{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:08:18Z","timestamp":1777896498893,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>Anorexia nervosa is a form of eating disorder associated with significant morbidity and mortality, such that patients can become physically unwell and need medical treatment. Body image can be distorted, meaning that underweight people may believe they need to lose weight, leading to treatment refusal in some cases. Consequently, involuntary treatment is sometimes used in severe cases of anorexia, which may include nasogastric (tube) feeding to restore weight. Wardship is used in Ireland to obtain the court\u2019s consent for treatment of unwilling patients with anorexia nervosa, as it is legally uncertain whether mental health legislation can be applied for treatment of these patients. This article will explore the current legal mechanisms for involuntary treatment of anorexia nervosa in Ireland, analysing both wardship and mental health legislation.<\/jats:p>","DOI":"10.1177\/00258172221149539","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T05:05:19Z","timestamp":1675832719000},"page":"93-97","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Anorexia nervosa and the law: Legal mechanisms for involuntary treatment in Ireland"],"prefix":"10.1177","volume":"91","author":[{"given":"Eimear","family":"Dunne","sequence":"first","affiliation":[{"name":"Cluain Mhuire Community Mental Health Service, Co Dublin, Ireland"},{"name":"Royal College of Surgeons, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"bibr1-00258172221149539","unstructured":"Mills S, Mulligan A.\n                      Medical law in Ireland\n                      . Dublin: Bloomsbury Academic, 2017."},{"key":"bibr2-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.109.006841"},{"key":"bibr3-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.11.004"},{"key":"bibr4-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.05.009"},{"key":"bibr5-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00016-X"},{"key":"bibr6-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2013.08.010"},{"key":"bibr7-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2018.02.001"},{"key":"bibr8-00258172221149539","unstructured":"HSE.\n                      Eating disorder services: HSE Model of Care for Ireland\n                      . Dublin, 2018."},{"key":"bibr9-00258172221149539","doi-asserted-by":"publisher","DOI":"10.1017\/S0790966700017328"},{"key":"bibr10-00258172221149539","unstructured":"Mental Health Commission.\n                      Code of practice on the use of physical restraint in approved centres\n                      . Dublin, 2009."},{"key":"bibr11-00258172221149539","unstructured":"Care Quality Commission.\n                      Guidance on the treatment of anorexia nervosa under the Mental Health Act 1983\n                      . Newcastle upon Tyne, 2008."},{"key":"bibr12-00258172221149539","unstructured":"Holland K. People with eating disorders forced to travel to UK for treatment, says judge, https:\/\/www.irishtimes.com\/news\/social-affairs\/people-with-eating-disorders-forced-to-travel-to-uk-for-treatment-says-judge-1.4601480 (2021, accessed 6 March 2022)."},{"key":"bibr13-00258172221149539","unstructured":"RTE. Concern over legal requirements for anorexia feeding orders, https:\/\/www.rte.ie\/news\/courts\/2019\/0625\/1057479-feeding-orders\/ (2019, accessed 27 March 2022)."},{"key":"bibr14-00258172221149539","unstructured":"CARED Ireland.\n                      Submission: Public consultation on draft legislation to update the Mental Health Act, 2001\n                      . 2021."},{"key":"bibr15-00258172221149539","volume-title":"A report of the Expert Group on the review of the Mental Health Act 2001","author":"Irish Department of Health.","year":"2015"},{"key":"bibr16-00258172221149539","unstructured":"16. Department of Health.\n                      Draft heads of a bill to amend the Mental Health Act 2001\n                      , https:\/\/www.gov.ie\/en\/publication\/47068-draft-heads-of-a-bill-to-amend-the-mental-health-act-2001\/ (2021, accessed 22 June 2022)."},{"key":"bibr17-00258172221149539","unstructured":"The National Safeguarding Committee.\n                      Review of current practice in the use of wardship for adults in Ireland\n                      . Dublin, 2017."},{"key":"bibr18-00258172221149539","first-page":"59","volume":"25","author":"Mulcahy J.","year":"2007","journal-title":"Irish Law Times"}],"container-title":["Medico-Legal Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172221149539","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258172221149539","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172221149539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:28:35Z","timestamp":1777624115000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258172221149539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,8]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/00258172221149539"],"URL":"https:\/\/doi.org\/10.1177\/00258172221149539","relation":{},"ISSN":["0025-8172","2042-1834"],"issn-type":[{"value":"0025-8172","type":"print"},{"value":"2042-1834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,8]]}}}