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 18^th birthday at the latest to qualify for 2012 Uni entry