Improving eating disorder care for underserved groups: a lived experience and quality improvement perspective
Journal of Eating Disorders,
Journal Year:
2025,
Volume and Issue:
13(1)
Published: Jan. 22, 2025
Improvements
to
eating
disorder
(ED)
care
are
urgently
needed
in
the
United
Kingdom
(UK)
and
around
world.
Informed
by
my
lived
experiences,
independent
research,
involvement
underappreciated
field
of
quality
improvement
(QI),
I
have
written
this
article
offer
ideas
on
how
improve
individuals'
access
experiences
ED
care.
As
live
UK,
QI
UK's
National
Health
Service
(NHS).
However,
much
article's
content
can
be
applied
broadly
healthcare
providers
world,
as
similar
improvements
internationally.
Furthermore,
commentary
is
informed
latest
international
research.
In
paper,
will
identify
discuss
12
groups
individuals
whom
believe
more
likely
underserved
The
'underserved
groups'
(USGs)
follows:
[USG.
1]
People
with
longstanding
EDs
and/or
older-age
sufferers;
2]
Younger
children/preadolescents;
3]
under-recognised/underappreciated
EDs;
4]
higher
weights;
5]
comorbidities;
6]
neurodevelopmental
conditions
(neurodiverse
people);
7]
Digitally
excluded
people;
8]
Socioeconomically
sociogeographically
disadvantaged
9]
Ethnic/racial
minorities;
10]
Sexual
gender-diverse
11]
Males;
12]
Caregivers/loved
ones.
sufferers/caregivers
also
an
group
a
whole
general
mental
health
care,
so
broader
considerations
for
improving
explored
future
publication;
these
include
stigma,
research
biases,
inadequate
clinical
monitoring
diagnosing,
poor-quality
treatments,
disorganised
service
transitions,
systemic
problems/inefficiencies,
underfunding/under-resourcing.
Specific
recommendations
USGs
1–12
must
considered
alongside
other
issues.
Throughout
both
articles,
advocate
humanistic
model/approach
based
inexpensive
principles
compassion,
hope,
empathy,
appreciation
(of
identity),
patience
('CHEAP').
Language: Английский
Early intervention for eating disorders
Current Opinion in Psychiatry,
Journal Year:
2024,
Volume and Issue:
37(6), P. 397 - 403
Published: Aug. 15, 2024
Purpose
of
review
Research
on
early
intervention
for
eating
disorders
has
started
to
gain
traction
and
examples
this
in
practice
are
increasing.
This
summarizes
findings
over
the
past
3
years,
focusing
clinical
effectiveness
barriers
facilitators
its
implementation.
Recent
developments
can
be
divided
into
three
broad
themes:
research
that
examined
efficacy
pathways
practice,
informed
understanding
target
patient
groups
(via
staging
models,
e.g.),
suggested
new
ways
progress
intervention,
towards
becoming
a
standard
part
best
care.
Summary
Early
have
shown
promising
outcomes
viewed
positively
by
patients,
clinicians
other
stakeholders.
However,
more
robust
trials
their
efficacy,
cost-effectiveness
needed.
Additionally,
been
identified
(e.g.
delayed
help-seeking);
must
now
develop
evaluate
strategies
address
these.
Finally,
models
underpinned
partly
disorders,
which
require
further
development,
especially
than
anorexia
nervosa.
Language: Английский