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Experience of transition between a child and adolescent service and adult service for the treatment of eating disorders

Jackie Wales (Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Leicester, UK and CAMHS Community Eating Disorders Team, Leicestershire Partnership NHS Trust, Leicester, UK)
Nicola Brewin (Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Leicester, UK and CAMHS Community Eating Disorders Team, Leicestershire Partnership NHS Trust, Leicester, UK)
Karima Susi (Leicestershire CAMHS Community Eating Disorders Team, Leicestershire Partnership NHS Trust, Leicester, UK)
Alison Eivors (Leicestershire CAMHS Community Eating Disorders Team, Leicestershire Partnership NHS Trust, Leicester, UK)
Debbie Whight (Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Leicester, UK)
Rheanne Leatherland (Leicestershire CAMHS Community Eating Disorders Team, Leicestershire Partnership NHS Trust, Leicester, UK)

Mental Health Review Journal

ISSN: 1361-9322

Article publication date: 4 February 2021

Issue publication date: 27 May 2021

296

Abstract

Purpose

There is a dearth of research on what constitutes effective transfer of care from children’s and young people services to adult services for patients with eating disorders (EDs) in the UK. Transition has implications for continuity of care and particularly for early intervention which has the best prognosis. The purpose of this paper is to understand the experience of transition and identify facilitators and barriers to this.

Design/methodology/approach

Qualitative methodology was used. Focus groups (n = 4) were held with clinicians (n = 22) working in Child and Adolescent Mental Health Services or adult ED services. Individual interviews were conducted with patients (n = 5) who had commenced/completed transition to adult services and with parents/carers (n = 6) of patients invited for interview.

Findings

A number of factors may facilitate or impede transition and can be grouped into the broad themes of communication, managing the differences between services and timing of transition. Improvements in communication, clear explanation of service differences and flexibility around the timing of transitions may enhance the experience for patients and parents/carers.

Research limitations/implications

The service evaluation was limited to transition between two specialist ED services in one geographical location. The findings provide the basis for a wider research study to examine which factors are most important when planning transition from the perspectives of patients, parents/carers and clinicians.

Originality/value

This is the first study examining ED transitions in the UK. It provides valuable insight of the experience of service users and carers and highlights potential improvements when planning transitions for this patient group.

Keywords

Acknowledgements

The authors would like to thank the patients, parents and clinicians for their participation in the service evaluation.Funding: The study was funded by a grant from Leicestershire Partnership NHS Trust Charitable Funds.

Citation

Wales, J., Brewin, N., Susi, K., Eivors, A., Whight, D. and Leatherland, R. (2021), "Experience of transition between a child and adolescent service and adult service for the treatment of eating disorders", Mental Health Review Journal, Vol. 26 No. 2, pp. 128-142. https://doi.org/10.1108/MHRJ-01-2020-0005

Publisher

:

Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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