What must a social worker ensure for a 14-year-old with a severe eating disorder during the initial interview?

Ensuring that a 14-year-old with a severe eating disorder is receiving ongoing medical supervision during the initial interview is crucial for several reasons. Individuals with severe eating disorders can face significant physical health risks, including malnutrition, electrolyte imbalances, and potential heart problems, which can be life-threatening. Medical supervision is important to monitor these health issues and to provide appropriate interventions.

Moreover, a social worker's primary responsibility is to ensure the safety and well-being of their clients. In the case of a young person with a severe eating disorder, this includes confirming that there is ongoing medical oversight to address any acute health concerns that may arise. This supervision often involves working with doctors, nutritionists, and other healthcare professionals who can provide a comprehensive treatment plan that addresses both the physical and psychological aspects of the disorder.

While participation in group therapy, peer support, and parental education about nutrition play important roles in the overall treatment approach for eating disorders, the immediate priority during the initial interview must be the client's current health status and ensuring that they have access to necessary medical care. Without this foundational support, the effectiveness of any psychosocial interventions could be severely compromised.