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Structured, supported feeding admissions for restrictive eating disorders on paediatric wards
  1. Karen Street1,
  2. Susie Costelloe1,
  3. Michelle Wootton1,
  4. Sonja Upton2,
  5. Julie Brough2
  1. 1Department of Paediatrics, Royal Devon and Exeter Foundation Trust, Wonford Hospital, Exeter, UK
  2. 2Devon CAMHS, Virgin Care, Unit 1 Capitol Court, Exeter, UK
  1. Correspondence to Dr Karen Street, Department of Paediatrics, Royal Devon and Exeter Foundation Trust, Child Health, Wonford Hospital, Barrack Road, Exeter EX2 5DW, UK; Karenstreet{at}nhs.net

Abstract

Background Restrictive eating disorders in young people are increasingly requiring admission to the hospital and can be a challenge to manage on acute general paediatric wards.

Methods We have developed a joint working model with Child and Adolescent Mental Health services (CAMHS) using short, structured, supported feeding admissions to supplement outpatient treatment in high risk or ‘stuck’ cases.

Results We have successfully managed the majority of young people in the community avoiding lengthy, expensive, specialist CAMHS eating disorder inpatient unit admissions (tier 4). Local ward admissions are easier to manage and the attitudes of nursing and medical staff towards these young people have changed.

Discussion Joint working between paediatric and CAMHS teams enables shorter, more manageable local ward admissions, reducing the need for tier-4 units.

  • General Paediatrics
  • Adolescent Health
  • Child Psychiatry
  • Multidisciplinary team-care

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