Wednesday 13 April 2011

More about the Recovery Contract...

A couple of weeks ago I promised to outline what we've included in our Recovery Contract which has been running successfully for 4 weeks now. So here goes...



#1: Food

  • XXXXX calories per day
  • If fortnightly weight gain goals are not met, calories will be increased by 100 per day (and adjusted if necessary the following fortnight)

#2: Weight Gain

  • A weekly average of 0.5kg is expected
  • Weigh-ins are fortnightly at CAMHS (may be adjusted at a later date)

#3: Exercise – agreed (to be reviewed as necessary)

  • List here what is permitted per week or per day 
 Ben is not allowed to carry forward ‘un-used’ exercise to another day.

#4: Rewards – Point system

Food:

  • 1 point per day Ben keeps to current calorie total
  • 2 points for every day Ben exceeds current calorie total by a min of 200
  • Challenges: 1 point (resist exercise, challenging meal, eating in between meals)
  • Challenges: 2 points (fear foods, eat out successfully, going out with friends, cinema on non-exercise day)
  • 3 points deducted for dishonesty

School:

  • 1 point for every part morning or full afternoon 
  • 2 points for every full morning
  • 3 points for every full day

Exercise:

  • 1 point per day Ben keeps to contract
  • 3 points for any non-exercise day
  • 3 points deducted for dishonesty
  • 2 points deducted when DON’T have 200 calories on extra exercise days

Weight gain:

  • 20 points for every fortnightly weigh-in session Ben incs by 1kg
  • 18 points for every fortnightly weigh-in session Ben incs by 0.9kg
  • 17 points for every fortnightly weigh-in session Ben incs by 0.8kg
  • 16 points for every fortnightly weigh-in session Ben incs by 0.7kg
  • Less than 0.7kg = zero points

Redeem points at the end of every month

3 points are worth £X

#5: Aim

  • To keep the momentum going and avoid ‘going round in circles’
  • To see sustained weight gain and marked improvement
  • To maintain weight once Weight Restored (WR)
  • To eliminate calorie counting and all ‘numbers’
  • To maintain weight at WR for 6 months from Christmas to qualify for 2012 University entry
  • To agree that no compromise will be made on that level
  • To agree to University Transition Contract prior to leaving for Uni

#6: To avoid…

  • Being able to claim rewards without achieving sustained weight gain
  • Not being WR by 18th birthday at the latest to qualify for 2012 Uni entry

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