{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T03:29:29Z","timestamp":1793158169950,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23 MH120347"],"award-info":[{"award-number":["K23 MH120347"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Deb Family"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Eat Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Family-based treatment (FBT), the leading intervention for adolescents with anorexia nervosa (AN), is severely understudied in outpatient care settings that serve publicly-insured populations. Many individuals with public insurance are lower-income, racially and ethnically diverse, and experience barriers to accessing evidence-based interventions for eating disorders (EDs).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Semi-structured interviews were conducted with ten interdisciplinary providers who provide specialty care to youth with EDs in an inpatient and\/or outpatient medical setting. Interview questions were focused on the interdisciplinary providers\u2019 experiences of caring for individuals with EDs, with a focus on differences in care for those with private insurance compared to public insurance. The interviews took place two years after training in FBT was delivered to mental health providers in San Francisco County, which created opportunities to explore provider perspectives on collaborating with newly-trained mental health providers in the community implementing FBT with publicly-insured youth.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Content analysis converged on three themes: the critical importance of supporting mental health treatment within the context of medical care, complex challenges when helping patients and their families navigate publicly-funded health care systems, and the overall positive impact of the FBT rollout in San Francisco County. Participants emphasized greater confidence in patient outcomes when collaborating with FBT providers and noted discord when working with providers not trained in EDs or FBT. Referral systems, weight-based stigma, and a lack of appropriate services were highlighted as significant barriers to care. To facilitate treatment engagement in publicly-insured populations, participants stressed the importance of clinicians providing psychoeducation and providing services with a high degree of cultural competence. Participants expressed that patients\u2019 ability to access FBT and providers\u2019 ability to collaborate on cases markedly improved following the county training, increasing their sense of efficacy in delivering adequate patient care.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The discussed themes highlight the importance of access to FBT for individuals in underserved communities, which can significantly reduce both provider and patient burden. Despite various barriers to utilizing FBT in publicly-funded settings, clinicians stressed that cultural adaptations increase the implementation of and facilitate family engagement in FBT, which is consistent with previous literature examining evidence-based intervention implementation science.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40337-024-01124-7","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T12:02:36Z","timestamp":1729598556000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Interdisciplinary perspectives on accessing specialty evidence-based treatment for Medicaid-insured adolescents with eating disorders"],"prefix":"10.1186","volume":"12","author":[{"given":"Peyton","family":"Crest","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siena S.","family":"Vendlinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Borges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Landsverk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin C.","family":"Accurso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"issue":"5","key":"1124_CR1","doi-asserted-by":"publisher","first-page":"1402","DOI":"10.1093\/ajcn\/nqy342","volume":"109","author":"M Galmiche","year":"2019","unstructured":"Galmiche M, D\u00e9chelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000\u20132018 period: a systematic literature review. Am J Clin Nutr. 2019;109(5):1402\u201313.","journal-title":"Am J Clin Nutr"},{"issue":"7","key":"1124_CR2","first-page":"724","volume":"68","author":"J Arcelus","year":"2011","unstructured":"Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality rates in patients with anorexia nervosa and other eating disorders: a Meta-analysis of 36 studies. JAMA Psychiatry. 2011;68(7):724\u201331.","journal-title":"JAMA Psychiatry"},{"key":"1124_CR3","unstructured":"Deloitte Access Economics. The social and economic cost of eating disorders in the United States of America: report for the strategic training initiative for the prevention of eating disorders and the academy for eating disorders. June 2020. https:\/\/www.hsph.harvard.edu\/striped\/report-economic-costs-of-eating-disorders"},{"issue":"5","key":"1124_CR4","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1002\/eat.23486","volume":"54","author":"J Streatfeild","year":"2021","unstructured":"Streatfeild J, Hickson J, Austin SB, Hutcheson R, Kandel JS, Lampert JG, Meyers EM, Richmond TK, Samnaliev M, Velasquez K, Weissman RS, Pezzullo L. Social and economic cost of eating disorders in the United States: evidence to inform policy action. Int J Eat Disord. 2021;54(5):851\u201368.","journal-title":"Int J Eat Disord"},{"key":"1124_CR5","first-page":"1","volume":"5","author":"SL Hayes","year":"2015","unstructured":"Hayes SL, Riley P, Radley DC, McCarthy D. Closing the gap: past performance of health insurance in reducing racial and ethnic disparities in access to care could be an indication of future results. Issue Brief Commonw Fund. 2015;5:1\u201311.","journal-title":"Issue Brief Commonw Fund"},{"key":"1124_CR6","unstructured":"Medicaid Eligibility Policy. [cited 2024 Jan 3]. https:\/\/www.medicaid.gov\/medicaid\/eligibility\/index.html"},{"issue":"10","key":"1124_CR7","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1001\/jamapediatrics.2021.2081","volume":"175","author":"EC Accurso","year":"2021","unstructured":"Accurso EC, Buckelew SM, Snowden LR. Youth insured by Medicaid with restrictive eating disorders\u2014underrecognized and underresourced. JAMA Pediatr. 2021;175(10):999\u20131000.","journal-title":"JAMA Pediatr"},{"issue":"1","key":"1124_CR8","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s40337-022-00730-7","volume":"11","author":"R Moreno","year":"2023","unstructured":"Moreno R, Buckelew SM, Accurso EC, Raymond-Flesch M. Disparities in access to eating disorders treatment for publicly-insured youth and youth of color: a retrospective cohort study. J Eat Disorders. 2023;11(1):10.","journal-title":"J Eat Disorders"},{"key":"1124_CR9","doi-asserted-by":"crossref","unstructured":"Mikhail ME, Cordell KD, Downey AE, Snowden LR, Accurso EC. (2024). Predictors of outpatient and inpatient service utilization among publicly-insured youth with eating disorders. Int J Eat Disord. Advance online publication. https:\/\/doi.org\/10.1002\/eat.24301","DOI":"10.1002\/eat.24301"},{"key":"1124_CR10","doi-asserted-by":"publisher","first-page":"101548","DOI":"10.1016\/j.eatbeh.2021.101548","volume":"43","author":"KM Huryk","year":"2021","unstructured":"Huryk KM, Drury CR, Loeb KL. Diseases of affluence? A systematic review of the literature on socioeconomic diversity in eating disorders. Eat Behav. 2021;43:101548.","journal-title":"Eat Behav"},{"key":"1124_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2458-14-943","volume":"14","author":"D Mitchison","year":"2014","unstructured":"Mitchison D, Hay P, Slewa-Younan S, Mond J. The changing demographic profile of eating disorder behaviors in the community. BMC Public Health. 2014;14:1\u20139.","journal-title":"BMC Public Health"},{"issue":"3","key":"1124_CR12","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1002\/eat.22670","volume":"50","author":"AE Kazdin","year":"2017","unstructured":"Kazdin AE, Fitzsimmons-Craft EE, Wilfley DE. Addressing critical gaps in the treatment of eating disorders. Int J Eat Disord. 2017;50(3):170\u201389.","journal-title":"Int J Eat Disord"},{"issue":"145","key":"1124_CR13","first-page":"10","volume":"13","author":"G Halbeisen","year":"2022","unstructured":"Halbeisen G, Brandt G, Paslakis G. A plea for diversity in eating disorders research. Front Psychiatry. 2022;13(145):10\u20133389.","journal-title":"Front Psychiatry"},{"issue":"2","key":"1124_CR14","doi-asserted-by":"publisher","first-page":"E192","DOI":"10.9778\/cmajo.20140086","volume":"3","author":"A Toulany","year":"2015","unstructured":"Toulany A, Wong M, Katzman DK, Akseer N, Steinegger C, Hancock-Howard RL, Coyte PC. Cost analysis of inpatient treatment of anorexia nervosa in adolescents: hospital and caregiver perspectives. CMAJ Open. 2015;3(2):E192\u20137.","journal-title":"CMAJ Open"},{"issue":"8","key":"1124_CR15","doi-asserted-by":"publisher","first-page":"1284","DOI":"10.1176\/appi.ajp.159.8.1284","volume":"159","author":"HC Steinhausen","year":"2002","unstructured":"Steinhausen HC. The outcome of anorexia nervosa in the 20th century. Am J Psychiatry. 2002;159(8):1284\u201393.","journal-title":"Am J Psychiatry"},{"issue":"Suppl 7","key":"1124_CR16","first-page":"533","volume":"30","author":"C Jassogne","year":"2018","unstructured":"Jassogne C, Zdanowicz N. Management of adult patients with anorexia nervosa: a literature review. Psychiatria Danubia. 2018;30(Suppl 7):533\u20136.","journal-title":"Psychiatria Danubia"},{"issue":"6","key":"1124_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.12968\/hmed.2020.0099","volume":"81","author":"J Neale","year":"2020","unstructured":"Neale J, Hudson LD. Anorexia nervosa in adolescents. Br J Hosp Med. 2020;81(6):1\u20138.","journal-title":"Br J Hosp Med"},{"issue":"10","key":"1124_CR18","first-page":"1025","volume":"67","author":"J Lock","year":"2010","unstructured":"Lock J, Le Grange D, Agras WS, Moye A, Bryson SW, Jo B. Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. JAMA Psychiatry. 2010;67(10):1025\u201332.","journal-title":"JAMA Psychiatry"},{"key":"1124_CR19","unstructured":"Lock J, Le Grange D. Treatment manual for anorexia nervosa: a family-based approach. Guilford Press; 2015."},{"issue":"9","key":"1124_CR20","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1002\/eat.22536","volume":"49","author":"J Lock","year":"2016","unstructured":"Lock J, Agras WS, Bryson SW, Brandt H, Halmi KA, Kaye W, Wilfley D, Woodside B, Pajarito S, Jo B. Does family-based treatment reduce the need for hospitalization in adolescent anorexia nervosa? Int J Eat Disord. 2016;49(9):891\u20134.","journal-title":"Int J Eat Disord"},{"issue":"1","key":"1124_CR21","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1186\/s40337-021-00476-8","volume":"9","author":"S Maguire","year":"2021","unstructured":"Maguire S, Maloney D. The implementation of large-scale health system reform in identification, access and treatment of eating disorders in Australia. J Eat Disorders. 2021;9(1):121.","journal-title":"J Eat Disorders"},{"issue":"1","key":"1124_CR22","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s13012-015-0231-3","volume":"10","author":"J Couturier","year":"2015","unstructured":"Couturier J, Kimber M, Lock J, Barwick M, McVey G, Findlay S, et al. Implementing highly specialized and evidence-based pediatric eating disorder treatment: protocol for a mixed methods evaluation. Implement Sci. 2015;10(1):40.","journal-title":"Implement Sci"},{"issue":"1","key":"1124_CR23","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1186\/s40337-018-0218-y","volume":"6","author":"J Couturier","year":"2018","unstructured":"Couturier J, Kimber M, Barwick M, Woodford T, McVey G, Findlay S, et al. Themes arising during implementation consultation with teams applying family-based treatment: a qualitative study. J Eat Disorders. 2018;6(1):32.","journal-title":"J Eat Disorders"},{"issue":"1","key":"1124_CR24","first-page":"50","volume":"27","author":"G Dimitropoulos","year":"2018","unstructured":"Dimitropoulos G, Landers AL, Freeman V, Novick J, Garber A, Le Grange D. Open Trial of Family-based treatment of Anorexia Nervosa for Transition Age Youth. J Can Acad Child Adolesc Psychiatry. 2018;27(1):50.","journal-title":"J Can Acad Child Adolesc Psychiatry"},{"issue":"1","key":"1124_CR25","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1002\/eat.23429","volume":"54","author":"CSE Chew","year":"2021","unstructured":"Chew CSE, Kelly S, Tay EE, Baeg A, Khaider KB, Oh JY, Rajasegaran K, Saffari SE, Davis C. Implementation of family-based treatment for Asian adolescents with anorexia nervosa: a consecutive cohort examination of outcomes. Int J Eat Disord. 2021;54(1):107\u201316.","journal-title":"Int J Eat Disord"},{"issue":"1","key":"1124_CR26","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1186\/s40337-023-00879-9","volume":"11","author":"S Oshukova","year":"2023","unstructured":"Oshukova S, Suokas J, Nordberg M, \u00c5lgars M. Effects of family-based treatment on adolescent outpatients treated for anorexia nervosa in the eating disorder unit of Helsinki University Hospital. J Eat Disorders. 2023;11(1):154.","journal-title":"J Eat Disorders"},{"issue":"1","key":"1124_CR27","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1186\/s40337-021-00498-2","volume":"9","author":"M Bentz","year":"2021","unstructured":"Bentz M, Pedersen SH, Moslet U. An evaluation of family-based treatment for restrictive-type eating disorders, delivered as standard care in a public mental health service. J Eat Disorders. 2021;9(1):141.","journal-title":"J Eat Disorders"},{"issue":"2","key":"1124_CR28","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1080\/10640266.2017.1330319","volume":"26","author":"EC Accurso","year":"2018","unstructured":"Accurso EC, Astrachan-Fletcher E, O\u2019Brien S, McClanahan SF, Le Grange D. Adaptation and implementation of family-based treatment enhanced with dialectical behavior therapy skills for anorexia nervosa in community-based specialist clinics. J Eat Disorders. 2018;26(2):149\u201363.","journal-title":"J Eat Disorders"},{"issue":"11","key":"1124_CR29","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1002\/eat.22568","volume":"49","author":"M Goldstein","year":"2016","unstructured":"Goldstein M, Murray SB, Griffiths S, Rayner K, Podkowka J, Bateman JE, Wallis A, Thornton CE. The effectiveness of family-based treatment for full and partial adolescent anorexia nervosa in an independent private practice setting: clinical outcomes. Int J Eat Disord. 2016;49(11):1023\u20136.","journal-title":"Int J Eat Disord"},{"issue":"1","key":"1124_CR30","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1186\/s40337-022-00665-z","volume":"10","author":"I Eisler","year":"2022","unstructured":"Eisler I, Simic M, Fonagy P, Bryant-Waugh R. Implementing service transformation for children and adolescents with eating disorders across England: the theory, politics, and pragmatics of large-scale service reform. J Eat Disorders. 2022;10(1):146.","journal-title":"J Eat Disorders"},{"key":"1124_CR31","unstructured":"California Department of Health Care Services. DHCS Pediatric Dashboard [Internet]. https:\/\/www.dhcs.ca.gov\/services\/Pages\/DHCS-Pediatric-Dashboard.aspx"},{"key":"1124_CR32","doi-asserted-by":"publisher","first-page":"1389652","DOI":"10.3389\/fpsyg.2024.1389652","volume":"15","author":"R Borges","year":"2024","unstructured":"Borges R, Crest P, Landsverk J, Accurso EC. Adaptations to family-based treatment for Medicaid-insured adolescents with anorexia nervosa. Front Psychol. 2024;15:1389652.","journal-title":"Front Psychol"},{"issue":"1","key":"1124_CR33","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s40337-021-00454-0","volume":"9","author":"E Accurso","year":"2021","unstructured":"Accurso E, Mu KJ, Landsverk J, Guydish J. Adaptation to family-based treatment for Medicaid-insured youth with anorexia nervosa in publicly-funded settings: protocol for a mixed methods implementation scale-out pilot study. J Eat Disorders. 2021;9(1):99.","journal-title":"J Eat Disorders"},{"issue":"4","key":"1124_CR34","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","volume":"11","author":"V Braun","year":"2019","unstructured":"Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qualitative Res Sport Exerc Health. 2019;11(4):589\u201397.","journal-title":"Qualitative Res Sport Exerc Health"},{"issue":"6","key":"1124_CR35","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349\u201357.","journal-title":"Int J Qual Health Care"},{"issue":"1","key":"1124_CR36","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1186\/s40337-023-00850-8","volume":"11","author":"AB Goldschmidt","year":"2023","unstructured":"Goldschmidt AB, Tortolani CC, Accurso EC, Dunbar EMP, Egbert AH, Donaldson D, Donaldson AA. Adapting family-based treatment for adolescent anorexia nervosa delivered in the home: a novel approach for improving access to care and generalizability of skill acquisition. J Eat Disorders. 2023;11(1):130.","journal-title":"J Eat Disorders"},{"issue":"4","key":"1124_CR37","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1016\/j.beth.2005.12.002","volume":"37","author":"KH Gordon","year":"2006","unstructured":"Gordon KH, Brattole MM, Wingate LR, Joiner Jr. TE. The impact of client race on clinician detection of eating disorders. Behav Ther. 2006;37(4):319\u201325.","journal-title":"Behav Ther"},{"issue":"1","key":"1124_CR38","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1186\/s40337-022-00671-1","volume":"10","author":"MJ Pehlivan","year":"2022","unstructured":"Pehlivan MJ, Miskovic-Wheatley J, Le A, Maloney D, National Eating Disorders Research Consortium, Touyz S, Maguire S. Models of care for eating disorders: findings from a rapid review. J Eat Disorders. 2022;10(1):166.","journal-title":"J Eat Disorders"},{"issue":"1","key":"1124_CR39","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1186\/s40337-022-00585-y","volume":"10","author":"RD Rienecke","year":"2022","unstructured":"Rienecke RD, Le Grange D. The five tenets of family-based treatment for adolescent eating disorders. J Eat Disorders. 2022;10(1):60.","journal-title":"J Eat Disorders"}],"updated-by":[{"DOI":"10.1186\/s40337-024-01144-3","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000}}],"container-title":["Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40337-024-01124-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40337-024-01124-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40337-024-01124-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T07:06:41Z","timestamp":1731654401000},"score":1,"resource":{"primary":{"URL":"https:\/\/jeatdisord.biomedcentral.com\/articles\/10.1186\/s40337-024-01124-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,22]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1124"],"URL":"https:\/\/doi.org\/10.1186\/s40337-024-01124-7","relation":{"correction":[{"id-type":"doi","id":"10.1186\/s40337-024-01144-3","asserted-by":"object"}]},"ISSN":["2050-2974"],"issn-type":[{"value":"2050-2974","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,22]]},"assertion":[{"value":"25 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 November 2024","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1186\/s40337-024-01144-3","URL":"https:\/\/doi.org\/10.1186\/s40337-024-01144-3","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All potential participants who were approached provided informed consent. Study procedures were approved by the UCSF IRB (IRB #20-32009).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The senior author (ECA) consults with Partnership HealthPlan of California (a healthcare organization that contracts with the State to administer Medicaid benefits) concerning strategies to improve the treatment of eating disorders. The authors deny any other commercial or financial relationships that could be construed as a potential conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"167"}}