scholarly journals Eating disorders in Scotland: starved of resources?

2001 ◽  
Vol 25 (7) ◽  
pp. 256-260 ◽  
Author(s):  
Camille Lemouchoux ◽  
Harry Millar ◽  
Simon Naji
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Provision ◽  
Total Population ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Health Board ◽  
National Strategy ◽  
Specialist Service

Aims and MethodTo describe eating disorder services in Scotland. Fifty-two services completed a postal questionnaire.ResultsSix of the mainland health board areas, with a total population of 1.5 million, were not covered by any (self-defined) ‘specialist’ service. Although most services had access to in-patient facilities, we identified only one designated bed in Scotland for eating disorder patients, and this in a non-specialist service. In many other ways, services did not meet published recommendations for the provision of eating disorders services.Clinical ImplicationsIt is suggested that a national strategy should be formulated, and a model of service provision is proposed.

scholarly journals New eating disorder service

1998 ◽  
Vol 22 (12) ◽  
pp. 751-754 ◽  
Author(s):  
Harry R. Millar
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Care ◽  
Unmet Need ◽  
Referral Rate ◽  
Clinical Implications ◽  
Specialist Service ◽  
Assessment And Treatment ◽  
Atypical Anorexia Nervosa ◽  
Training And Support

Aims and methodThe paper describes the first three years experience of a new out-patient eating disorder service for adults. Clinical data on referrals using standardised assessments are presented.ResultsThe referral rate rapidly rose to over 200 patients per annum. Forty-nine per cent of referrals were bulimic disorders and 26% had either anorexia nervosa or atypical anorexia nervosa. Seventy per cent were directly referred by general practitioners.Clinical implicationsThe creation of a specialist eating disorder service quickly leads to a high referral rate suggesting a previously unmet need. A service based on assessment and treatment by nurse therapists is acceptable and feasible with appropriate training and support from psychiatry, clinical psychology and dietetics. Expectations of a specialist service include teaching, consultation, research and audit as well as the provision of direct clinical care.

scholarly journals Beyond the Revolving Door: Long-Term Lived Experience of Eating Disorders and Specialist Service Provision

2019 ◽  
Vol 29 (14) ◽  
pp. 2070-2083 ◽  
Author(s):  
Ciara Joyce ◽  
Pete Greasley ◽  
Ste Weatherhead ◽  
Karen Seal
Keyword(s):  
Eating Disorders ◽  
Lived Experience ◽  
Narrative Analysis ◽  
Service Provision ◽  
Revolving Door ◽  
Specialist Service ◽  
The United Kingdom ◽  
Specialist Services ◽  
Collaborative Working

In this study, we undertook a narrative analysis of participants’ long-term lived experience of eating disorders and specialist service provision. Eight participants were recruited with service experience across five National Health Service (NHS) Trusts in the United Kingdom. All participants had a minimum of 10 years self-reported experience living with an eating disorder. The data are presented across different temporal stages that demonstrate the development of participants’ self-construct in relation to their first contact with specialist services, what had happened in their lives for this to become necessary, and their current relationships with services, before exploring what participants need from services to help them feel heard going forward. Findings suggest that current methods of service delivery result in delayed and inappropriate supports and a consequent “battling” against professionals, which can provide an obstacle to compassionate and collaborative working and promote “revolving door” experiences.

Prevalence and management of people with eating disorders presenting to primary care: A national study

2021 ◽  
pp. 000486742199875
Author(s):  
Lorraine Ivancic ◽  
Sarah Maguire ◽  
Jane Miskovic-Wheatley ◽  
Christopher Harrison ◽  
Natasha Nassar
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Body Mass Index ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Body Mass ◽  
National Study ◽  
Specialist Service ◽  
Related Condition ◽  
Low Body Mass Index

Objective: Primary care practitioners are well placed to support diagnosis and appropriate treatment of eating disorders as they are often the first point of contact with the health care system. However, little is known about management of eating disorders in primary care. We aimed to estimate the prevalence of management of eating disorders in primary care and identify how these disorders are managed. Methods: This study used data from the Bettering the Evaluation of Care of Health programme, which annually surveys 1000 randomly sampled general practitioners in Australia who each record details of 100 successive patient encounters. In total, data were utilised from 1,568,100 primary care encounters between 2000/2001 and 2015/2016. Results: Eating disorders were managed in less than 1% of primary care encounters between 2000/2001 and 2015/2016. When extrapolated to the Australian population, up to 0.32% of the population were managed in primary care for a primary or probable eating disorder. In the majority of encounters where an eating disorder was managed (58.5%), the encounter was initiated for reasons other than the eating disorder itself. Of a group of patients identified with a clinically significant low body mass index ( N = 5917), a small number ( n = 118) had either no other diagnosis or a related condition that may be indicative of an eating disorder. In encounters where an eating disorder was managed, referrals to a mental health specialist/service, medical specialist and nutritionist/dietician were provided in 20%, 8% and 6% of encounters, respectively. Mental health treatment plans, which provide subsidised access to mental health services, were ascribed in approximately 7.7% of encounters where an eating disorder was managed. Conclusion: Primary care provides an opportunity to improve detection and management of eating disorders, particularly when patients present for ‘other’ issues or with unexplained low body mass index and one or more symptoms related to an eating disorder.

scholarly journals Men in eating disorder units: a service evaluation survey regarding mixed gender accommodation rules in an eating disorder setting

2018 ◽  
Vol 42 (6) ◽  
pp. 258-263 ◽  
Author(s):  
Akira Fukutomi ◽  
Frances Connan ◽  
Anthony P. Winston ◽  
Pia Ghosh
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Evaluation ◽  
Clinical Implications ◽  
Single Gender ◽  
Department Of Health ◽  
Male Patients ◽  
Men With Eating Disorders ◽  
Mixed Gender ◽  
Evaluation Survey

Aims and methodThis service evaluation was conducted to find out: (1) if mixed gender accommodation in eating disorder units is perceived to be helpful or unhelpful for recovery, and (2) if men were being discriminated against by the implementation of the 2010 Department of Health (DoH) guidelines on the elimination of mixed gender wards. All 32 in-patient units accredited on the Quality Network for Eating Disorders were contacted via a survey.ResultsWe received 38 responses from professionals from 26 units and 53 responses from patients (46 female, 7 male) from 7 units. Four units had closed admissions to male patients due to DoH guidelines.Clinical implicationsWe found that it is possible to provide admission for men with eating disorders, while respecting the single gender accommodation rules, and that doing so is likely to be helpful for both genders and prevents discrimination against men.Declaration of interestNone.

scholarly journals Don't forget EDNOS (eating disorder not otherwise specified): patterns of service use in an eating disorders service

2005 ◽  
Vol 29 (4) ◽  
pp. 134-136 ◽  
Author(s):  
Eric J. Button ◽  
Elizabeth Benson ◽  
Claire Nollett ◽  
Robert L. Palmer
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Significant Relationship ◽  
Catchment Area ◽  
Service Use ◽  
Diagnostic Group ◽  
Clinical Implications ◽  
Not Otherwise Specified ◽  
Clinical Records ◽  
Outpatient Appointments

Aims and MethodThe aim of the study was to track service consumption in adult referrals to a specialised NHS eating disorders service over a 3-year period. We examined clinical records of a year's cohort (1999) of 147 referrals (96% female) assessed from the local catchment area.ResultsThe most common diagnostic group (42.8%) presented with some form of eating disorder not otherwise specified (EDNOS). There was no significant relationship between diagnosis and service consumption, so that full syndrome eating disorders were no more labour-intensive overall than EDNOS patients. Indeed, EDNOS patients accounted for 50% of all outpatient appointments and over a half of all in-patient days.Clinical ImplicationsThe results suggest that those planning services for eating disorders need to take into account the substantial demand from EDNOS patients.

scholarly journals Problems across care pathways in specialist adult eating disorder services

2009 ◽  
Vol 33 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Glenn Waller ◽  
Ulrike Schmidt ◽  
Janet Treasure ◽  
Katie Murray ◽  
Joana Aleyna ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Resource Utilisation ◽  
Clinical Implications ◽  
Evidence Based ◽  
Care Pathways ◽  
Patient Journey ◽  
End Of Treatment ◽  
Complete Treatment ◽  
Evidence Based Care

Aims and MethodDespite considerable knowledge of outcomes for patients who complete treatment for eating disorders, less is known about earlier stages in the treatment journey. This study aimed to map the efficiency of the anticipated patient journey along care pathways. Referrals to specialist eating disorder services (n=1887) were tracked through the process of referral, assessment, treatment and discharge.ResultsThe patient mortality rate was low. However, there were serious problems of attrition throughout the care pathways. of the original referrals where a meaningful conclusion could be reached, in approximately 35% the person was never seen, only half entered treatment and only a quarter reached the end of treatment.Clinical ImplicationsThis study demonstrates considerable inefficiency of resource utilisation. Suggestions are made for reducing this inefficiency, to allow more patients the opportunity of evidence-based care.

scholarly journals Review of Ireland’s First Year of the COVID-19 Pandemic Impact on People Affected by Eating Disorders: ‘Behind Every Screen There Was a Family Supporting a Person with an Eating Disorder’

2021 ◽  
Vol 10 (15) ◽  
pp. 3385
Author(s):  
Harriet Parsons ◽  
Barry Murphy ◽  
Deirbhile Malone ◽  
Ingrid Holme
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Provision ◽  
Monitoring And Evaluation ◽  
First Year ◽  
Irish Society ◽  
Treatment Services ◽  
Wide Range ◽  
The Family ◽  
The Impact

Irish society went into one of the most stringent lockdowns in March 2020 due to the COVID-19 pandemic, and barring a few weeks, remains highly restricted at time of writing. This has produced a wide range of challenges for those affected by eating disorders, as well as treatment services and Bodywhys, The Eating Disorders Association of Ireland. Current research indicates that COVID-19 has impacted across three key areas—the experience of those with an eating disorder, the experience of service provision, and the impact on the family situation. Drawing on monitoring and evaluation data gathered by Bodywhys, this paper details the challenges faced by those affected by eating disorders in Ireland and how the organisation responded to these challenges, providing support in various forms to people with eating disorders and their families.

Internal Structure of the Spanish Adaptation of the Eating Disorder Inventory-3

2012 ◽  
Vol 28 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Paula Elosua ◽  
Alicia López-Jáuregui
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Internal Structure ◽  
Internal Consistency ◽  
Clinical Sample ◽  
Temporal Stability ◽  
Second Order ◽  
Order Structure ◽  
Eating Disorder Inventory ◽  
High Internal Consistency

In this study the Eating Disorder Inventory-3 was adapted to Spanish and analyzed the internal psychometric properties of the test in a clinical sample of females with eating disorders. The results showed a high internal consistency of the scores as well as high temporal stability. The factor structure of the scale composites was analyzed using confirmatory factor analysis. The results supported the existence of a second-order structure beyond the psychological composites. The second-order factor showed high correlation with the factor related to eating disorders. Overall, the Spanish version of the EDI-3 showed good psychometric qualities in terms of internal consistency, temporal stability and internal structure.

Pharmacotherapy for Eating Disorders

2017 ◽  
Author(s):  
Susan McElroy ◽  
Anna I. Guerdjikova ◽  
Nicole Mori ◽  
Paul E. Keck
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating

This chapter addresses the pharmacotherapy of the eating disorders (EDs). Many persons with EDs receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. This chapter first provides a brief rationale for using medications in the treatment of EDs. It then reviews the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES). It concludes by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.

Epidemiology and Course of Eating Disorders

2010 ◽  
pp. 24-32 ◽  
Author(s):  
Pamela Keel
Keyword(s):  
Public Health ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
The Public ◽  
Purging Disorder ◽  
Not Otherwise Specified ◽  
Public Health Significance ◽  
Health Significance

The epidemiology of eating disorders holds important clues for understanding factors that may contribute to their etiology. In addition, epidemiological findings speak to the public health significance of these deleterious syndromes. Information on course and outcome are important for clinicians to understand the prognosis associated with different disorders of eating and for treatment planning. This chapter reviews information on the epidemiology and course of anorexia nervosa, bulimia nervosa, and two forms of eating disorder not otherwise specified, binge eating disorder and purging disorder.

Sign in / Sign up

Export Citation Format

Share Document