Treatment adherence and the care programme approach in individuals with eating disorders release_ak2dems6d5cjda6t43jnisqmia

by Martin Schmidt, John F. Morgan, Farida Yousaf

Published in Psychiatric bulletin of the Royal College of Psychiatrists by Royal College of Psychiatrists.

2008   Volume 32, Issue 11, p426-430

Abstract

<jats:sec> <jats:title>Aims and Method</jats:title> To examine service-level variables predicting treatment adherence in a specialist eating disorder unit. We analysed a sample of 157 individuals consecutively referred to the unit over an 18-month period. Associations were determined using odds ratios. </jats:sec> <jats:sec> <jats:title>Results</jats:title> Individuals with a formal care programme at the point of referral were more likely to stay in treatment. Treatment adherence was not predicted by illness severity or waiting time. Follow-up by a dietician and acceptance of referral to a support group predicted better treatment outcomes. </jats:sec> <jats:sec> <jats:title>Clinical Implications</jats:title> Although the standard care programme approach may be relinquished in the UK, we recommend that this approach or its equivalent be used in specialist eating disorder services to improve treatment adherence. </jats:sec>
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