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BRIDGEPOINT RETREAT PROGRAMMING
Arrival: ___________________________
Departure: ________________________
Weekend retreats at BridgePoint offer an introductory level of program activities for people struggling with eating disorder/difficulty behaviors. Our intention is to create a safe, healing environment for people to begin to explore and/or become aware of how they are coping through food, their body and/or preoccupation with their weight. If this might “fit” for you, please read on…
Our residential retreat rural setting will provide you with an opportunity for gentle reflection and perhaps the chance to try living in a different way for the weekend.
BridgePoint Center utilizes a group model of support, facilitated by experienced program team members and individuals in recovery from an eating disorder. Activities are experiential and varied, dependent on the group and your needs. Weekend activities are arranged in a holistic way to include group discussion(s), video presentation(s), creative expression, breathing/stretching/movement, journaling, music, body connecting, walking/outdoor leisure, peer counseling…
Since the area of concern is around food, meal planning and preparation has been designed to involve both clients and team members. Our intention is to help you create your own safe space around food and mealtimes. We also offer encouragement in support of you nourishing yourself and sustaining your energy. On the attached questionnaire you will notice that we ask you to describe your food preferences and aversions. Our intention is to get to know you a little better, and to help us plan meals. At BridgePoint we attempt to provide a variety of basic, wholesome, nutritious meals. We do not provide specialty foods, Pop or Diet Pop, so please plan to bring your own.
For your weekend stay, we recommend you bring personal items, weather appropriate clothing, a journal and/or paper and a pen, and something familiar; i.e. favorite music, pillow, book, stuffed animal, etc –those personal items that will contribute to your sense of comfort and well being.
If you are on any medication, prescription and/or non-prescription, please bring a sufficient supply in their original containers to last the duration of the retreat. Please note: Our village pharmacy and drug store has recently closed. Please ensure you bring any (for example) personal hygiene products, cough or headache remedies that you anticipate you may need.
You may refer yourself for weekend retreats by calling the Center directly. Please contact the Center at least 2 weeks PRIOR to session to REGISTER and, send the completed referral package. Retreats are offered on a first come, first serve basis subject to receipt of registration and consent forms. Retreats fill up quickly.
Retreats are offered as part of programming; donations are welcome. Our charitable number is 883784589RR0001, and receipts will be issued.
BridgePoint Center for Eating Disorders Inc.
Referral Data Base Part A
Program applying for: _____________________ Dates: _______________________________
Name:_________________________________________________________________________
Date of Birth: _____________________________ SHSP Number: ______________________
Current Address: _______________________________________________________________
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Client Home Phone Number:_________________________
Cell Number: _______________________________________
Work Number: ______________________________________
Client email address: ________________________________
Next of Kin: __________________________________Relationship: _______________________
Address: ________________________________________________
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Phone number (home): _____________________________(work):_________________________
(cell) :___________________________________________________
Counselor’s name: ________________________________________Phone # _________________
Physician’s name: _________________________________________Phone #__________________
Date: _______________________ Signature: ____________________________________
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FOR BRIDGEPOINT USE ONLY:
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Client Signature:
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Team Member Signature : |
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Date: |
Part A Continued
Within BridgePoint’s philosophy, the client/participant (you) is the center of all programming. Your perspective is crucial to your recovery/healing journey. We would appreciate if you could take some time to respond to the following (remember you are at choice about what you share).
- a) What are your supports?
1. b) If you are working with a counsellor what issues are you currently working on?
2. Do you have any health issues or concerns?
3. Do you have any allergies?
4. Describe your current experience with food.
5. What other information would you like us to know about you?
Signature/Name: __________________________________Date: __________________________
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