Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective

Author:

Davey Emily1ORCID,Allen Karina23ORCID,Bennett Sophie D.1,Bryant‐Waugh Rachel45,Clarke Tim67,Cooper Zafra8,Dixon‐Ward Katharina9,Dudley Jake1,Eisler Ivan45,Griffiths Jess10,Hill Andrew J.11,Micali Nadia11213,Murphy Rebecca14,Picek Ivana23,Rea Ros9,Schmidt Ulrike23,Simic Mima5,Tchanturia Kate23ORCID,Traviss‐Turner Gemma11ORCID,Treasure Janet23ORCID,Turner Hannah15,Wade Tracey16ORCID,Waller Glenn17ORCID,Shafran Roz1

Affiliation:

1. UCL Great Ormond Street Institute of Child Health University College London London UK

2. Section of Eating Disorders Department of Psychological Medicine Institute of Psychiatry, Psychology & Neuroscience King's College London London UK

3. South London and Maudsley NHS Foundation Trust London UK

4. Department of Child and Adolescent Psychiatry Institute of Psychiatry, Psychology & Neuroscience King's College London London UK

5. Maudsley Centre for Child and Adolescent Eating Disorders South London and Maudsley NHS Foundation Trust London UK

6. Norwich Medical School University of East Anglia Norwich UK

7. Norfolk and Suffolk NHS Foundation Trust Norwich UK

8. Department of Psychiatry Yale School of Medicine New Haven Connecticut USA

9. Beat Norwich UK

10. NHS England Adult Eating Disorders Co‐Chair Parliamentary Health Service Ombudsman's Delivery Group Redditch UK

11. Leeds Institute of Health Sciences School of Medicine University of Leeds Leeds UK

12. Department of Psychiatry Faculty of Medicine University of Geneva Geneva Switzerland

13. Mental Health Services of the Capital Region of Denmark Eating Disorders Research Unit Ballerup Psychiatric Centre Copenhagen Denmark

14. Department of Psychiatry University of Oxford Oxford UK

15. Eating Disorders Service Southern Health NHS Foundation Trust Southampton UK

16. Blackbird Initiative Flinders Research Institute for Mental Health and Wellbeing Flinders University Adelaide South Australia Australia

17. Clinical and Applied Psychology Unit Department of Psychology University of Sheffield Sheffield UK

Abstract

AbstractObjectiveEating disorders are associated with significant illness burden and costs, yet access to evidence‐based care is limited. Greater use of programme‐led and focused interventions that are less resource‐intensive might be part of the solution to this demand‐capacity mismatch.MethodIn October 2022, a group of predominantly UK‐based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme‐led and focused interventions for eating disorders in an attempt to bridge the demand‐capacity gap.ResultsSeveral key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme‐led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal.ConclusionsProgramme‐led and focused interventions are a viable option to close the demand‐capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.

Funder

National Institute for Health and Care Research

Publisher

Wiley

Subject

Psychiatry and Mental health,Clinical Psychology

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