Findings support dissemination of CBT-E in this context, with significant improvements in eating disorder psychopathology. Improvements to global EDE-Q scores were higher for treatment completers and lower for the intention to treat sample, compared to previous studies (Fairburn et al., 2009; Byrne et al., 2011). Level of attrition was found at 40.8% and non-completion of treatment was associated with higher levels of anxiety. Potential explanations for these findings are discussed.

ABSTRACT. A descriptive evaluation is provided of a hospital‐based unit for people with mental handicaps and challenging hehaviours. The characteristics of clinets admitted to the unit over a 15‐month period are described, undertaken with admission and discharge patterns, and treatment interventions undertaken. The progress of four clients is studied in detail via single‐case studies. While reductions in levels of challenging behaviour occurred during admission, these changes were not generally maintained at follow‐up. Implications for future service design are discussed.

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