Referral

Professional referral guidance for eating disorders

Practical guidance for GPs, psychologists, schools, health insurance funds (mutualities), and networks that need to refer an eating-disorder situation in Belgium.

What this page is for

It clarifies when a case may fit specialist nutritional support, network coordination, a reference centre, or urgent medical escalation.

This page helps decide where to refer, when to escalate, and which core information should travel with the referral.

Who is this for?

  • GPs, paediatricians, psychiatrists, and referring physicians.
  • Psychologists, psychotherapists, and mental-health teams.
  • Schools, social services, and family support organisations.
  • Mutualities, SMEA/GGKJ networks, and coordination services.

Red flags that should not be minimised

  • Rapid weight loss, marked restriction, or severe avoidance patterns.
  • Self-induced vomiting, laxative misuse, or compensatory over-exercise.
  • Possible somatic instability such as fainting, dehydration, or suspected bradycardia.
  • Suicidal risk, family breakdown, school collapse, or outpatient care no longer holding.

When to refer to Roxane Aglave

  • When specialist eating-disorder nutritional care is needed in an outpatient setting.
  • When the family or patient needs a clear nutritional framework and coordinated care plan.
  • When referral should stay aligned with the physician and/or psychologist already involved.

When to involve the network

  • When the family does not know which Belgian service to turn to.
  • When several professionals need rapid territorial coordination.
  • When the relevant SMEA/GGKJ network or local resource map is unclear.

When to refer to a reference centre or intensive care level

  • When the situation is severe, complex, medically unstable, or needs supraregional expertise.
  • When outpatient care is no longer sufficient.
  • When day care or full admission may need to be discussed.

Core information to include in the referral

  • Age, family/school context, and the patient’s or family’s main request.
  • Observed clinical warning signs, recent evolution, and urgency level.
  • Professionals already involved and useful contact details.
  • Main reason for referral: follow-up, coordination, expert opinion, or hospital referral.
FAQ

Frequent referral questions

Short answers to help professionals act without overcomplicating the Belgian system.

Can I refer before a formal diagnosis exists?

Yes. Warning signs, eating-related distress, or major family concern are often enough to justify early specialist orientation.

Does this replace the network or the reference centre?

No. It prepares referral and clarifies the most relevant care level within the Belgian system.

What if the situation becomes urgent?

Referral guidance never replaces urgent medical or psychiatric assessment when immediate risk is present.

Key takeaways

The goal is not to wait for a perfect picture, but to refer early with the right level of coordination.

  • Specialist outpatient nutrition care when ambulatory care remains possible.
  • Network support when the territorial pathway is unclear.
  • Reference-centre escalation when severity or complexity rises.
Editorial review

Roxane Aglave

Dietitian-nutritionist · Master’s degree in public health · University diploma in child and adolescent eating disorders

Last reviewed :

This page helps decide where to refer, when to escalate, and which core information should travel with the referral.

  • La Ramée Clinic / CRAB-TCA
  • Supraregional EMAS team
  • UPDLF
  • INAMI working group on the Belgian eating-disorder care pathway

This website provides orientation guidance and does not replace diagnosis or urgent medical care.

Belgian frameworks and sources

These referral principles are grounded in Belgian institutional guidance and specialist network logic.

Practical info

Practical information

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About

Who is supporting you?

Roxane Aglave

During consultations, I work with each patient to build practical eating strategies adapted to their situation, pace and environment, involving relatives and the care team whenever this supports recovery.

What I offer
  • Personalised nutrition consultations
  • Collaboration with family and healthcare teams
Address : 34, Boulevard du Souverain, 1170 Watermael-Boitsfort
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Phone : 0470 18 61 59
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Email : contact@roxaneaglave.com
Contact
INAMI number : 5-63023-62-601
Care pathway coverage : Covered within the Belgian eating-disorder care pathway (ages 0–23), depending on eligibility criteria.
LinkedIn : Roxane Aglave
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Languages : Français, Italiano