Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings
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 s...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-01-01
|
| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-021-00528-z |
| _version_ | 1811173891208380416 |
|---|---|
| author | Hannah Webb Bethan Dalton Madeleine Irish Daniela Mercado Catherine McCombie Gemma Peachey Jon Arcelus Katie Au Hubertus Himmerich A. Louise Johnston Stanimira Lazarova Tayeem Pathan Paul Robinson Janet Treasure Ulrike Schmidt Vanessa Lawrence |
| author_facet | Hannah Webb Bethan Dalton Madeleine Irish Daniela Mercado Catherine McCombie Gemma Peachey Jon Arcelus Katie Au Hubertus Himmerich A. Louise Johnston Stanimira Lazarova Tayeem Pathan Paul Robinson Janet Treasure Ulrike Schmidt Vanessa Lawrence |
| author_sort | Hannah Webb |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T17:55:24Z |
| format | Article |
| id | doaj.art-b3eff841fdb743f5a9b61f35f9e36699 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T17:55:24Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-b3eff841fdb743f5a9b61f35f9e366992023-02-02T19:00:49ZengBMCJournal of Eating Disorders2050-29742022-01-0110111310.1186/s40337-021-00528-zClinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settingsHannah Webb0Bethan Dalton1Madeleine Irish2Daniela Mercado3Catherine McCombie4Gemma Peachey5Jon Arcelus6Katie Au7Hubertus Himmerich8A. Louise Johnston9Stanimira Lazarova10Tayeem Pathan11Paul Robinson12Janet Treasure13Ulrike Schmidt14Vanessa Lawrence15Department of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceDepartment of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceDepartment of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceDepartment of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceDepartment of Health Services and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonSouth London and Maudsley NHS Foundation Trust, Maudsley HospitalInstitute of Mental Health, University of NottinghamSouth London and Maudsley NHS Foundation Trust, Maudsley HospitalDepartment of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceNHS GrampianSouth West London and St George’s Mental Health NHS TrustSurrey and Boarder Partnership NHS Foundation TrustDivision of Medicine, University College LondonDepartment of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceDepartment of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Institute of Psychiatry, Psychology & NeuroscienceDepartment of Health Services and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonPlain 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.https://doi.org/10.1186/s40337-021-00528-zAnorexia nervosaCliniciansHealthcare professionalsEating disordersIntensive treatmentQualitative research |
| spellingShingle | Hannah Webb Bethan Dalton Madeleine Irish Daniela Mercado Catherine McCombie Gemma Peachey Jon Arcelus Katie Au Hubertus Himmerich A. Louise Johnston Stanimira Lazarova Tayeem Pathan Paul Robinson Janet Treasure Ulrike Schmidt Vanessa Lawrence Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings Journal of Eating Disorders Anorexia nervosa Clinicians Healthcare professionals Eating disorders Intensive treatment Qualitative research |
| title | Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings |
| title_full | Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings |
| title_fullStr | Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings |
| title_full_unstemmed | Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings |
| title_short | Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings |
| title_sort | clinicians perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings |
| topic | Anorexia nervosa Clinicians Healthcare professionals Eating disorders Intensive treatment Qualitative research |
| url | https://doi.org/10.1186/s40337-021-00528-z |
| work_keys_str_mv | AT hannahwebb cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT bethandalton cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT madeleineirish cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT danielamercado cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT catherinemccombie cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT gemmapeachey cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT jonarcelus cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT katieau cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT hubertushimmerich cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT alouisejohnston cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT stanimiralazarova cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT tayeempathan cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT paulrobinson cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT janettreasure cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT ulrikeschmidt cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings AT vanessalawrence cliniciansperspectivesonsupportingindividualswithsevereanorexianervosainspecialisteatingdisorderintensivetreatmentsettings |