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Title: | Bridging the gap: does a specialist eating disorder service, aimed at developing a continuum of community care, make a difference? | Austin Authors: | Newton, John;Bosanac, Peter;Mancuso, Sam;Castle, David J | Affiliation: | Mental Health Clinical Service Unit, Austin Health, Heidelberg, VIC, Australia | Issue Date: | 13-May-2013 | Publication information: | Australasian Psychiatry 2013; 21(4): 365-70 | Abstract: | In 2010, the authors identified in a separate publication, Mind the evidence gap, the sparse evidence-base for the treatment of adult anorexia nervosa and barriers to accessing care. We report on the ensuing development, implementation and first 18-month results of a novel eating disorder service bridging the primary and specialist continuum of care in Victoria, Australia.Using literature review, stakeholder, and consumer and carer consultation, a model for a community eating disorder service was developed and then implemented. All patients entering the service were then assessed at intake and, if they gave consent, at 12 month follow-up.From December 2010 to July 2012, 208 patients accessed The Body Image Eating Disorders Treatment and Recovery Service (BETRS). Fifty-three per cent had a diagnosis of anorexia nervosa and the mean number of co-morbid psychiatric diagnoses was two. Twenty-three per cent attended a day patient programme and showed a significant improvement in their body mass index. Measures of depression, anxiety and eating disorder symptomatology showed a concomitant, significant decrease.The development of BETRS has led to markedly improved access and effectiveness of specialist services in the region. | Gov't Doc #: | 23671227 | URI: | https://ahro.austin.org.au/austinjspui/handle/1/11763 | DOI: | 10.1177/1039856213486303 | Journal: | Australasian Psychiatry | URL: | https://pubmed.ncbi.nlm.nih.gov/23671227 | Type: | Journal Article | Subjects: | anorexia nervosa day programme treatment Adolescent Adult Aged Anorexia Nervosa.psychology.therapy Anxiety.complications.therapy Body Mass Index Community Mental Health Services.organization & administration Depression.complications.therapy Female Humans Male Middle Aged Outcome and Process Assessment (Health Care) |
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