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20 - Models of service delivery

from Part IV - Evidence-based care

Published online by Cambridge University Press:  02 December 2009

Brett McDermott
By
Simon Gowers  and
Lynne Green
Edited by
Tony Jaffa
Brett McDermott
Affiliation:
University of Queensland
Simon Gowers
Affiliation:
University of Liverpool, Chester, UK
Lynne Green
Affiliation:
University of Liverpool, Chester, UK
Tony Jaffa
Affiliation:
Phoenix Centre, Cambridge
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Summary

Introduction

Young people with eating disorders are treated in a range of service settings, but without, to date, good quality research evidence to determine which service configuration might benefit a particular patient at a particular time.

However, a number of recent clinical guidelines in the USA (APA, 2000), Australia and New Zealand (RANZCP, 2004), Finland (Ebeling et al., 2003) and the UK (NCCMH, 2004) have exhaustively reviewed the treatment literature and made recommendations for good practice.

In the UK two further initiatives have offered the possibility of a more comprehensive approach to commissioning and developing services along evidence-based lines. First, the publication of the Children's National Service Framework (NSF) for mental health (Department of Health, 2004) set standards and defined service models for the promotion and treatment of mental health. It emphasized the need for age-appropriate services for children and young people requiring specialist intervention, whilst also acknowledging that in some adolescent cases where intensive, specialized treatment is required, contributions from services oriented to adults may be required. Second, an internet-based multidisciplinary special interest group of clinicians and academics, EDNet, was established to provide a forum for professionals, users and carers to review current knowledge and support service developments.

This chapter will review models of service delivery, the evidence to support them and the associated recommendations in clinical guidelines. Where evidence is lacking, priorities for further research are highlighted.

Keywords

day hospital treatmenteating disorderfamily therapyinpatient treatmentoutpatient programmeservice delivery models
Type
Chapter
Information
Eating Disorders in Children and Adolescents , pp. 248 - 259
Publisher: Cambridge University Press
Print publication year: 2006

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