Search results for ‘Subject term:"eating disorders"’ Sort:
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Problems across care pathways in specialist adult eating disorder services
- Authors:
- WALLER Glenn, et al
- Journal article citation:
- Psychiatric Bulletin, 33(1), January 2009, pp.26-29.
- Publisher:
- Royal College of Psychiatrists
Despite considerable knowledge of outcomes for patients who complete treatment for eating disorders, less is known about earlier stages in the treatment journey. This study aimed to map the efficiency of the anticipated patient journey along care pathways. Referrals to specialist eating disorder services (n=1887) were tracked through the process of referral, assessment, treatment and discharge. The patient mortality rate was low. However, there were serious problems of attrition throughout the care pathways. Of the original referrals where a meaningful conclusion could be reached, in approximately 35% the person was never seen, only half entered treatment and only a quarter reached the end of treatment. This study demonstrates considerable inefficiency of resource utilisation. Suggestions are made for reducing this inefficiency, to allow more patients the opportunity of evidence-based care.
For good measure
- Authors:
- BROWNING Robert, HOLLINGBERY Tim
- Journal article citation:
- Health Service Journal, 5.10.00, 2000, pp.34-35.
- Publisher:
- Emap Healthcare
The introduction of integrated pathways at one trust helped clarify standards of care - and outcomes. Argues that this approach can work in other specialties, such as mental health. Includes guidelines developed for eating disorders as an example.
Child mental health differences amongst ethnic groups in Britain: a systematic review
- Authors:
- GOODMAN Anna, PATEL Vikram, LEON David A.
- Journal article citation:
- BMC Public Health, 8(258), July 2008, Online only
- Publisher:
- BioMed Central Ltd
This review compared the population-based prevalence of child mental disorders between ethnic groups in Britain, and related these findings to ethnic differences in mental health service use. Bibliographic databases were searched for population-based and clinic-based studies of children aged 0–19, including all ethnic groups and the main child mental disorders. 31 population-based and 18 clinic-based studies met the inclusion criteria. It was found that children in the main minority groups have similar or better mental health than White British children for common disorders, but may have higher rates for some less common conditions. The causes of these differences are unclear.
Don’t forget EDNOS (eating disorder not otherwise specified): patterns of service use in an eating disorders service
- Authors:
- BUTTON Eric J., et al
- Journal article citation:
- Psychiatric Bulletin, 29(4), April 2005, pp.134-136.
- Publisher:
- Royal College of Psychiatrists
The aim of the study was to track service consumption in adult referrals to a specialised NHS eating disorders service over a 3-year period. The authors examined clinical records of a year’s cohort (1999) of 147 referrals (96% female) assessed from the local catchment area. The most common diagnostic group (42.8%) presented with some form of eating disorder not otherwise specified (EDNOS). There was no significant relationship between diagnosis and service consumption, so that full syndrome eating disorders were no more labour-intensive overall than EDNOS patients. Indeed, EDNOS patients accounted for 50% of all out-patient appointments and over a half of all in-patient days. The results suggest that those planning services for eating disorders need to take into account the substantial demand from EDNOS patients.
The different meanings of food in Chinese patients suffering from Anorexia Nervosa: implications for clinical social work
- Authors:
- MA Joyce L. C., CHAN Zenobia C. Y.
- Journal article citation:
- Social Work in Mental Health, 2(1), 2003, pp.47-70.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The metaphoric meanings of food have cast new lights on social work intervention with Chinese patients suffering from anorexia nervosa (AN) and their families. Hitherto, there is inadequate documentation on the different meanings of food in families with a daughter suffering from AN in a Chinese context. To fill this knowledge gap, this article reports the 3-year clinical observations of a sample of 34 adolescents and young women suffering from AN, as well as their families under family treatment. These observations show that food can be conceptualized in the following ways: (1) eating as an expression of filial piety; (2) food preparation as part of the woman's nurturing role; (3) self-starvation as refusal to grow up; (4) self-starvation as struggle for autonomy; (5) assignment of food as part of the family hierarchy; and (6) assignment of food as part of parental control. Its implications for clinical social work practice and the roles of social workers in helping are discussed. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Eating disorder symptoms among Pacific Island and Caucasian women: the impact of self dissatisfaction and anger discomfort
- Authors:
- EDMAN Jeanne L., YATES Alayne
- Journal article citation:
- Journal of Mental Health, 13(2), April 2004, pp.143-150.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Recent findings suggest that there may be an increased risk of eating disorders among women from non-Western countries, however, few studies have examined this risk among Pacific Island women. The present study examines eating disorder symptom levels, self dissatisfaction, anger discomfort, body dissatisfaction and body mass index (BMI) among Chamorro (Pacific Island) and Caucasian female college students. The study also accesses whether BMI, anger discomfort, self and body dissatisfaction levels correlate with eating disorder symptom levels. A self-report questionnaire that included subscales of the Eating Disorder Inventory-2 (EDI-2), and measures of anger discomfort, self dissatisfaction, and body dissatisfaction, was administered to 76 Caucasian and 59 Chamorro female college students. There were no cultural differences in eating disorder symptom, self dissatisfaction or body dissatisfaction scores. Chamorro females reported higher BMI and anger discomfort levels. Measures of self dissatisfaction and anger discomfort were associated with higher symptom levels of eating disorders. The results support recent research findings of cultural similarities in symptoms of eating disorders. The findings also support the importance of assessing self dissatisfaction and anger discomfort in order to more fully understand the risk factors in the development of eating disorders among Pacific Island and Caucasian women.
Eating disorders in Scotland: starved of resources?
- Authors:
- LEMOUCHOUX Camille, MILLAR Harry, NAJI Simon
- Journal article citation:
- Psychiatric Bulletin, 25(7), July 2001, pp.256-260.
- Publisher:
- Royal College of Psychiatrists
Reports on research which aims to describe eating disorder services in Scotland. Fifty-two services completed a postal questionnaire. Six of the mainland health board areas, with a total population of 1.5 million, were not covered by any (self-defined) 'specialist' service. Although most services had access to in-patient facilities, we identified only one designated bed in Scotland for eating disorder patients, and this in a non-specialist service. Suggests that a national strategy should be formulated, and a model of service provision is proposed.
Mental health care for children and young people and human rights: a practitioners guide
- Author:
- BRITISH INSTITUTE OF HUMAN RIGHTS
- Publisher:
- British Institute of Human Rights
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- London
Booklet providing advice for practitioners on using human rights values and approaches when working with children and young people in hospital mental health settings. It also contains relevant information for practitioners working with children and young people in the community. The booklet is arranged around three key issues: seclusion and de-escalation, which includes a decision making flow chart; supporting young people with eating disorders; and private and family life on the ward. Each section outlines potential human rights issues for practice; offers suggested responses which take a human rights approach; provides information about the key rights most likely to be relevant to that area of practice; and includes worked examples. Although produced for practitioners, it includes information that may also be useful for people using services, their family, carers or advocates. It is one of eight booklets developed as part of the British Institute of Human Rights (BIHR) project ‘Delivering Compassionate Care: Connecting Human Rights to the Frontline’, which aims to help ensure that frontline staff have the knowledge and skills to place human rights at the heart of mental health services. (Edited publisher abstract)
An integrative review of the literature on how eating disorders among adolescents affect the family as a system – complex structures and relational processes
- Authors:
- EKLUND Rakel, SALZMANN-ERIKSON Martin
- Journal article citation:
- Mental Health Review Journal, 21(3), 2016, pp.213-230.
- Publisher:
- Emerald
Purpose: The purpose of this literature review is to describe how eating disorders among adolescents affect family relationships and the family’s daily living conditions and to describe the family’s experienced need for professional support. Design/methodology/approach: An integrative literature review based on the method of Whittemore and Knafl. In all, 15 articles with both qualitative and quantitative approaches were reviewed. Findings: The results are presented in two main themes: a disharmonic family and the need for input from healthcare professionals. The results are discussed using Callista Roy’s adaptation model and the adaptive modes: group identity mode, role function and interdependence. Originality/value: This review paper will be of interest to clinical nurses and other professionals who encounter families to clarify how the relationships and roles change within the family. To the authors knowledge, no integrative review has paid attention to how the relational aspects of the family members, their social roles and role constructions within the family affect daily living. (Publisher abstract)
Eating disorders
- Author:
- RINGWOOD Susan
- Journal article citation:
- Mental Health Today, October 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Current thinking on what causes and can help treat eating disorders is discussed. Current research indicates that a complex interaction of risk factors and vulnerabilities combine to affect the likelihood that any individual will develop an eating disorder. These include genetic factors such as perfectionism and low self-esteem. Investigations in neuroscience and brain chemistry are also providing new insights. Social, environmental and cultural factors also play a role. Three things have been consistently cited as making the most positive impact on recovery: being listened to, being taken seriously, and being given hope. However, often these do not form part of people’s experience of the treatment and care they receive. It is suggested that eating disorders should be taken more seriously and that more clinicians, including those working in generic services, need to feel confident and able to treat these disorders.