First episode rapid early intervention for eating disorders (FREED): From research to routine clinical practice

2020 ◽  
Vol 14 (5) ◽  
pp. 625-630 ◽  
Author(s):  
Karina L. Allen ◽  
Victoria Mountford ◽  
Amy Brown ◽  
Katie Richards ◽  
Nina Grant ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Clinical Practice ◽  
Early Intervention ◽  
Routine Clinical Practice ◽  
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.

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.

Eating disorders

2010 ◽  
pp. 5317-5324 ◽  
Author(s):  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Diagnostic Category ◽  
Routine Clinical Practice ◽  
Adult Women ◽  
Young Adult Women ◽  
Not Otherwise Specified ◽  
Chronic Course

Eating disorders affect about 5% of adolescent girls and young adult women. They are much less common among men. They typically begin in adolescence and may run a chronic course, interfering with psychological, physical, and social functioning. Three eating disorders are distinguished: (1) anorexia nervosa; (2) bulimia nervosa; and (3) a residual diagnostic category—the most common seen in routine clinical practice— termed ‘eating disorder not otherwise specified’ (eating disorder NOS). They all share a distinctive ‘core psychopathology’, the overevaluation of shape and weight, and patients frequently move between the categories, hence a case may be made for adopting a ‘transdiagnostic’ perspective....

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

The FREED Project (first episode and rapid early intervention in eating disorders): service model, feasibility and acceptability

2016 ◽  
Vol 12 (2) ◽  
pp. 250-257 ◽  
Author(s):  
Amy Brown ◽  
Jessica McClelland ◽  
Elena Boysen ◽  
Victoria Mountford ◽  
Danielle Glennon ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Intervention ◽  
First Episode ◽  
Service Model

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
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