ANZAED eating disorder treatment principles and general clinical practice and training standards
Abstract Introduction Eating disorders are complex to manage, and there is limited guidance around the depth and breadth of knowledge, skills and experience required by treatment providers. The Australia & New Zealand Academy for Eating Disorders (ANZAED) convened an expert group of eating disor...
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doaj-9d9edc55db344537a98eaf62f890af6e2020-11-25T04:07:18ZengBMCJournal of Eating Disorders2050-29742020-11-01811910.1186/s40337-020-00341-0ANZAED eating disorder treatment principles and general clinical practice and training standardsGabriella Heruc0Kim Hurst1Anjanette Casey2Kate Fleming3Jeremy Freeman4Anthea Fursland5Susan Hart6Shane Jeffrey7Rachel Knight8Michelle Roberton9Marion Roberts10Beth Shelton11Garalynne Stiles12Fiona Sutherland13Chris Thornton14Andrew Wallis15Tracey Wade16Australia & New Zealand Academy for Eating DisordersAustralia & New Zealand Academy for Eating DisordersCentre for Psychotherapy, Hunter New England Local Health DistrictThe Swan CentreAustralia & New Zealand Academy for Eating DisordersThe Swan CentreNutrition and Dietetics, St Vincent’s HospitalAustralia & New Zealand Academy for Eating DisordersOccupational Therapy, School of Health and Social Development, Faculty of Health, Deakin UniversityThe Victorian Centre of Excellence in Eating DisordersAustralia & New Zealand Academy for Eating DisordersNational Eating Disorders CollaborationSchool of Sport, Exercise and Nutrition, College of Health, Massey UniversityAustralia & New Zealand Academy for Eating DisordersThe Redleaf PracticeEating Disorders Service, Sydney Children’s Hospital NetworkBlackbird Initiative, Órama Institute, Flinders UniversityAbstract Introduction Eating disorders are complex to manage, and there is limited guidance around the depth and breadth of knowledge, skills and experience required by treatment providers. The Australia & New Zealand Academy for Eating Disorders (ANZAED) convened an expert group of eating disorder researchers and clinicians to define the clinical practice and training standards recommended for mental health professionals and dietitians providing treatment for individuals with an eating disorder. General principles and clinical practice standards were first developed, after which separate mental health professional and dietitian standards were drafted and collated by the appropriate members of the expert group. The subsequent review process included four stages of consultation and document revision: (1) expert reviewers; (2) a face-to-face consultation workshop attended by approximately 100 health professionals working within the sector; (3) an extensive open access online consultation process; and (4) consultation with key professional and consumer/carer stakeholder organisations. Recommendations The resulting paper outlines and describes the following eight eating disorder treatment principles: (1) early intervention is essential; (2) co-ordination of services is fundamental to all service models; (3) services must be evidence-based; (4) involvement of significant others in service provision is highly desirable; (5) a personalised treatment approach is required for all patients; (6) education and/or psychoeducation is included in all interventions; (7) multidisciplinary care is required and (8) a skilled workforce is necessary. Seven general clinical practice standards are also discussed, including: (1) diagnosis and assessment; (2) the multidisciplinary care team; (3) a positive therapeutic alliance; (4) knowledge of evidence-based treatment; (5) knowledge of levels of care; (6) relapse prevention; and (7) professional responsibility. Conclusions These principles and standards provide guidance to professional training programs and service providers on the development of knowledge required as a foundation on which to build competent practice in the eating disorder field. Implementing these standards aims to bring treatment closer to best practice, and consequently improve treatment outcomes, reduce financial cost to patients and services and improve patient quality of life.http://link.springer.com/article/10.1186/s40337-020-00341-0Clinical practiceDieteticsDietitianEating disorderMental health professionalPsychological |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gabriella Heruc Kim Hurst Anjanette Casey Kate Fleming Jeremy Freeman Anthea Fursland Susan Hart Shane Jeffrey Rachel Knight Michelle Roberton Marion Roberts Beth Shelton Garalynne Stiles Fiona Sutherland Chris Thornton Andrew Wallis Tracey Wade |
spellingShingle |
Gabriella Heruc Kim Hurst Anjanette Casey Kate Fleming Jeremy Freeman Anthea Fursland Susan Hart Shane Jeffrey Rachel Knight Michelle Roberton Marion Roberts Beth Shelton Garalynne Stiles Fiona Sutherland Chris Thornton Andrew Wallis Tracey Wade ANZAED eating disorder treatment principles and general clinical practice and training standards Journal of Eating Disorders Clinical practice Dietetics Dietitian Eating disorder Mental health professional Psychological |
author_facet |
Gabriella Heruc Kim Hurst Anjanette Casey Kate Fleming Jeremy Freeman Anthea Fursland Susan Hart Shane Jeffrey Rachel Knight Michelle Roberton Marion Roberts Beth Shelton Garalynne Stiles Fiona Sutherland Chris Thornton Andrew Wallis Tracey Wade |
author_sort |
Gabriella Heruc |
title |
ANZAED eating disorder treatment principles and general clinical practice and training standards |
title_short |
ANZAED eating disorder treatment principles and general clinical practice and training standards |
title_full |
ANZAED eating disorder treatment principles and general clinical practice and training standards |
title_fullStr |
ANZAED eating disorder treatment principles and general clinical practice and training standards |
title_full_unstemmed |
ANZAED eating disorder treatment principles and general clinical practice and training standards |
title_sort |
anzaed eating disorder treatment principles and general clinical practice and training standards |
publisher |
BMC |
series |
Journal of Eating Disorders |
issn |
2050-2974 |
publishDate |
2020-11-01 |
description |
Abstract Introduction Eating disorders are complex to manage, and there is limited guidance around the depth and breadth of knowledge, skills and experience required by treatment providers. The Australia & New Zealand Academy for Eating Disorders (ANZAED) convened an expert group of eating disorder researchers and clinicians to define the clinical practice and training standards recommended for mental health professionals and dietitians providing treatment for individuals with an eating disorder. General principles and clinical practice standards were first developed, after which separate mental health professional and dietitian standards were drafted and collated by the appropriate members of the expert group. The subsequent review process included four stages of consultation and document revision: (1) expert reviewers; (2) a face-to-face consultation workshop attended by approximately 100 health professionals working within the sector; (3) an extensive open access online consultation process; and (4) consultation with key professional and consumer/carer stakeholder organisations. Recommendations The resulting paper outlines and describes the following eight eating disorder treatment principles: (1) early intervention is essential; (2) co-ordination of services is fundamental to all service models; (3) services must be evidence-based; (4) involvement of significant others in service provision is highly desirable; (5) a personalised treatment approach is required for all patients; (6) education and/or psychoeducation is included in all interventions; (7) multidisciplinary care is required and (8) a skilled workforce is necessary. Seven general clinical practice standards are also discussed, including: (1) diagnosis and assessment; (2) the multidisciplinary care team; (3) a positive therapeutic alliance; (4) knowledge of evidence-based treatment; (5) knowledge of levels of care; (6) relapse prevention; and (7) professional responsibility. Conclusions These principles and standards provide guidance to professional training programs and service providers on the development of knowledge required as a foundation on which to build competent practice in the eating disorder field. Implementing these standards aims to bring treatment closer to best practice, and consequently improve treatment outcomes, reduce financial cost to patients and services and improve patient quality of life. |
topic |
Clinical practice Dietetics Dietitian Eating disorder Mental health professional Psychological |
url |
http://link.springer.com/article/10.1186/s40337-020-00341-0 |
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