Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder
BackgroundEating disorder services are often separated into child and adolescent eating disorder services (CAEDSs) and adult eating disorder services (AEDSs). Most patients in CAEDSs present with first-episode illness of short duration, which with appropriate treatment, have a good prognosis. Howeve...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-05-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472420000137/type/journal_article |
| _version_ | 1811157026199306240 |
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| author | Jessica McClelland Mima Simic Ulrike Schmidt Antonia Koskina Catherine Stewart |
| author_facet | Jessica McClelland Mima Simic Ulrike Schmidt Antonia Koskina Catherine Stewart |
| author_sort | Jessica McClelland |
| collection | DOAJ |
| description | BackgroundEating disorder services are often separated into child and adolescent eating disorder services (CAEDSs) and adult eating disorder services (AEDSs). Most patients in CAEDSs present with first-episode illness of short duration, which with appropriate treatment, have a good prognosis. However, some individuals receive further treatment as adults. Little is known about service utilisation in adulthood following childhood/adolescent treatment of an eating disorder.AimsThis study aims (a) to estimate the proportion of patients in a CAEDS who use mental health services as young adults, (b) to delineate service utilisation following treatment in CAEDSs and (c) to identify factors in CAEDSs that predict service utilisation in young adulthood.MethodA consecutive cohort of 322 patients (aged 13–17 years) seen in a CAEDS in the UK over a 5-year period were included in this audit. Data regarding their use of UK-wide adult mental health services as young adults (i.e. when aged 18–25) were extracted from local and national hospital records.ResultsA total of 68.3% of CAEDS patients received no mental health treatment as young adults. Although 13% of people seen in a CAEDS had brief eating disorder treatment as young adults, 10% received longer/or more intensive eating disorder treatment. Overall, 10.8% transitioned directly to an AEDS and 7.6% were re-referred following discharge from CAEDS. In our sample, older age and increased use of CAEDSs predicted increased eating disorder treatment in young adulthood.ConclusionsOur results indicate that most people seen in CAEDSs do not receive further mental health treatment as young adults. Several features in CAEDSs distinguish mental health service utilisation in young adulthood, which were identified clinically and could be targeted during treatment. |
| first_indexed | 2024-04-10T05:00:33Z |
| format | Article |
| id | doaj.art-a077825c09a0495ea6dde1c46973c989 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T05:00:33Z |
| publishDate | 2020-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-a077825c09a0495ea6dde1c46973c9892023-03-09T12:28:58ZengCambridge University PressBJPsych Open2056-47242020-05-01610.1192/bjo.2020.13Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorderJessica McClelland0https://orcid.org/0000-0002-2030-084XMima Simic1Ulrike Schmidt2Antonia Koskina3Catherine Stewart4South London and Maudsley NHS Foundation Trust, UK; and Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKSouth London and Maudsley NHS Foundation Trust, UK; and Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKSouth London and Maudsley NHS Foundation Trust, UK; and Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKSouth London and Maudsley NHS Foundation Trust, UK; and Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKSouth London and Maudsley NHS Foundation Trust, UK; and Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKBackgroundEating disorder services are often separated into child and adolescent eating disorder services (CAEDSs) and adult eating disorder services (AEDSs). Most patients in CAEDSs present with first-episode illness of short duration, which with appropriate treatment, have a good prognosis. However, some individuals receive further treatment as adults. Little is known about service utilisation in adulthood following childhood/adolescent treatment of an eating disorder.AimsThis study aims (a) to estimate the proportion of patients in a CAEDS who use mental health services as young adults, (b) to delineate service utilisation following treatment in CAEDSs and (c) to identify factors in CAEDSs that predict service utilisation in young adulthood.MethodA consecutive cohort of 322 patients (aged 13–17 years) seen in a CAEDS in the UK over a 5-year period were included in this audit. Data regarding their use of UK-wide adult mental health services as young adults (i.e. when aged 18–25) were extracted from local and national hospital records.ResultsA total of 68.3% of CAEDS patients received no mental health treatment as young adults. Although 13% of people seen in a CAEDS had brief eating disorder treatment as young adults, 10% received longer/or more intensive eating disorder treatment. Overall, 10.8% transitioned directly to an AEDS and 7.6% were re-referred following discharge from CAEDS. In our sample, older age and increased use of CAEDSs predicted increased eating disorder treatment in young adulthood.ConclusionsOur results indicate that most people seen in CAEDSs do not receive further mental health treatment as young adults. Several features in CAEDSs distinguish mental health service utilisation in young adulthood, which were identified clinically and could be targeted during treatment.https://www.cambridge.org/core/product/identifier/S2056472420000137/type/journal_articleAnorexia nervosabulimia nervosaeating disorders NOS |
| spellingShingle | Jessica McClelland Mima Simic Ulrike Schmidt Antonia Koskina Catherine Stewart Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder BJPsych Open Anorexia nervosa bulimia nervosa eating disorders NOS |
| title | Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder |
| title_full | Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder |
| title_fullStr | Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder |
| title_full_unstemmed | Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder |
| title_short | Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder |
| title_sort | defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder |
| topic | Anorexia nervosa bulimia nervosa eating disorders NOS |
| url | https://www.cambridge.org/core/product/identifier/S2056472420000137/type/journal_article |
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