Eligibility criteria

Criteria for inpatients

Eligibility

  • Age 18+ years
  • Female only
  • Low weight, need for refeeding
  • BMI <15
  • BMI >15 with unstable biochemistry e.g.diabetes
  • Meet the diagnostic criteria for severe anorexia nervosa and related conditions
  • Formal or informal service users
  • Physical complications associated with rapid weight loss, including unstable biochemistry
  • Support from local CMHT care co-ordinator and local consultant psychiatrist
  • Prescribed specialist treatment recommended to reduce risk of relapse and move to discharge from specialist services

Exclusion

  • BMI ≥15 (indiviual cases considered if lower)
    Medically unstable

Criteria for Step-up to recovery

Eligibility

  • 18+ years
  • Male or female
  • BMI ≥ 15
  • Diagnosis of anorexia nervosa or other severe or complex eating disorder
  • Medically safe to attend, including travelling to and from the facility
  • Willing to work towards becoming able to manage the eating disorder well enough to stay out of hospital and achieve improved social inclusion and quality of life (e.g. engaging in voluntary work or employment, improving number of leisure activities and circle of friends, being able to cook and eat to a reasonable level independently)
  • Motivated to engage in the programme consistently
  • Willing to agree objectives and meet attendance targets

Exclusion

  • BMI <15 (individual cases considered if lower)
  • Medically unstable

Criteria for day care

Eligibility

  • 18+ years
  • Male or female
  • BMI ≥15
  • Diagnosis of anorexia nervosa or other severe or complex eating disorder
  • Medically safe to attend day care, including travelling to and from the facility
  • Has previously received inpatient or outpatient treatment which has not been sufficient to support recovery, or is at a stage physically or psychologically where more intensive support is required
  • Motivated to engage in psychosocial programme and attend consistently, with the objective of working towards a healthy weight and becoming symptom free

Exclusion

  • BMI <15 (individual cases considered if lower)
  • Medically unstable

Criteria for outpatients

Eligibility

  • Age 18+ years
  • Male or female
  • Suspected diagnosis of anorexia nervosa, bulimia nervosa, binge eating disorder, mixed eating disorder or other ‘eating problems’ including selective eating, food phobia, functional dysphagia, food avoidance, weight loss in the context of depression, somatisation disorder, obsessive compulsive disorder, anxiety disorders or eating problems post obesity surgery

Exclusion

  • Obesity, without an eating disorder
  • Current psychosis, substance dependence, or any other major psychiatric or physical disorder requiring treatment before the eating disorder can be addressed

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