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Improving programme-led and focused interventions for eating disorders: An experts' consensus statement-A UK perspective.
Davey, Emily; Allen, Karina; Bennett, Sophie D; Bryant-Waugh, Rachel; Clarke, Tim; Cooper, Zafra; Dixon-Ward, Katharina; Dudley, Jake; Eisler, Ivan; Griffiths, Jess; Hill, Andrew J; Micali, Nadia; Murphy, Rebecca; Picek, Ivana; Rea, Ros; Schmidt, Ulrike; Simic, Mima; Tchanturia, Kate; Traviss-Turner, Gemma; Treasure, Janet; Turner, Hannah; Wade, Tracey; Waller, Glenn; Shafran, Roz.
Affiliation
  • Davey E; UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
  • Allen K; Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Bennett SD; South London and Maudsley NHS Foundation Trust, London, UK.
  • Bryant-Waugh R; UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
  • Clarke T; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Cooper Z; Maudsley Centre for Child and Adolescent Eating Disorders, South London and Maudsley NHS Foundation Trust, London, UK.
  • Dixon-Ward K; Norwich Medical School, University of East Anglia, Norwich, UK.
  • Dudley J; Norfolk and Suffolk NHS Foundation Trust, Norwich, UK.
  • Eisler I; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
  • Griffiths J; Beat, Norwich, UK.
  • Hill AJ; UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
  • Micali N; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Murphy R; Maudsley Centre for Child and Adolescent Eating Disorders, South London and Maudsley NHS Foundation Trust, London, UK.
  • Picek I; NHS England Adult Eating Disorders Co-Chair Parliamentary Health Service Ombudsman's Delivery Group, Redditch, UK.
  • Rea R; Leeds Institute of Health Sciences, School of Medicine, University of Leeds, Leeds, UK.
  • Schmidt U; UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
  • Simic M; Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
  • Tchanturia K; Mental Health Services of the Capital Region of Denmark, Eating Disorders Research Unit, Ballerup Psychiatric Centre, Copenhagen, Denmark.
  • Traviss-Turner G; Department of Psychiatry, University of Oxford, Oxford, UK.
  • Treasure J; Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Turner H; South London and Maudsley NHS Foundation Trust, London, UK.
  • Wade T; Beat, Norwich, UK.
  • Waller G; Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Shafran R; South London and Maudsley NHS Foundation Trust, London, UK.
Eur Eat Disord Rev ; 31(5): 577-595, 2023 09.
Article in En | MEDLINE | ID: mdl-37218053
ABSTRACT

OBJECTIVE:

Eating disorders are associated with significant illness burden and costs, yet access to evidence-based care is limited. Greater use of programme-led and focused interventions that are less resource-intensive might be part of the solution to this demand-capacity mismatch.

METHOD:

In October 2022, a group of predominantly UK-based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme-led and focused interventions for eating disorders in an attempt to bridge the demand-capacity gap.

RESULTS:

Several key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme-led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal.

CONCLUSIONS:

Programme-led and focused interventions are a viable option to close the demand-capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Feeding and Eating Disorders Type of study: Guideline / Health_economic_evaluation Limits: Adolescent / Child / Humans Country/Region as subject: Europa Language: En Journal: Eur Eat Disord Rev Journal subject: CIENCIAS DA NUTRICAO Year: 2023 Type: Article Affiliation country: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Feeding and Eating Disorders Type of study: Guideline / Health_economic_evaluation Limits: Adolescent / Child / Humans Country/Region as subject: Europa Language: En Journal: Eur Eat Disord Rev Journal subject: CIENCIAS DA NUTRICAO Year: 2023 Type: Article Affiliation country: United kingdom