Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings

Journal of Eating Disorders

Catherine McCombie¹  Vanessa Lawrence¹  Bethan Dalton²  Hannah Webb²  Ulrike Schmidt²  Daniela Mercado²  Madeleine Irish²  Hubertus Himmerich²  Janet Treasure²  Paul Robinson³  Jon Arcelus⁴  A. Louise Johnston⁵  Katie Au⁶  Gemma Peachey⁶  Stanimira Lazarova⁷  Tayeem Pathan⁸ 

[1] Department of Health Services and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King’s College London;Department of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & Neuroscience;Division of Medicine, University College London;Institute of Mental Health, University of Nottingham;NHS Grampian;South London and Maudsley NHS Foundation Trust, Maudsley Hospital;South West London and St George’s Mental Health NHS Trust;Surrey and Boarder Partnership NHS Foundation Trust;

关键词: Anorexia nervosa;    Clinicians;    Healthcare professionals;    Eating disorders;    Intensive treatment;    Qualitative research;   

DOI  :  10.1186/s40337-021-00528-z

来源: DOAJ

【 摘 要 】

Plain English Summary Some people with anorexia nervosa will need intensive treatment (e.g., inpatient and day patient treatment) during the course of their illness. We interviewed twenty-one clinicians working in Specialist Eating Disorder Services to explore their views on supporting people with severe anorexia nervosa in inpatient and day patient services and about the perceived advantages and disadvantages of these. We analysed the transcripts of these interviews using thematic analysis. We identified similarities between the two intensive treatment approaches. These included the value of intensive and multidisciplinary support, the importance of carer involvement, and the challenge of managing patient’s complex and unique needs in services with limited resources. We also found differences between inpatient and day patient treatment. These included how treatment relates to patients’ home environments, the importance of patient motivation, and managing risk. Day patient treatment may be an alternative to inpatient treatment for people with severe anorexia nervosa. Future research should investigate which intensive treatment setting is best suited to which patient and when.

【 授权许可】

Unknown