Improving programme-led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective

Emily Davey, Karina Allen, Sophie D. Bennett, Rachel Bryant-Waugh, Tim Clarke, Zafra Cooper, Katharina Dixon-Ward, Jake Dudley, Ivan Eisler, Jess Griffiths, Andrew J. Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Ulrike Schmidt, Mima Simic, Kate Tchanturia, Gemma Traviss-Turner, Janet TreasureHannah Turner, Tracey Wade, Glenn Waller, Roz Shafran

Research output: Contribution to journalReview articlepeer-review

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Abstract

Objective: Eating disorders are associated with significant illness burden and costs, yet access to evidence-based care is limited. Greater use of programme-led and focused interventions that are less resource-intensive might be part of the solution to this demand-capacity mismatch. 

Method: In October 2022, a group of predominantly UK-based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme-led and focused interventions for eating disorders in an attempt to bridge the demand-capacity gap. 

Results: Several key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme-led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal. 

Conclusions: Programme-led and focused interventions are a viable option to close the demand-capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.

Original languageEnglish
Pages (from-to)577-595
Number of pages19
JournalEuropean Eating Disorders Review
Volume31
Issue number5
Early online date22 May 2023
DOIs
Publication statusPublished - Sept 2023

Keywords

  • access to care
  • brief therapy
  • eating disorders
  • guided self-help
  • low intensity
  • treatment gap

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