A manualised in-patient programme for young people with anorexia based on NICE guidance

Rous, Elizabeth; Ranote, Sandeep; Elvins, Rachel; Bhatt, Asha

doi:10.1192/pb.bp.107.019364

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Evidence shows that the outcome of adolescents with eating disorders treated in specialized eating disorder facilities where staff has experience and expertise in treating eating disorders is superior and evidence that structured programs of care improve outcomes has been shown for a number of different disease areas not only ED's 7 . This being said, major restrictions in selecting the most appropriate treatment setting include geographic proximity or lack of specialist centers that limit access, deficiency of data for comparing cost and effectiveness of different settings and inadequate insurance coverage, that limit access to effective care.…”

Section: Discussionmentioning

confidence: 99%

Type of setting for the inpatient adolescent with an eating disorder: Are specialized inpatient clinics a must or will the pediatric ward do?

Akgül¹,

Kızılkan²,

Örs³

et al. 2016

Turk J Pediatr

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There are a range of different services for treating adolescent eating disorders (ED) but there is no clinical consensus and a paucity of research indicating which type of treatment setting is the best. Although it would be ideal to have a specialized ward for these patients what happens when this is not possible? The aim of this study was to evaluate patients with ED hospitalized on a general pediatric ward. A retrospective chart review for 37 patients hospitalized for an ED and followed by a team consisting of an adolescent medicine specialist, a child and adolescent psychiatrist and a dietician on a pediatric ward were re-evaluated. Twenty-four (64.9%) patients were diagnosed with anorexia nervosa (AN) restricting type, 8 (21.6%) with anorexia nervosa binging purging type, 3 (8.1%) with bulimia nervosa (BN) and 2 (5.4%) with eating disorder otherwise not specified. The mean age at admission was 14.79 ± 1.75 years and 7 (20%) were males. A majority were hospitalized due to medical instability. Mean period of time from admittance to medical stabilization was 6.04 ± 4.79 days. The mean period of admittance was 26.4 ± 11.9 days for AN and 23.7 ± 15.03 days for BN patients. The mean calorie intake of the AN group was 607 ± 333 kcal and 2,358 ± 605 kcal at hospitalization and discharge, respectively. Hypophosphatemia occurred in 2 patients during refeeding. Mean total weight gained during the whole hospitalization period was 3,950 ± 3,524grs. This study shows that although not ideal, EDs can successfully be followed on general pediatric wards and could have implications at centers with no specialized wards.

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Section: Discussionmentioning

confidence: 99%

Type of setting for the inpatient adolescent with an eating disorder: Are specialized inpatient clinics a must or will the pediatric ward do?

Akgül¹,

Kızılkan²,

Örs³

et al. 2016

Turk J Pediatr

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Theoretical Paper Rivals or roommates? The relationship between evidence-based practice and practice-based evidence in studies of Anorexia Nervosa

Foster¹

2015

bpscpr

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Context & FocusThe current environment in which mental health services are provided is dynamic and ever-changing and service delivery managers face difficult business decisions regarding the allocation of resources. These decisions may often fall in the favour of evidence-based treatments but these may be seen to conflict with the humanistic and phenomenological values underpinning counselling psychology. This paper seeks to critically discuss research and measurement issues in evidence-based practice and practice-based evidence within the context of counselling psychology focusing on a current clinical disorder, anorexia nervosa.ConclusionThe paper proposes that evidence-based practice and practice-based evidence are both highly relevant to counselling psychologists aiming to help individuals with anorexia and that neither approach is more valid than the other. It favours the model proposed by Barkham et al. (2010) which illustrates the dynamic and cyclical relationship between evidence-based practice and practice-based evidence where each approach informs and responds to the other.

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A manualised in-patient programme for young people with anorexia based on NICE guidance

Cited by 2 publications

References 13 publications

Type of setting for the inpatient adolescent with an eating disorder: Are specialized inpatient clinics a must or will the pediatric ward do?

Type of setting for the inpatient adolescent with an eating disorder: Are specialized inpatient clinics a must or will the pediatric ward do?

Theoretical Paper Rivals or roommates? The relationship between evidence-based practice and practice-based evidence in studies of Anorexia Nervosa

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