State
Caroline is an Accredited Practising Dietitian with over 25 years’ experience working with children, adolescents and adults across inpatient and outpatient settings within NSW Health. She is deeply committed to enabling change within the public health system to ensure consistent, high‑quality, evidence‑based care for people with eating disorders.
Caroline works at InsideOut Institute as the Statewide Service Development and Policy Implementation Lead for Eating Disorders in NSW. In this role, she works alongside the Ministry of Health and Local Health Districts to support the implementation of the NSW Health Service Plan for the care of people with eating disorders.
She is passionate about ensuring people with eating disorders and their families can access high‑quality, evidence‑based care close to home, and is dedicated to supporting health professionals to build their skills and knowledge to improve patient care and recovery.
This evidence‑based eLearning program supports dietitians working with children and adolescents with eating disorders in hospital settings. It provides guidance on nutrition management, intervention, review, education, and discharge planning, with practical activities and videos relevant across paediatric medical, mental health, and specialist settings. Developed by paediatric dietitians and people with lived experience, the course empowers dietitians and families as young people transition from hospital to community care. As a result, young people and their families can access evidence‑based support from inpatient dietetic services across NSW.
In Progress
A bespoke statewide workforce platform was developed to support clinicians, eating disorder coordinators and trainers with prerequisite learning, eLearning modules, and feedback collection. It allows coordinators to prioritise clinicians in their Local Health Districts and ensures access to current, evidence‑based training. Clinicians across NSW can now enrol in training that matches their needs and access training resources.
Complete
People with eating disorders can present in any healthcare setting. There is consensus that Dietetic Graduates are should be able to identify a person with an eating disorder and work safely with people with an eating disorder. However, training in Eating Disorders varies widely across universities. To address this, InsideOut established a national working party to review content at all universities delivering dietetics, and collaborated with NEDC to roll out a tertiary education programme focusing on prevention and identification, with pilot implementation at one NSW university, and plans for a standardized curriculum rollout across all NSW institutions by 2026/2027.
In Progress
Across NSW, services report an increase in people presenting with Avoidant Restrictive Food Intake Disorder (ARFID), however, clinicians lacked access to evidence-based training to support them. To address this gap, an eLearning program, ARFID Fundamentals, was developed to provide clinicians with guidance on scope of practice across various healthcare settings. Co-produced with lived experience input, evidence informed and drawing on local and international expertise, the training helps clinicians understand ARFID, while differentiating from other feeding and eating disorders to enable a comprehensive assessment, and deliver multidisciplinary, person-centred care.
Complete
Across NSW, health services are increasingly involving people with a lived experience of an eating disorder and/or of caring for a loved one with an eating disorder in Service planning and improvement. This aims to ensure the skills, voices, experiences and contributions of those with a lived experience are effectively implemented, including Resources have been developed to support LHD Coordinators in meaningfully engaging these individuals.
In Progress
Family-Based Treatment (FBT) is the recommended first-line therapy for young people with eating disorders, and efforts in NSW focus on expanding access to this care through workforce training. InsideOut Institute in collaboration with Prof Daniel Le Grange pioneered the development of a “train the trainer” model, enabling experienced clinicians to become FBT trainers and deliver education locally. Experienced clinicians were provided with extensive training by Daniel Le Grange to become trainers in FBT. This approach increases training accessibility, strengthens the workforce, and ultimately allows more young people and their families to receive evidence-based treatment close to home
In Progress
The NSW Service Plan emphasises having the Right People with the Right Skills in the Right Place. This highlights the need for a skilled, multidisciplinary workforce to support people with eating disorders across all levels of care. To achieve this, InsideOut efforts focus on building workforce Capacity and Capability across all NSW Health Services, providing NSW Health staff with training opportunities. This helps to ensure that individuals and their families receive high-quality, evidence-informed care close to home.
In Progress
In the past 30 years there has been an increased awareness of the higher prevalence of disordered eating and eating disorders in people with and at risk of Type 1 Diabetes (T1D). The Queensland Eating Disorder Service (QuEDS) developed local guidelines for caring for people living with T1D, and an eating disorder or disordered eating. NSW Health formed a working group to review these guidelines, and explore adaptation and development of the guideline for NSW Health services, to provide guidance to clinicians working in the community with people with diabetes on how to assess and manage disordered eating and eating disorders. This guidance improves clinician confidence and ensures people with eating disorders and at risk of T1D receive coordinated, effective care.
In Progress
Dietitians play a crucial role in the care of a person with an eating disorder across the health system both in community and hospital settings. InsideOut Institute recognises the key role of Dietitians. However, the majority of the Dietitian workforce is within generalist roles rather than specialized positions. The upskilling project provides various NSW Health Dietitians with training opportunities through webinars, eLearning, Group Supervision, and a learning library. This equips Dietitians with the skills needed in the care and management of a person with an eating disorder, across the various roles and services within NSW Health.
In Progress
The 2014 ‘Guidelines for the Inpatient Management of Adult Eating Disorders in General Medical and Psychiatric Settings in NSW’ provides valuable guidance for clinicians in services across the state in the care of a person with an eating disorder in a medical setting. InsideOut Institute in partnership with NSW Health and medical and psychiatric leads across the state have embarked on a full review and redesign of this guideline. The revised guidelines will reflect current evidence and best practice, provide consistent admission criteria, and ensure people with eating disorders can access the appropriate level of inpatient care across NSW.
In Progress
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