Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study
Plain English summary Specialist eating disorders services may improve outcomes and reduce hospitalisations for children and adolescents with anorexia nervosa. Reductions in hospitalisation could save money for the NHS and are better for young people because hospitalisation disrupts their home life,...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-021-00433-5 |
| _version_ | 1797935129637683200 |
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| author | Sarah Byford Hristina Petkova Barbara Barrett Tamsin Ford Dasha Nicholls Mima Simic Simon Gowers Geraldine Macdonald Ruth Stuart Nuala Livingstone Grace Kelly Jonathan Kelly Kandarp Joshi Helen Smith Ivan Eisler |
| author_facet | Sarah Byford Hristina Petkova Barbara Barrett Tamsin Ford Dasha Nicholls Mima Simic Simon Gowers Geraldine Macdonald Ruth Stuart Nuala Livingstone Grace Kelly Jonathan Kelly Kandarp Joshi Helen Smith Ivan Eisler |
| author_sort | Sarah Byford |
| collection | DOAJ |
| description | Plain English summary Specialist eating disorders services may improve outcomes and reduce hospitalisations for children and adolescents with anorexia nervosa. Reductions in hospitalisation could save money for the NHS and are better for young people because hospitalisation disrupts their home life, social life and education. This study evaluated outcomes and costs of specialist eating disorders services compared to general child and adolescent mental health services (CAMHS) for children and adolescents with anorexia nervosa. Children and adolescents were identified by contacting child and adolescent psychiatrists in the UK and Ireland and asking them to report any new cases of anorexia nervosa. These psychiatrists identified 298 young people aged 8 to 17 with an anorexia nervosa diagnosis for the first time. The psychiatrists provided information on the health services these young people used and how they were doing when they were first diagnosed and 6 months and 1 year later. Children and adolescents in specialist services were more severely ill than those in CAMHS when they were first diagnosed. Despite this, care for the young people in specialist services cost about the same as for those diagnosed in CAMHS, and their outcomes after 1 year were similar. This work showed that specialist services may be better value for money than CAMHS. |
| first_indexed | 2024-04-10T18:09:32Z |
| format | Article |
| id | doaj.art-9e0786da261048e6904af93ec987cd20 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T18:09:32Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-9e0786da261048e6904af93ec987cd202023-02-02T11:33:12ZengBMCJournal of Eating Disorders2050-29742021-06-019111510.1186/s40337-021-00433-5Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance studySarah Byford0Hristina Petkova1Barbara Barrett2Tamsin Ford3Dasha Nicholls4Mima Simic5Simon Gowers6Geraldine Macdonald7Ruth Stuart8Nuala Livingstone9Grace Kelly10Jonathan Kelly11Kandarp Joshi12Helen Smith13Ivan Eisler14Institute of Psychiatry, Psychology & Neuroscience at King’s College London, PO24 David Goldberg CentreInstitute of Psychiatry, Psychology & Neuroscience at King’s College London, PO24 David Goldberg CentreInstitute of Psychiatry, Psychology & Neuroscience at King’s College London, PO24 David Goldberg CentreDepartment of Psychiatry, University of CambridgeImperial College London, Division of Psychiatry, Department of Brain SciencesSouth London and Maudsley NHS Foundation Trust, Michael Rutter Centre for Children and Young PeopleUniversity of LiverpoolUniversity of Bristol, School for Policy StudiesInstitute of Psychiatry, Psychology & Neuroscience at King’s College London, PO24 David Goldberg CentreQueen’s University Belfast, School of Social Sciences, Education & Social WorkQueen’s University BelfastBeatNHS Grampian and University of Aberdeen, CAMHS, City HospitalNHS Ayrshire and Arran, South CAMHS/NSAIU, CAMHS, Arrol Park Resource CentreSouth London and Maudsley NHS Foundation Trust, Maudsley Centre for Child and Adolescent Eating Disorders, Michael Rutter Centre for Children and Young PeoplePlain English summary Specialist eating disorders services may improve outcomes and reduce hospitalisations for children and adolescents with anorexia nervosa. Reductions in hospitalisation could save money for the NHS and are better for young people because hospitalisation disrupts their home life, social life and education. This study evaluated outcomes and costs of specialist eating disorders services compared to general child and adolescent mental health services (CAMHS) for children and adolescents with anorexia nervosa. Children and adolescents were identified by contacting child and adolescent psychiatrists in the UK and Ireland and asking them to report any new cases of anorexia nervosa. These psychiatrists identified 298 young people aged 8 to 17 with an anorexia nervosa diagnosis for the first time. The psychiatrists provided information on the health services these young people used and how they were doing when they were first diagnosed and 6 months and 1 year later. Children and adolescents in specialist services were more severely ill than those in CAMHS when they were first diagnosed. Despite this, care for the young people in specialist services cost about the same as for those diagnosed in CAMHS, and their outcomes after 1 year were similar. This work showed that specialist services may be better value for money than CAMHS.https://doi.org/10.1186/s40337-021-00433-5Anorexia nervosaCost-effectiveness analysisSpecialist eating disorders servicesChild and adolescent mental health services |
| spellingShingle | Sarah Byford Hristina Petkova Barbara Barrett Tamsin Ford Dasha Nicholls Mima Simic Simon Gowers Geraldine Macdonald Ruth Stuart Nuala Livingstone Grace Kelly Jonathan Kelly Kandarp Joshi Helen Smith Ivan Eisler Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study Journal of Eating Disorders Anorexia nervosa Cost-effectiveness analysis Specialist eating disorders services Child and adolescent mental health services |
| title | Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study |
| title_full | Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study |
| title_fullStr | Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study |
| title_full_unstemmed | Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study |
| title_short | Cost-effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa: a national surveillance study |
| title_sort | cost effectiveness of specialist eating disorders services for children and adolescents with anorexia nervosa a national surveillance study |
| topic | Anorexia nervosa Cost-effectiveness analysis Specialist eating disorders services Child and adolescent mental health services |
| url | https://doi.org/10.1186/s40337-021-00433-5 |
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