Improving Collaborative Care in Managing Eating Disorders: A Pilot Study

Heath, Olga; English, Denise M.; Simms, Joanne; Ward, Pamela Rose; Hollett, Ann; Dominic, Anna

doi:10.1002/chp.21187

Cited by 7 publications

(4 citation statements)

References 37 publications

(54 reference statements)

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“…There are also opportunities for postlicensure psychologists to be involved in IPE facilitation, which represents a chance for these psychologists to be introduced to collaboration competencies and how they are taught and assessed in an interprofessional context. In the past, there have also been interprofessional workshops offered to practitioners focused on chronic, complicated issues such as mental health broadly (Heath et al, 2008) and eating disorders (Heath et al, 2013). Licensed psychologists participated in both of these initiatives, which provided opportunities to learn in an interprofessional setting about the collaborative management of these disorders.…”

Section: Applying Ipe Best Practices In Professional Psychology Settingsmentioning

confidence: 99%

Together we stand: The imperative for interprofessional education in professional psychology training.

Holmqvist

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Heath

2019

Canadian Psychology / Psychologie canadienne

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In this article, we argue that interprofessional competencies are increasingly necessary to achieving success in all facets of a professional psychologist's work. We note that the growing complexity of health challenges facing Canadians requires a renewed investment in interprofessional care and interdisciplinary research. We define key terms and discuss significant national and international trends toward interprofessional, competency-based training in health professional education. In Canada, psychology has been largely absent from these efforts, and we identify barriers that may be inhibiting psychology's participation in interprofessional education (IPE). We describe a model for integrating competency-based IPE across the continuum of professional training, and provide an example of the model's implementation. We then offer a number of recommendations for the future of professional psychology training and argue that involvement in high-quality IPE should be a program and internship accreditation requirement. Finally, we conclude by discussing the implications for the future of psychology as a health care profession if we fail to modify our current training model. Public Significance StatementThis article argues that interprofessional competencies are increasingly necessary to achieving success in all facets of a professional psychologist's work; however, there is currently no requirement for professional psychology programs to teach or assess these vital competencies. We describe a model for integrating competency-based Interprofessional Education (IPE) across the continuum of professional training, provide an example of the model's implementation, and discuss recommendations for incorporating IPE into accreditation standards. Failure to decisively champion IPE may result in reduced access to psychological services for Canadians in the future, and may limit the capacity of psychology graduates to provide safe and effective care.

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Section: Applying Ipe Best Practices In Professional Psychology Settingsmentioning

confidence: 99%

Together we stand: The imperative for interprofessional education in professional psychology training.

Holmqvist

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Heath

2019

Canadian Psychology / Psychologie canadienne

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“…Given interprofessional education (IPE), where professionals from different disciplines learn about, from, and with each other is the precursor to IPCP (Gilbert et al, 2010), foundational research should explore how clinicians can engage in IPE to establish IPCP for eating disorder treatment. Early IPE trends in eating disorders have found that interprofessional peer supervision and interprofessional workshops improve attitudes and skills, knowledge, and confidence in the collaborative management of eating disorders and contribute to IPCP in eating disorder treatment (Heath et al, 2013; McDevitt & Passi, 2018). However, a greater number of studies is necessary.…”

Section: Discussionmentioning

confidence: 99%

The imperative of collaboration: Lived experience perspectives on team approaches in outpatient eating disorder treatment

Bray,

Heruc,

Evans

et al. 2023

Intl J Eating Disorders

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BackgroundAcross healthcare broadly, team treatment approaches range from siloed multidisciplinary treatment to synergistic Interprofessional Collaborative Practice (IPCP), with IPCP increasingly favored. In eating disorders, clinical practice guidelines endorse team outpatient treatment, and these approaches are widely used in clinical practice. However, there is limited evidence to describe attitudes toward and experiences of team approaches, including IPCP, among individuals with a lived experience.MethodTwenty‐seven participants (aged 20–51 years) with a formal eating disorder diagnosis were recruited. Each had received outpatient eating disorder treatment from a team or teams comprising a mental health professional, dietitian, and general practitioner (GP) in the past 2 years. Qualitative data were collected via semi‐structured interviews and analyzed using Braun and Clarke's reflexive thematic analysis.ResultsFour themes were derived from the qualitative analysis. Themes included: (1) working together is better; (2) the linchpin of teamwork is communication; (3) teams should foster autonomy with limit‐setting; and (4) systemic failures negatively affect team treatment. Participants favored highly collaborative treatment from a team including a mental health professional, dietitian, and GP at a minimum, where the team engaged in high‐quality communication and fostered autonomy with limit‐setting. Systemic failures negatively affecting team treatment were reported across the care continuum.DiscussionFindings endorse the application of IPCP to outpatient eating disorder treatment as a strategy to improve treatment satisfaction, engagement, and outcomes. Given the paucity of evidence exploring IPCP in this field, however, the development and evaluation of interprofessional education and treatment models is a foundational necessity.Public SignificanceTeam eating disorder treatment is widely used in clinical practice, although there is limited evidence to guide interventions. This study explores attitudes toward and experiences of team outpatient eating disorder treatment among individuals with a lived experience. Understanding preferred team treatment characteristics delivers important information to improve treatment satisfaction, engagement, and outcomes for individuals receiving outpatient eating disorder treatment.

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“…This collaboration contributes to positive patient outcomes particularly in mental health [42]. An interprofessional approach is needed to address the psychological, medical, interpersonal, and sociocultural features that define and perpetuate the eating disorder [43] [44] because no single profession is prepared to meet the complex patient needs [11] [46]. Incorporating an interprofessional approach enables intervention that targets psychiatric, medical, psychological and sociocultural influences of eating disorders as well as beliefs and behaviours associated with body shape, size, weight, food, eating and exercise.…”

Section: Interprofessional Approach To Carementioning

confidence: 99%

Seeing Beyond the Eating Disorder: The Complexities of Eating Disorder Care in New Brunswick, Canada

Wilson¹

2019

IJANER

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Health professionals struggle in caring for individuals with eating disorders, especially in New Brunswick, Canada where there is no recognized eating disorder treatment center. Using a narrative approach, this study explored the perceptions and experiences of professionals from seven regulated health professions that are most commonly involved in eating disorder care-medicine, dentistry, nursing, social work, occupational therapy, dietetics, and psychology. The findings bring to light the complexities of eating disorder care and the process that professionals go through in seeing beyond the eating disorder to understanding the often subtle subtexts that impede eating disorder identification and treatment. Looking at eating disorder care from an interprofessional perspective provides unique insight into common needs and challenges of practitioners and may ultimately inform treatment and prevention initiatives.

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Improving Collaborative Care in Managing Eating Disorders: A Pilot Study

Abstract: Results support the impact of the workshop in improving knowledge, confidence, and attitudes toward collaboration and changing practice and the value of implementing the program province-wide.

Cited by 7 publications

References 37 publications

Together we stand: The imperative for interprofessional education in professional psychology training.

Together we stand: The imperative for interprofessional education in professional psychology training.

The imperative of collaboration: Lived experience perspectives on team approaches in outpatient eating disorder treatment

Seeing Beyond the Eating Disorder: The Complexities of Eating Disorder Care in New Brunswick, Canada

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