{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:17:20Z","timestamp":1784672240648,"version":"3.55.0"},"reference-count":15,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec id=\"S2056469424000457_sec_a1\"><jats:title>Aims and method<\/jats:title><jats:p>The COVID-19 pandemic prompted a surge in adolescent eating disorders and rapid changes in the delivery of intensive community treatments. This study investigates the modification from a group-based day programme to an intensive family treatment approach. A retrospective chart review was performed on data from 190 patients who accessed the intensive service for anorexia nervosa in the past 6 years. Outcomes from the traditional model were compared with the new intensive family model, namely length of admission, percentage median body mass index difference and transfers to in-patient services.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469424000457_sec_a2\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>There was a significant reduction in the length of intensive treatment (from 143.19 to 97.20 days). The number of transfers to specialist eating disorder in-patient services also significantly reduced, and is decreasing year on year.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469424000457_sec_a3\"><jats:title>Clinical implications<\/jats:title><jats:p>The findings hold particular relevance as intensive services for adolescent eating disorders continue to be established within health services, with no clear unified approach to treatment.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjb.2024.45","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T22:14:55Z","timestamp":1715811295000},"page":"242-248","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service"],"prefix":"10.1192","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0319-0497","authenticated-orcid":false,"given":"Ellen","family":"Hayes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Tweedy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2024,5,16]]},"reference":[{"key":"S2056469424000457_ref14","doi-asserted-by":"crossref","first-page":"1226605","DOI":"10.3389\/fpsyg.2023.1226605","article-title":"Change processes during intensive day programme treatment for adolescent anorexia nervosa: a dyadic interview analysis of adolescent and parent views","volume":"14","author":"Colla","year":"2023","journal-title":"Front Psychol"},{"key":"S2056469424000457_ref2","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1002\/eat.22959","article-title":"Intensive treatment program (ITP): a case series service evaluation of the effectiveness of day patient treatment for adolescents with a restrictive eating disorder","volume":"51","author":"Simic","year":"2018","journal-title":"Int J Eat Disord"},{"key":"S2056469424000457_ref5","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1002\/erv.2449","article-title":"A narrative review of outcome studies for residential and partial hospital-based treatment of eating disorders","volume":"24","author":"Friedman","year":"2016","journal-title":"Eur Eat Disord Rev"},{"key":"S2056469424000457_ref6","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/eat.20789","article-title":"The effectiveness of a day program for the treatment of adolescent anorexia nervosa","volume":"44","author":"Goldstein","year":"2011","journal-title":"Int J Eat Disord"},{"key":"S2056469424000457_ref9","doi-asserted-by":"crossref","first-page":"e170","DOI":"10.1007\/BF03325344","article-title":"Clinical outcomes of a novel, family-centred partial hospitalization program for young patients with eating disorders.","volume":"17","author":"Ornstein","year":"2012","journal-title":"Eat Weight Disord"},{"key":"S2056469424000457_ref15","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3390\/bs10040071","article-title":"The role of family relationships in eating disorders in adolescents: a narrative review","volume":"10","author":"Erriu","year":"2020","journal-title":"Behav Sci"},{"key":"S2056469424000457_ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)","year":"2013"},{"key":"S2056469424000457_ref13","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/1359104511404750","article-title":"Group cognitive remediation therapy for adolescents with anorexia nervosa","volume":"16","author":"Wood","year":"2011","journal-title":"Clin Child Psychol Psychiatry"},{"key":"S2056469424000457_ref10","volume-title":"Eating Disorders: Recognition and Treatment. NICE Guidance [NG69]","year":"2020"},{"key":"S2056469424000457_ref7","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1177\/1039856215584513","article-title":"Day program for young people with anorexia nervosa","volume":"23","author":"Green","year":"2015","journal-title":"Australas Psychiatry"},{"key":"S2056469424000457_ref12","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1080\/10640266.2014.857522","article-title":"Body weight as a prognostic factor for day hospital success in adolescents with anorexia nervosa","volume":"22","author":"Ngo","year":"2014","journal-title":"Eat Disord"},{"key":"S2056469424000457_ref3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1002\/erv.432","article-title":"Characteristics of inpatient weight gain in adolescent anorexia nervosa: relation to speed of relapse and re-admission","volume":"10","author":"Lay","year":"2002","journal-title":"Eur Eat Disord Rev"},{"key":"S2056469424000457_ref11","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1080\/10640266.2020.1823173","article-title":"Lower rates of readmission following integration of family-based treatment in a higher level of care","volume":"29","author":"Huryk","year":"2021","journal-title":"Eat Disord"},{"key":"S2056469424000457_ref4","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.3390\/nu13041265","article-title":"Intensive treatments in adolescent anorexia nervosa","volume":"13","author":"Herpertz-Dahlmann","year":"2021","journal-title":"Nutrients"},{"key":"S2056469424000457_ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10640266.2014.857512","article-title":"A family-based eating disorder day treatment program for youth: examining the clinical and statistical significance of short-term treatment outcomes","volume":"22","author":"Henderson","year":"2014","journal-title":"Eat Disord"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469424000457","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T08:10:32Z","timestamp":1753949432000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469424000457\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,16]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S2056469424000457"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2024.45","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,16]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}