Abstract
Aims and method
This is a longitudinal cohort study describing the demand, capacity and outcomes of adult specialist eating disorder in-patient services covering a population of 3.5 million in a South-East England provider collaborative before and since the COVID-19 pandemic, between July 2018 and March 2021.
Results
There were 351 referrals for admission; 97% were female, 95% had a diagnosis of anorexia nervosa and 19% had a body mass index (BMI) <13. Referrals have increased by 21% since the start of pandemic, coinciding with reduced capacity. Waiting times have increased from 33 to 46 days. There were significant differences in outcomes between providers. A novel, integrated enhanced cognitive behaviour theapy treatment model showed a 25% reduction in length of stay and improved BMI on discharge (50% v. 16% BMI >19), compared with traditional eclectic in-patient treatment.
Clinical implications
Integrated enhanced cognitive behaviour theapy reduced length of stay and improved outcomes, and can offer more effective use of healthcare resources.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Reference27 articles.
1. 6 Parliamentary and Health Service Ombudsman. Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. Parliamentary and Health Service Ombudsman, 2017 (https://www.ombudsman.org.uk/publications/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients).
2. A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the UK
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