Eating disorders are associated with high rates of mortality, disability, and poor motivation for change. Psychological therapies are the first line treatment, yet outcomes are poor, and drop- out rates high. Health Realization/Innate Health (HR/IH) psycho-education offers an alternative intervention which can be delivered in groups engaging participants’ innate capacity for well- being and resilience. Eight female participants with anorexia nervosa (mean age 27.75, SD 14.34) from the CONNECT Eating Disorders Service, United Kingdom attended and completed a 15 session HR/IH psycho-educational group facilitated by two HR/IH trained therapists in this pre-experimental, multiple single-case design pilot study. Standard general psychiatric and eating disorders clinical outcome measures were administered immediately before and after the group, and the quantitative data compared using SPSS. Qualitative feedback was gathered using a feedback questionnaire immediately after the group. Comparison of quantitative data indicated statistically significant improvement in participants’ weight (p=0.04), body mass index (BMI; p=0.04), and Eating Disorder Examination Questionnaire (EDEQ) global mean score (p=0.04). Clinically significant positive changes were also noted for Rosenberg’s Self- Esteem Scale (pre-mean=8.8; post-mean=11.9), Clinical Outcomes in Routine Evaluation (CORE; pre-mean=1.6; post-mean=1.4), and Eating Disorders Quality of Life Scale (EDQLS; pre-mean=2.0; post-mean=1.4). High levels of participant and carer satisfaction and acceptability were also demonstrated. The HR/IH psycho-educational approach warrants further study as a brief intervention for adults with eating disorders.
AimsWard 1 at The Newsam Centre, Seacroft Hospital is a 12 bedded PICU facility for the city of Leeds, United Kingdom (UK). Our average length of stay was between 3 and 4 weeks. This project aimed to evaluate our admissions in comparison to the National Association of Psychiatric Intensive Care Unite (NAPICU) guidelines on admission criteria and to describe the characteristics of our patient population. At the time of our evaluation, we operated without a specific admission criteria, and this was hypothesised to be a contributor to longer length of stay.Methods297 patients admitted over a period of 2 years were identified and their characteristics including age, sex, ethnicity, housing area, general practitioner (GP) practice, mental health diagnosis, and length of stay tallied. These were compared with NAPICU guidelines on admission criteria and 2 patient groups (NAPICU and Non-NAPICU) were identified, analysed, and compared using Microsoft Excel pivot table. We compared their length of stay corrected for outliers using the z-score calculation. We also looked at significant differences between the groups and looked in greater detail for the profile of the Non-NAPICU group to understand the reasons for their admission, and consider their impact on our length of stay.ResultsWe found that our mean length of stay was 25.9 (1 – 215) days. When the NAPICU admission criteria were applied onto the sample, 9 patients were excluded (Non-NAPICU group) resulting in a reduction of our mean length of stay to 20.5 (1 – 83) days. When the Non-NAPICU group were looked at separately, their mean length of stay was 66.22 (7 – 152) days. When the Non-NAPICU group was looked at in greater detail, 2 patients had 2 separate recurrent admissions; one of which had a primary diagnosis of Learning Disability while the other had no clear Psychotic nor Depressive Disorder, and was complicated by Personality Disorder and criminality. 2/9 patients were detained using the forensic section 37/41. In addition, 2/9 patients were from the elderly population and 1/9 was from the younger population. There were no major differences in gender, ethnicity or age distribution.ConclusionOur evaluation suggested the potential reduction of our mean length of stay from 25.9 days to 20.5 days when the NAPICU admissions criteria were applied. We recommended a careful implementation of an admissions criteria for Ward 1 at The Newsam Centre PICU.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.