Melanie Smith, PhD, LMHC, CEDS-S
Melanie Smith, PhD, LMHC, CEDS-S, is the Director of Training for The Renfrew Center for Eating Disorders. In this role, she provides ongoing training, supervision and consultation to clinicians across disciplines for the purpose of continually assessing and improving competence in the treatment of eating disorders. Dr. Smith is co-author of The Renfrew Unified Treatment for Eating Disorders and Comorbidity Therapist Guide and Workbook (Oxford University Press), is a Certified Eating Disorders Specialist and Approved Supervisor, and is a Certified Therapist and Trainer for the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP). In addition to her work with the Renfrew Center, Dr. Smith maintains a telehealth private practice specializing in the supervision and consultation of registered mental health counselor interns (Florida) and individuals seeking eating disorder specialist certification through the International Association of Eating Disorders Professionals (iaedp).
You can find more information about Dr. Smith here and the Renfrew Center here
Credit Hours: This course consists of 6 non-contact ethics hours.
Counselors: Telehealth Certification Institute, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No, 6693. Programs that do not qualify for NBCC credit are clearly identified. Telehealth Certification Institute, LLC is solely responsible for all aspects of the programs.
Telehealth Certification Institute, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0048. Approval renewal date: 1/31/2026
Marriage and Family Therapists: Many MFT licensing boards accept our courses or one of the approvals which we have from professional associations. You can check with your board to determine if this course would be accepted by your licensing board.
Social Workers: Telehealth Certification Institute LLC, #1609, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Telehealth Certification Institute LLC maintains responsibility for this course. ACE provider approval period: 05/02/2021 – 05/02/2024. Social workers completing this course receive 6 ethics continuing education credits.
Telehealth Certification Institute, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0435. Approval renewal date: 2/28/2026
Addiction Professionals: Telehealth Certification Institute is an approved provider of continuing education by NAADAC, The Association for Addiction Professionals, provider #193104. Full attendance is required; no partial credit will be awarded for partial attendance.
Psychologists: Telehealth Certification Institute LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Telehealth Certification Institute LLC maintains responsibility for this program and its content.
Telehealth Certification Institute, LLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0128. Effective 8/31/2021 – 8/31/2024
Art Therapists: Telehealth Certification Institute, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed creative arts therapists #CAT-0093. 7/21/2021 – 7/31/2024
Other Professionals: This activity qualifies for 360 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.
This is a non-interactive, self-study course.
To receive your certificate of completion you must complete the course in its entirety.
To complete an Online Self Study Course, one must register, log in, select the My Courses option from the menu items, click the Course Title, complete all of the modules, complete and pass the post-test(s), and complete the course evaluation.
Psychologists and other professionals seeking CE credit through our approval with the American Psychological Association are asked but not required to complete the course evaluation before obtaining their certificate of completion, however passing a post-test for online self-study courses, and submitting one's attendance for live on-site and live webinars is required.
You can download or print your certificate of completion by logging into your account, navigating to the course by selecting the My Courses option from the menu items, clicking the Course Title, scrolling to the Certificate of Completion section, and clicking on the Certificate of Completion link to either download it or print it.
Participants may request a printed version of their certificate of completion to be delivered by mail. A shipping/handling fee of $6.95 will be charged per request. Shipping internationally may require an additional charge.
Directions for completing a course can be found by clicking here.
This course is intended for clinicians who provide behavioral health services.
This is a non-interactive, self-study course. Teaching methods for this course include recorded lectures, videos, a post-test, and a course evaluation.