ANZAED eating disorder treatment principles and general clinical practice and training standards

Journal of Eating Disorders

Jeremy Freeman¹  Marion Roberts²  Shane Jeffrey³  Gabriella Heruc⁴  Kim Hurst⁵  Fiona Sutherland⁶  Tracey Wade⁷  Anjanette Casey⁸  Andrew Wallis⁹  Beth Shelton^1,10  Susan Hart^1,11  Rachel Knight^1,12  Garalynne Stiles^1,13  Chris Thornton^1,14  Anthea Fursland^1,15  Kate Fleming^1,15  Michelle Roberton^1,16 

[1] Australia & New Zealand Academy for Eating Disorders, Sydney, Australia;Australia & New Zealand Academy for Eating Disorders, Sydney, Australia;Department of General Practice and Primary Health Care, Faculty of Medical & Health Sciences, University of Auckland, Auckland, New Zealand;Australia & New Zealand Academy for Eating Disorders, Sydney, Australia;River Oak Health, Brisbane, Australia;Royal Brisbane and Women’s Hospital, Brisbane, Australia;Australia & New Zealand Academy for Eating Disorders, Sydney, Australia;School of Medicine, Western Sydney University, Campbelltown, Australia;Eating Disorders Service, Northern Sydney Local Health District, St Leonards, Australia;Australia & New Zealand Academy for Eating Disorders, Sydney, Australia;School of Psychology, Griffith University, Gold Coast, Australia;Eating Disorders Service, Robina Private Hospital, Robina, Australia;Australia & New Zealand Academy for Eating Disorders, Sydney, Australia;The Mindful Dietitian, Melbourne, Australia;Blackbird Initiative, Órama Institute, Flinders University, Bedford Park, Australia;Centre for Psychotherapy, Hunter New England Local Health District, Newcastle, Australia;Eating Disorders Service, Sydney Children’s Hospital Network, Sydney, Australia;National Eating Disorders Collaboration, Sydney, Australia;Nutrition and Dietetics, St Vincent’s Hospital, Darlinghurst, Australia;The Boden Collaboration of Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Camperdown, Australia;Occupational Therapy, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia;The Victorian Centre of Excellence in Eating Disorders, Melbourne, Australia;School of Sport, Exercise and Nutrition, College of Health, Massey University, Palmerston North, New Zealand;The Redleaf Practice, Sydney, Australia;The Swan Centre, Perth, Australia;The Victorian Centre of Excellence in Eating Disorders, Melbourne, Australia;

关键词: Clinical practice;    Dietetics;    Dietitian;    Eating disorder;    Mental health professional;    Psychological;    Standards;    Training;    Treatment;   

DOI  :  10.1186/s40337-020-00341-0

来源: Springer

【 摘 要 】

IntroductionEating disorders are complex to manage, and there is limited guidance around the depth and breadth of knowledge, skills and experience required by treatment providers. The Australia & New Zealand Academy for Eating Disorders (ANZAED) convened an expert group of eating disorder researchers and clinicians to define the clinical practice and training standards recommended for mental health professionals and dietitians providing treatment for individuals with an eating disorder. General principles and clinical practice standards were first developed, after which separate mental health professional and dietitian standards were drafted and collated by the appropriate members of the expert group. The subsequent review process included four stages of consultation and document revision: (1) expert reviewers; (2) a face-to-face consultation workshop attended by approximately 100 health professionals working within the sector; (3) an extensive open access online consultation process; and (4) consultation with key professional and consumer/carer stakeholder organisations.RecommendationsThe resulting paper outlines and describes the following eight eating disorder treatment principles: (1) early intervention is essential; (2) co-ordination of services is fundamental to all service models; (3) services must be evidence-based; (4) involvement of significant others in service provision is highly desirable; (5) a personalised treatment approach is required for all patients; (6) education and/or psychoeducation is included in all interventions; (7) multidisciplinary care is required and (8) a skilled workforce is necessary. Seven general clinical practice standards are also discussed, including: (1) diagnosis and assessment; (2) the multidisciplinary care team; (3) a positive therapeutic alliance; (4) knowledge of evidence-based treatment; (5) knowledge of levels of care; (6) relapse prevention; and (7) professional responsibility.ConclusionsThese principles and standards provide guidance to professional training programs and service providers on the development of knowledge required as a foundation on which to build competent practice in the eating disorder field. Implementing these standards aims to bring treatment closer to best practice, and consequently improve treatment outcomes, reduce financial cost to patients and services and improve patient quality of life.

【 授权许可】

CC BY