dc.contributor.author | Ayton, Agnes | |
dc.contributor.author | Viljoen, David | |
dc.contributor.author | Ryan, Sharon | |
dc.contributor.author | Ford, Duncan | |
dc.date.accessioned | 2020-12-23T13:28:42Z | |
dc.date.available | 2020-12-23T13:28:42Z | |
dc.date.issued | 2020-12 | |
dc.identifier.citation | Agnes Ayton, David Viljoen, Sharon Ryan, Ali Ibrahimt, Duncan Ford. Risk, demand and capacity in adult specialist eating disorder services in the South of England – before and since Covid-19. https://psyarxiv.com/ | en |
dc.identifier.uri | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/689 | |
dc.description | Preprint freely available online. | en |
dc.description.abstract | Aims and Method: This is a longitudinal cohort study describing the demand and capacity for specialist inpatient treatment of patients with severe eating disorders covering a population of 3.5 million. We compared the impact of the pandemic and the outcomes between different inpatient services.
Results: Between July 2018 and 1 November 2020 there were 293 referrals. 97% were female. 93% had a diagnosis of anorexia nervosa. 19.5% of referrals were below BMI 13, and a further 40% had extreme malnutrition. Referrals and emergency admissions to acute hospitals have increased by 20% since the pandemic. Waiting times have doubled from 33 to 67 days. A novel integrated CBTE model has shown better outcomes and shorter length of stay compared to traditional eclectic treatment. Clinical Implications:The pandemic has worsened the mismatch of demand and capacity, causing increasing serious risks and this needs to be addressed as a matter of urgency. | en |
dc.description.uri | https://doi.org/10.31234/osf.io/z76qj | en |
dc.language.iso | en | en |
dc.subject | Eating Disorders | en |
dc.subject | COVID-19 | en |
dc.subject | HOPE (Healthy Outcomes for People with Eating Disorders) Provider Collaborative (PC) | en |
dc.title | Risk, demand and capacity in adult specialist eating disorder services in the South of England – before and since Covid-19 | en |
dc.type | Preprint | en |