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.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | European Eating Disorders Review |
| Vol/bind | 31 |
| Udgave nummer | 5 |
| Sider (fra-til) | 577-595 |
| Antal sider | 19 |
| ISSN | 1072-4133 |
| DOI | |
| Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:The following people attended the meeting on the day: Emily Davey, Roz Shafran, Karina Allen, Sophie Bennett, Rachel Bryant-Waugh, Katharina Dixon-Ward, Jake Dudley, Jess Griffiths, Andrew Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Mima Simic, Ulrike Schmidt, Gemma Traviss-Turner, Janet Treasure, Hannah Turner, Tracey Wade and Glenn Waller. ED is funded by a Child Health Research PhD Studentship at UCL Great Ormond Street Institute of Child Health. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute of Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. US, KT and JT receive salary support from the South London and Maudsley NHS Foundation Trust (SLaM) and King's College London (KCL) NIHR Biomedical Research Centre. This work is supported by the MRC/AHRC/ESRC Adolescence, Mental Health and the Developing Mind initiative as part of the EDIFY Programme (grant number MR/W002418/1). RM is supported by the NIHR Biomedical Research Centre, Oxford. The views expressed herein are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.
Funding Information:
The following people attended the meeting on the day: Emily Davey, Roz Shafran, Karina Allen, Sophie Bennett, Rachel Bryant‐Waugh, Katharina Dixon‐Ward, Jake Dudley, Jess Griffiths, Andrew Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Mima Simic, Ulrike Schmidt, Gemma Traviss‐Turner, Janet Treasure, Hannah Turner, Tracey Wade and Glenn Waller. ED is funded by a Child Health Research PhD Studentship at UCL Great Ormond Street Institute of Child Health. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute of Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. US, KT and JT receive salary support from the South London and Maudsley NHS Foundation Trust (SLaM) and King's College London (KCL) NIHR Biomedical Research Centre. This work is supported by the MRC/AHRC/ESRC Adolescence, Mental Health and the Developing Mind initiative as part of the EDIFY Programme (grant number MR/W002418/1). RM is supported by the NIHR Biomedical Research Centre, Oxford. The views expressed herein are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.
Publisher Copyright:
© 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.