First episode rapid early intervention for eating disorders: A two‐year follow‐up

2019 ◽  
Vol 14 (1) ◽  
pp. 137-141 ◽  
Author(s):  
Akira Fukutomi ◽  
Amelia Austin ◽  
Jessica McClelland ◽  
Amy Brown ◽  
Danielle Glennon ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Intervention ◽  
First Episode

scholarly journals “I’m truly free from my eating disorder”: Emerging adults’ experiences of FREED, an early intervention service model and care pathway for eating disorders

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rachel Potterton ◽  
Amelia Austin ◽  
Michaela Flynn ◽  
Karina Allen ◽  
Vanessa Lawrence ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Early Intervention ◽  
Emerging Adults ◽  
Care Pathway ◽  
Support Network ◽  
First Episode ◽  
Service Model ◽  
Access To Treatment ◽  
Rapid Access

Abstract Background Eating disorders (EDs) typically start during adolescence or emerging adulthood, periods of intense biopsychosocial development. FREED (First Episode Rapid Early Intervention for EDs) is a service model and care pathway providing rapid access to developmentally-informed care for emerging adults with EDs. FREED is associated with reduced duration of untreated eating disorder and improved clinical outcomes, but patients’ experiences of treatment have yet to be assessed. Objective This study aimed to assess emerging adults’ experiences of receiving treatment through FREED. Method This study triangulated qualitative data on participants’ experiences of FREED treatment from questionnaires and semi-structured interviews. Participants were 106 emerging adults (aged 16–25; illness duration < 3 yrs) (questionnaire only = 92; interview only = 6; both = 8). Data were analysed thematically. Results Most participants reported psychological and behavioural changes over the course of treatment (e.g. reduction in symptoms; increased acceptance and understanding of difficulties). Participants identified five beneficial characteristics of FREED treatment: i) rapid access to treatment; ii) knowledgeable and concerned clinicians; iii) focusing on life beyond the eating disorder; iv) building a support network; v) becoming your own therapist. Conclusion This study provides further supports for the implementation of early intervention and developmentally-informed care for EDs. Future service model development should include efforts to increase early help-seeking.

Prediction of functional remission in first-episode psychosis: 12-month follow-up of the randomized-controlled trial on extended early intervention in Hong Kong

2016 ◽  
Vol 173 (1-2) ◽  
pp. 79-83 ◽  
Author(s):  
Wing Chung Chang ◽  
Vivian Wing Yan Kwong ◽  
Gloria Hoi Kei Chan ◽  
Olivia Tsz Ting Jim ◽  
Emily Sin Kei Lau ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hong Kong ◽  
Early Intervention ◽  
Controlled Trial ◽  
First Episode Psychosis ◽  
First Episode ◽  
Randomized Controlled ◽  
Episode Psychosis

scholarly journals A pilot evaluation of a novel First Episode and Rapid Early Intervention service for Eating Disorders (FREED)

2018 ◽  
Vol 26 (2) ◽  
pp. 129-140 ◽  
Author(s):  
Jessica McClelland ◽  
John Hodsoll ◽  
Amy Brown ◽  
Katie Lang ◽  
Elena Boysen ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Intervention ◽  
First Episode ◽  
Early Intervention Service ◽  
Intervention Service

scholarly journals Assessing implementation fidelity in the First Episode Rapid Early Intervention for Eating Disorders service model

BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Katie L. Richards ◽  
Michaela Flynn ◽  
Amelia Austin ◽  
Katie Lang ◽  
Karina L. Allen ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Intervention ◽  
Emerging Adults ◽  
Care Pathway ◽  
Implementation Fidelity ◽  
Wait Time ◽  
First Episode ◽  
Service Model ◽  
Patient Journey ◽  
Care Package

Background The First Episode Rapid Early Intervention for Eating Disorders (FREED) service model is associated with significant reductions in wait times and improved clinical outcomes for emerging adults with recent-onset eating disorders. An understanding of how FREED is implemented is a necessary precondition to enable an attribution of these findings to key components of the model, namely the wait-time targets and care package. Aims This study evaluated fidelity to the FREED service model during the multicentre FREED-Up study. Method Participants were 259 emerging adults (aged 16–25 years) with an eating disorder of <3 years duration, offered treatment through the FREED care pathway. Patient journey records documented patient care from screening to end of treatment. Adherence to wait-time targets (engagement call within 48 h, assessment within 2 weeks, treatment within 4 weeks) and care package, and differences in adherence across diagnosis and treatment group were examined. Results There were significant increases (16–40%) in adherence to the wait-time targets following the introduction of FREED, irrespective of diagnosis. Receiving FREED under optimal conditions also increased adherence to the targets. Care package use differed by component and diagnosis. The most used care package activities were psychoeducation and dietary change. Attention to transitions was less well used. Conclusions This study provides an indication of adherence levels to key components of the FREED model. These adherence rates can tentatively be considered as clinically meaningful thresholds. Results highlight aspects of the model and its implementation that warrant future examination.

Factors influencing relapse during a 2-year follow-up of first-episode psychosis in a specialized early intervention service

2008 ◽  
Vol 38 (11) ◽  
pp. 1585-1593 ◽  
Author(s):  
A. Malla ◽  
R. Norman ◽  
L. Bechard-Evans ◽  
N. Schmitz ◽  
R. Manchanda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Substance Abuse ◽  
Early Intervention ◽  
First Episode Psychosis ◽  
First Episode ◽  
Positive Symptoms ◽  
Adherence To Medication ◽  
Episode Psychosis ◽  
Time To Relapse

BackgroundDifferential association of risk factors associated with relapse following treatment of first-episode psychosis (FEP) have not been studied adequately, especially for patients treated in specialized early intervention (SEI) services, where some of the usual risk factors may be ameliorated.MethodConsecutive FEP patients treated in an SEI service over a 4-year period were evaluated for relapse during a 2-year follow-up. Relapse was based on ratings on the Scale for Assessment of Positive Symptoms (SAPS) and weekly ratings based on the Life Chart Schedule (LCS). Predictor variables included gender, duration of untreated psychosis (DUP), total duration of untreated illness (DUI), age of onset, pre-morbid adjustment, co-morbid diagnosis of substance abuse during follow-up and adherence to medication. Univariate analyses were followed by logistic regression for rate of relapse and survival analysis with the Cox proportional-hazards regression model for time to relapse as the dependent variables.ResultsOf the 189 eligible patients, 145 achieved remission of positive symptoms. A high rate of medication adherence (85%) and relatively low relapse rates (29.7%) were observed over the 2-year follow-up. A higher relapse rate was associated with a co-morbid diagnosis of substance abuse assessed during the follow-up period [odds ratio (OR) 2.84, 95% confidence interval (CI) 1.24–6.51]. The length of time to relapse was not associated with any single predictor.ConclusionsSpecialized treatment of substance abuse may be necessary to further reduce risk of relapse even after improving adherence to medication.

scholarly journals The First Episode Rapid Early Intervention for Eating Disorders ‐ Upscaled study: Clinical outcomes

2021 ◽  
Author(s):  
Amelia Austin ◽  
Michaela Flynn ◽  
James Shearer ◽  
Mike Long ◽  
Karina Allen ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Intervention ◽  
Clinical Outcomes ◽  
First Episode
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