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New eating disorder service

Published online by Cambridge University Press:  02 January 2018

Harry R. Millar*
Affiliation:
Eating Disorder Service, Fulton Clinic, Royal Cornhill. Hospital, Aberdeen AB25 2ZH
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Abstract

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Aims and method

The paper describes the first three years experience of a new out-patient eating disorder service for adults. Clinical data on referrals using standardised assessments are presented.

Results

The referral rate rapidly rose to over 200 patients per annum. Forty-nine per cent of referrals were bulimic disorders and 26% had either anorexia nervosa or atypical anorexia nervosa. Seventy per cent were directly referred by general practitioners.

Clinical implications

The creation of a specialist eating disorder service quickly leads to a high referral rate suggesting a previously unmet need. A service based on assessment and treatment by nurse therapists is acceptable and feasible with appropriate training and support from psychiatry, clinical psychology and dietetics. Expectations of a specialist service include teaching, consultation, research and audit as well as the provision of direct clinical care.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

American Psychiatric Association (1993) Practice guideline for eating disorders. American Journal of Psychiatry, 150, 207228.CrossRefGoogle Scholar
Cooper, P. J., Taylor, M. J., Cooper, Z., et al (1987) The development and validation of the body shape questionnaire. International Journal of Eating Disorders. 6, 485494.3.0.CO;2-O>CrossRefGoogle Scholar
Crisp, A. H., Norton, K. R. S., Jurczak, S., et al (1985) A treatment approach to anorexia nervosa – 25 years on. Journal of Psychiatric Research, 19, 393404.CrossRefGoogle Scholar
Crisp, A. H., Callender, J. S., Halek, C., et al (1992) Long term mortality in anorexia nervosa. British Journal of Psychiatry, 161, 104107.CrossRefGoogle ScholarPubMed
Eagles, J. M., Johnston, M. I., Hunter, D., et al (1995) Increasing incidence of anorexia nervosa in the female population of Northeast Scotland. American Journal of Psychiatry, 152, 12661271.Google ScholarPubMed
Freeman, C. (1992) Day patient treatment for anorexia nervosa. British Review of Bulimia and Anorexia Nervosa, 6, 29.Google Scholar
Garner, D. M. (1991) Eating Disorders Inventory – 2. Professional Manual Odessa, FL: Psychological Assessment Resources.Google Scholar
Hoek, H. W. (1991) The incidence and prevalence of anorexia nervosa and bulimia nervosa in primary care. Psychological Medicine, 21, 455460.CrossRefGoogle ScholarPubMed
Hoek, H. W. (1995) The distribution of eating disorders. In Eating Disorders and Obesity (eds Brownell, K. D. & Fairburn, C. G.), pp. 207211. New York: Guilford.Google Scholar
Royal College of Psychiatrists (1992) Eating Disorders (Council Report CR14). London: Royal College of Psychiatrists.Google Scholar
Turnbull, S., Ward, A., Treasure, J., et al (1996) The demand for eating disorder care. An epidemiological study using the general practice research database. British Journal of Psychiatry, 169, 705712.CrossRefGoogle ScholarPubMed
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO.Google Scholar
Zigmond, A. S. & Snaith, R. P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361370.CrossRefGoogle ScholarPubMed
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