A Tertiary-Care/Primary-Care Partnership Aimed at Improving Care for People with Eating Disorders

Thaler, Lea; Freiwald, Shiri; Hodge, Chloé Paquin; Fletcher, Émilie; Cottier, Danaëlle; Kahan, Esther; Rossi, Erika; Piat, Myra; Lal, Shalini; Israël, Mimi; Steiger, Howard

doi:10.1007/s10597-018-0290-4

Cited by 3 publications

(7 citation statements)

References 26 publications

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“…These findings suggest the importance of primary care professionals in helping families to identify clinically significant eating-related concerns, and helping to navigate referrals to appropriate services, which has been recommended by Johns et al [ 17 ]. Initial evidence for knowledge exchange partnerships between Canadian tertiary care and primary care services for eating disorders has been published, which suggests that patients of primary care clinicians who were part of this partnership had good outcomes [ 37 ]. Although this program included supplemental training for clinicians who worked with pediatric populations, patient outcome variables were reported only for adults [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Initial evidence for knowledge exchange partnerships between Canadian tertiary care and primary care services for eating disorders has been published, which suggests that patients of primary care clinicians who were part of this partnership had good outcomes [ 37 ]. Although this program included supplemental training for clinicians who worked with pediatric populations, patient outcome variables were reported only for adults [ 37 ]. Therefore, future research investigating the impact of knowledge exchange partnerships in facilitating health care services for pediatric eating disorders is needed.…”

Section: Discussionmentioning

confidence: 99%

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Parental experiences with their child’s eating disorder treatment journey

et al. 2021

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Background Parents are integral in the treatment of pediatric eating disorders. The current study was conducted to further understand the barriers and facilitators that parents experience in accessing specialized, tertiary level eating disorder treatment for children and adolescents. The goals of the study were to understand the processes leading to diagnosis and treatment, perceived barriers and facilitators to accessing care, and parents’ experiences over the course of their child’s eating disorder treatment. Methods Ten parents whose children were admitted to a Canadian tertiary level specialized pediatric eating disorders program took part in an exit interview upon their child’s completion of treatment in the program. In-depth semi-structured interviews were combined with a visual timeline. Interpretive induction was performed to generate high-level concepts that emerged from the interviews. Results Five high-level concepts were identified: (1) delays in identifying eating disorder symptoms, (2) challenges in accessing eating disorder services, (3) the right treatment at the right time, (4) emotional impact on parents, and (5) parental expertise and involvement. Conclusions Several barriers were identified by parents that interfered with treatment, including system-related challenges when accessing specialized eating disorder treatment, concerns about a lack of appropriate mental health support for their child, and difficulties with transitioning between community and tertiary level care. Negative emotions, including guilt and self-blame, were common early in the treatment journey. Themes of parental involvement throughout treatment, and parents taking charge of their child’s recovery, emerged across interviews. The results of this study suggest the importance of early identification of eating disorder symptoms, facilitating smoother transitions between levels of care (e.g., community services and hospital-based eating disorder care), and improving clinical decision-making to ensure children and adolescents with eating disorders receive the most appropriate treatment based on their clinical presentation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Parental experiences with their child’s eating disorder treatment journey

et al. 2021

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“…Initial evidence for knowledge exchange partnerships between Canadian tertiary care and primary care services for eating disorders has been published, which suggests that patients of primary care clinicians who were part of this partnership had good outcomes (Thaler et al, 2018). Although this program included supplemental training for clinicians who worked with pediatric populations, patient outcome variables were reported only for adults (Thaler et al, 2018). Therefore, future research investigating the impact of knowledge exchange partnerships in facilitating health care services for pediatric eating disorders is needed.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Parental Experiences with their Child’s Treatment Journey: The Road to Tertiary Level Pediatric Eating Disorder Treatment

Coelho

Suen

Marshall

et al. 2021

Preprint

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Background: Parents are integral in the treatment of pediatric eating disorders. The current study was conducted to further understand the barriers and facilitators that parents experience in accessing specialized, tertiary level eating disorder treatment for children and adolescents. The goals of the study were to understand the processes leading to diagnosis and treatment, perceived barriers and facilitators to accessing care, and parents’ experiences over the course of their child’s eating disorders treatment. Methods: Ten parents whose children were admitted to a tertiary level specialized pediatric eating disorders program took part in an exit interview upon their child’s discharge. In-depth semi-structured interviews were combined with a visual timeline. Interpretive induction was performed to generate high level concepts that emerged from the interviews. Results: Five high level concepts were identified: (1) delays in identifying eating disorder symptoms, (2) challenges in accessing eating disorder services, (3) the right treatment at the right time, (4) emotional impact on parents, and (5) parental expertise and involvement. Conclusions: Several barriers were identified by parents that interfered with treatment, including system-related challenges when accessing specialized eating disorders treatment, concerns about a lack of appropriate mental health support for their child, and difficulties with transitioning between community and tertiary level care. Negative emotions, including guilt and self-blame, were common early in the treatment journey. Parental involvement throughout treatment was associated with confidence at the time of their child’s discharge. The results of this study suggest the importance of early identification of eating disorder symptoms, facilitating smoother transitions between community services and specialized eating disorder care, and improving clinical decision-making to ensure children and adolescents with eating disorders receive the most appropriate treatment based on their clinical presentation.

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“…The authors have previously published data from a knowledge exchange (KE) program in which they examined the implementation and impact of a province-wide program of KE aimed at developing capacity for the treatment of people with EDs. 9 The program was designed to equip therapists working in non-specialized healthcare installations with skills to evaluate and treat people with EDs. In their previous paper, trainings had been conducted at 21 institutions, and at the time of writing the current manuscript, 34 sites had received trainings.…”

Section: Introductionmentioning

confidence: 99%

“…Treated patients showed significant improvements on eating and depressive symptoms and reported satisfaction with the treatments they received. 9 …”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators to the Implementation of an Eating Disorders Knowledge Exchange Program for Non-specialist Professionals

Thaler

Paquin-Hodge

Leloup³

et al. 2022

J Behav Health Serv Res

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Despite availability of evidence-based treatments for eating disorders (EDs), individuals with EDs often do not receive informed treatment. Training of non-specialized clinicians by experienced professionals through knowledge exchange (KE) programs is an effective way to enhance accessibility to evidence-based treatments for EDs. The authors conducted a qualitative analysis of factors that facilitated or impeded the uptake of an ED-focused KE program. Semi-structured interviews were conducted with mental health professionals ( n = 43) and managers ( n = 11) at 13 community mental-health sites at which the KE program was offered. Data were analyzed using a qualitative content analysis. Key facilitators identified were management support for the program and building competence through ongoing supervision of clinicians. Main barriers were limited access to ED patients to treat and having insufficient time to apply ED interventions in front-line settings. The results provide insights into the practical imperatives involved in implementing a KE initiative for ED treatment.

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A Tertiary-Care/Primary-Care Partnership Aimed at Improving Care for People with Eating Disorders

Cited by 3 publications

References 26 publications

Parental experiences with their child’s eating disorder treatment journey

Parental experiences with their child’s eating disorder treatment journey

Parental Experiences with their Child’s Treatment Journey: The Road to Tertiary Level Pediatric Eating Disorder Treatment

Barriers and Facilitators to the Implementation of an Eating Disorders Knowledge Exchange Program for Non-specialist Professionals

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