RT Journal Article
SR Electronic
T1 Structured, supported feeding admissions for restrictive eating disorders on paediatric wards
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 836
OP 838
DO 10.1136/archdischild-2016-310506
VO 101
IS 9
A1 Karen Street
A1 Susie Costelloe
A1 Michelle Wootton
A1 Sonja Upton
A1 Julie Brough
YR 2016
UL http://adc.bmj.com/content/101/9/836.abstract
AB 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.