Munro Calum, Thomson Victoria, Corr Jean, Randell Louise, Davies Jennie E, Gittoes Claire, Honeyman Vicky, Freeman Chris P
Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK ; Department of Psychiatry, University of Edinburgh, UK.
Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
Psychiatr Bull (2014). 2014 Oct;38(5):220-5. doi: 10.1192/pb.bp.113.044818.
Aims and method A community intensive treatment service for severe anorexia nervosa is described. The service is multidisciplinary but driven by a focus on psychological formulation. Psychological and dietetic interventions are grounded in a process of active risk management. Evaluations of safety, cost and acceptability of the service are described. Results Patients are highly satisfied with their care. A relatively low mortality rate for such a high-risk population was observed. In-patient bed use and costs were substantially reduced. Clinical implications There is a case for greater use of intensive community care for patients with severe anorexia nervosa, as it can be acceptable to patients, relatively safe and cost less than admission.
目的与方法 描述了一项针对重度神经性厌食症的社区强化治疗服务。该服务是多学科的，但以关注心理构成为驱动。心理和饮食干预基于积极风险管理的过程。描述了对该服务的安全性、成本和可接受性的评估。结果 患者对其护理高度满意。观察到这样一个高风险人群的死亡率相对较低。住院床位使用和成本大幅降低。临床意义 对于重度神经性厌食症患者，有理由更多地使用强化社区护理，因为它对患者来说是可接受的，相对安全且比住院成本更低。
