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Title: | Risk, demand and capacity in adult specialist eating disorder services in the South of England – before and since Covid-19 |
Authors: | Ayton, Agnes Viljoen, David Ryan, Sharon Ford, Duncan |
Keywords: | Eating Disorders COVID-19 HOPE (Healthy Outcomes for People with Eating Disorders) Provider Collaborative (PC) |
Issue Date: | Dec-2020 |
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/ |
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. |
Description: | Preprint freely available online. |
URI: | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/689 |
Appears in Collections: | Eating Disorders Nursing Research |
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