{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T12:18:56Z","timestamp":1780316336829,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005197","name":"Hilda and Preston Davis Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005197","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH110445"],"award-info":[{"award-number":["MH110445"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Anorexia nervosa (AN) commonly develops during adolescence. Existing literature offers some treatment guidelines, but clear clinical criteria for initial recommendations and steps of care are needed. The aim of the present study was to develop expert consensus for a stepped\u2010care algorithm for treatment of adolescents with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The Delphi approach was used to identify clinical parameters that guide initial treatment recommendations and recommendations for transitions between levels of care. The Delphi approach provides a useful expert consensus when empirical data are limited. Individuals with at least 10\u2009years of experience in the field of adolescent AN and membership in one of three professional organizations were recruited. Twenty\u2010five panelists participated in three rounds of iterative online questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Consensus was achieved on several features of a treatment algorithm. Hospitalization is recommended when medical instability, suicidality, or acute food refusal are present at any point in treatment. Family\u2010based treatment (FBT) is recommended as the first\u2010line treatment, with a few exceptions. Consensus was not reached on when to transition from a higher level of care to a lower level of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Expert opinion was used to develop a consensus\u2010based algorithm for care of adolescents with AN. Future research is needed to test whether these recommendations can be used to optimize outcomes for adolescents with AN.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23088","type":"journal-article","created":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T21:15:12Z","timestamp":1557177312000},"page":"777-785","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Steps of care for adolescents with anorexia nervosa\u2014A Delphi study"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7717-3522","authenticated-orcid":false,"given":"Samantha","family":"Buchman","sequence":"first","affiliation":[{"name":"Weill Cornell Medicine New York\u2010Presbyterian Hospital  White Plains New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Attia","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center New York State Psychiatric Institute  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Dawson","sequence":"additional","affiliation":[{"name":"Centre for Family\u2010Based Mental Health Care St. Vincent's Private Hospital Sydney, Eating Disorder Service, The Children's Hospital at Westmead  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8434-8212","authenticated-orcid":false,"given":"Joanna E.","family":"Steinglass","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center New York State Psychiatric Institute  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,6]]},"reference":[{"issue":"7","key":"e_1_2_6_2_1","first-page":"4","article-title":"Treatment of patients with eating disorders,third edition","volume":"163","author":"Association AP","year":"2006","journal-title":"American Journal of Psychiatry"},{"key":"e_1_2_6_3_1","volume-title":"Summary of junior MARSIPAN: Management of really sick patients under 18 with anorexia nervosa","author":"Ayton A.","year":"2015"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2008.025635"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.20925"},{"key":"e_1_2_6_6_1","volume-title":"Studies in the quality of life: Delphi and decision\u2010making","author":"Dalkey N. 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