Adolescents with Anorexia Nervosa: Multiple Perspectives of Discharge Readiness

Turrell, Sheri L.; Davis, Ron; Graham, Heather; Weiss, Iris R.

doi:10.1111/j.1744-6171.2005.00021.x

Cited by 18 publications

(26 citation statements)

References 15 publications

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“…All studies included in the review are detailed in Table , which contains the following variables: name of researcher, year of publication, topic, details of sample, method of data collection and analysis, country and journal. Eight studies focused on adolescents' experiences of treatment, including aspects of inpatient treatment and discharge (Colton & Pistrang, ; Halse et al, ; Offord, Turner, & Cooper, ; Tan, Hope, Stewart, & Fitzpatrick, 2003; Turrell et al, ; Van Ommen et al, ), family therapy (Chan & Ma, ) and treatment in general (Tierney, ). Three studies investigated the impact of specific factors on adolescents' experience of treatment, including the impact of AN and personal identity on treatment and recovery (Tan, Hope, & Stewart, 2003), young people's constructions of doctors and treatment regimes for AN and their impact on treatment (Boughtwood & Halse, ), and the influence of siblings on experience of treatment and recovery (Honey, Clarke, Halse, Kohn, & Madden, .…”

Section: Resultsmentioning

confidence: 99%

“…Four studies (Honey et al, ; Tan, Hope, & Stewart, 2003; Tan, Hope, Stewart, & Fitzpatrick, 2003) sought views from both young people and their parents, and Turrell et al () gained multiple perspectives from patients, parents and nurses concerning discharge readiness.…”

Section: Resultsmentioning

confidence: 99%

“…Studies have mainly focused on the experience of inpatient treatment for adolescents with AN (Colton & Pistrang, ; Halse, Boughtwood, Clarke, Honey, & Kohn, ; Van Ommen, Meerwijk, Kars, Van Elburg, & Van Meijel, ). Qualitative studies conducted on adolescents' perspective of recovery from AN have identified peer relationships, the adolescents' concept of recovery, supported discharge and the therapeutic relationship as fundamental to recovery from AN for adolescents (Tan, Hope, & Stewart, 2003; Tierney, ; Turrell, Davis, Graham, & Weiss, ).…”

Section: Introductionmentioning

confidence: 99%

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Adolescents with Anorexia Nervosa Have Their Say: A Review of Qualitative Studies on Treatment and Recovery from Anorexia Nervosa

Bezance

Holliday

2013

Euro Eating Disorders Rev

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Anorexia nervosa often begins in adolescence, and there is a growing body of quantitative literature looking at the efficacy of treatment for adolescents. However, qualitative research has a valuable contribution to make to the understanding of treatment and recovery. This paper aims to review qualitative studies on the experience of treatment and recovery for adolescents with anorexia nervosa. Key themes from the 11 studies identified the role of family, peers and professionals, family therapy, the inpatient setting, emphasis on physical versus psychological and conceptualisation of recovery. Future studies would benefit from relating their findings to adolescent theory and considering reflexivity. Implications for clinical practice are also discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adolescents with Anorexia Nervosa Have Their Say: A Review of Qualitative Studies on Treatment and Recovery from Anorexia Nervosa

Bezance

Holliday

2013

Euro Eating Disorders Rev

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“…Models to assess preparedness and readiness to transition have been piloted with young people and adults in physical health [8–11], severe mental health needs [12] and inpatient settings [13], but are rare in community CAMHS. To our knowledge there are no standard, routine assessments of readiness for transition from CAMHS and robust transitional care models have yet to be developed or evaluated [4].…”

Section: Introductionmentioning

confidence: 99%

Young people, mental health practitioners and researchers co-produce a Transition Preparation Programme to improve outcomes and experience for young people leaving Child and Adolescent Mental Health Services (CAMHS)

Dunn

2017

BMC Health Serv Res

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BackgroundIn the UK young people attending child and adolescent mental health services (CAMHS) are required to move on, either through discharge or referral to an adult service, at age 17/18, a period of increased risk for onset of mental health problems and other complex psychosocial and physical changes. CAMHS transitions are often poorly managed with negative outcomes for young people. Better preparation may improve outcomes and experience. This study aimed to co-produce, with young people who had transitioned or were facing transition from CAMHS, a CAMHS Transition Preparation Programme (TPP), deliverable in routine NHS settings.MethodsEighteen young people, aged 17–22, from three UK National Health Service (NHS) mental health foundation trusts participated in creative, participatory research workshops. Seven parents completed short questionnaires. Thirty clinical staff from two trusts took part in workshops to ensure deliverability of young people’s ideas. Young people were offered co-research opportunities.ResultsMost young people felt anxious, fearful and uncertain on leaving CAMHS and perceived mental health services as uncaring. Participants outlined transition procedures and drafted a range of preparation activities, centred around dedicated Transition Peer Support and a transition booklet, which should be offered to all CAMHS leavers, irrespective of discharge or transfer to an adult service. Preparation should aim to build confidence to help young people take responsibility for themselves and flourish in the adult world: coping or getting through it was not enough. Some clinicians also felt anxious at transition and recognised the potential impact on young people of poor communication and lack of understanding between services. Parents would appreciate help to support their offspring during the transition period. Clinicians cited lack of funding and inflexible NHS procedures and policies as potential barriers to the implementation of young people’s ideas. Nine young people took up co-research opportunities.ConclusionsMental health services underestimate the anxiety of CAMHS leavers. Young people have clear ideas about the preparation they require to leave CAMHS with the confidence to take responsibility for their own health care. Close collaboration of NHS staff and researchers facilitates the implementation of research findings.

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“…Variation exists among parents, young people and clinicians as to what is considered to represent recovery from an eating disorder [18,19] highlighting the need to gain information on the lived experience of recovery rather than rely on professional decisions or basing judgments on diagnostic criteria alone. A surprising lack of literature has investigated parents' perceptions of recovery during adolescence.…”

Section: Introductionmentioning

confidence: 99%

How do we get our Daughter back? Parents' Perspectives on Recovery from Anorexia Nervosa

Denton¹,

Muncer

Howey³

2017

J Child Adolesc Behav

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Background: Anorexia Nervosa is a severe mental illness most commonly occurring during adolescence. As a parent, caring for a child with Anorexia Nervosa can quickly consume all aspects of family life, leading to frustration, feelings of burden and increased levels of anxiety and depression. Despite the impact of the illness on parents, there is a surprising lack of literature drawing on parents perspectives of recovery, particularly during adolescence.

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Adolescents with Anorexia Nervosa: Multiple Perspectives of Discharge Readiness

Abstract: The findings suggest that each group of respondents has unique discharge readiness needs and that registered nurses have an important role to play in helping patients and families make the transition home as successful as possible. Implications for nursing practice are highlighted.

Cited by 18 publications

References 15 publications

Adolescents with Anorexia Nervosa Have Their Say: A Review of Qualitative Studies on Treatment and Recovery from Anorexia Nervosa

Adolescents with Anorexia Nervosa Have Their Say: A Review of Qualitative Studies on Treatment and Recovery from Anorexia Nervosa

Young people, mental health practitioners and researchers co-produce a Transition Preparation Programme to improve outcomes and experience for young people leaving Child and Adolescent Mental Health Services (CAMHS)

How do we get our Daughter back? Parents' Perspectives on Recovery from Anorexia Nervosa

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