{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:00:59Z","timestamp":1785236459659,"version":"3.55.0"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"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 Open"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec id=\"S2056472424008494_as1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Residential treatment facilities for eating disorders are becoming increasingly common and purport to provide recovery-orientated care in a less restrictive environment than traditional hospital settings. However, minimal attention has focused on individuals\u2019 lived experiences of these residential services.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008494_as2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study explores participants\u2019 lived experiences of care at Australia\u2019s first residential facility for the treatment of eating disorders.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008494_as3\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>Qualitative data were collected as part of a clinical evaluation (June 2021 to August 2023). Fifteen women participated in semi-structured interviews about their experience of treatment following discharge. Data were analysed with inductive reflexive thematic analysis.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008494_as4\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Three main themes were generated from the data that included participants\u2019 journeys to treatment, experiences of treatment and the transitions associated with and following discharge. Cutting across these main themes were participants\u2019 encounters of barriers, setbacks and hope. Participant experiences of residential treatment were complex and multifaceted, marked by inherent ideological dilemmas that arose in balancing standardised treatment protocols with person-centred and recovery-oriented care. Participants also spoke of reclaiming a sense of self and identity beyond their eating disorder, emphasising the importance of relationships and consistent and collaborative care.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008494_as5\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Participant accounts of residential treatment emphasised the importance of holistic, person-centred and recovery-oriented care. Despite the complexities of treatment experiences, participant narratives underscored how recovery may be more about the reclamation of a sense of identity outside of the eating disorder than merely symptom improvement. As such, adopting person-centred and recovery-oriented treatment approaches within residential treatment settings may maximise individual autonomy and promote holistic recovery pathways.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2024.849","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T12:17:51Z","timestamp":1738585071000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["\u2018It takes a village\u2019: patient lived experiences of residential treatment for an eating disorder"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5319-780X","authenticated-orcid":false,"given":"Rebekah","family":"Rankin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5064-8003","authenticated-orcid":false,"given":"Janet","family":"Conti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7815-3005","authenticated-orcid":false,"given":"Lucie","family":"Ramjan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0296-6856","authenticated-orcid":false,"given":"Phillipa","family":"Hay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"S2056472424008494_ref40","doi-asserted-by":"crossref","first-page":"1757","DOI":"10.1111\/jan.13255","article-title":"Hermeneutic phenomenological analysis: the \u2018possibility\u2019 beyond \u2018actuality\u2019 in thematic analysis","volume":"73","author":"Ho","year":"2017","journal-title":"J Adv Nurs"},{"key":"S2056472424008494_ref7","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/s40337-023-00801-3","article-title":"Eating disorder outcomes: findings from a rapid review of over a decade of research","volume":"11","author":"Miskovic-Wheatley","year":"2023","journal-title":"J Eat Disord"},{"key":"S2056472424008494_ref8","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1002\/eat.22736","article-title":"Long-term outcome of anorexia nervosa: results from a large clinical longitudinal study","volume":"50","author":"Fichter","year":"2017","journal-title":"Int J Eat Disord"},{"key":"S2056472424008494_ref16","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1002\/eat.23322","article-title":"Treatment interventions for severe and enduring eating disorders: systematic review","volume":"53","author":"Kotilahti","year":"2020","journal-title":"Int J Eat Disord"},{"key":"S2056472424008494_ref25","volume-title":"8 Keys to Recovery from an Eating Disorder: Effective Strategies from Therapeutic Practice and Personal Experience","author":"Costin","year":"2013"},{"key":"S2056472424008494_ref2","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s40337-022-00654-2","article-title":"Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature","volume":"10","author":"Hambleton","year":"2022","journal-title":"J Eat Disord"},{"key":"S2056472424008494_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0932-9"},{"key":"S2056472424008494_ref26","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1177\/0004867414555814","article-title":"Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders","volume":"48","author":"Hay","year":"2014","journal-title":"Aust N Z J Psychiatry"},{"key":"S2056472424008494_ref28","volume-title":"Maps of Narrative Practice","author":"White","year":"2007"},{"key":"S2056472424008494_ref20","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.02985"},{"key":"S2056472424008494_ref14","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1177\/00048674211020102","article-title":"Understanding treatment delay: perceived barriers preventing treatment-seeking for eating disorders","volume":"56","author":"Hamilton","year":"2022","journal-title":"Aust N Z J Psychiatry"},{"key":"S2056472424008494_ref22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10640266.2014.959845","article-title":"Who seeks residential treatment? 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