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. 2023 Apr;56(4):790-795.
doi: 10.1002/eat.23907. Epub 2023 Mar 18.

Feasibility and acceptability of a hospital-at-home program for adolescents with eating disorders: Making progress in community/family-based treatments

Maria Goretti Morón-Nozaleda  1 , Silvia Yáñez  1 , Ricardo Antonio Camarneiro  1 , Silvia Gutiérrez-Priego  1 , Andrea Muñoz-Domenjó  1 , Cristina García-López  1 , Sandra Adrados García  2 , Raquel Jiménez García  2 , Eva Maria Trujillo  3 , Mar Faya  1 , Montserrat Graell  1   4
Affiliations

Feasibility and acceptability of a hospital-at-home program for adolescents with eating disorders: Making progress in community/family-based treatments

Maria Goretti Morón-Nozaleda et al. Int J Eat Disord. 2023 Apr.

Abstract

Objective: To explore the feasibility and acceptability of a novel hospital-at-home (HaH) program for adolescent patients with a severe eating disorder (ED).

Method: Retrospective description of the program during its first year of activity. The feasibility construct is based on accessibility, recruitment, rate of retention, avoidance of hospital stays, and management of crisis situations. Caregivers completed a satisfaction questionnaire on discharge, including an item on perceived safety. All patients referred to the program were included.

Results: Fifty-nine female patients with a mean age of 14.69 years (SD = 1.67) were admitted. The mean stay was 39.14 days (SD = 14.47). On admission, 32.2% of patients presented nonsuicidal self-harm behavior and 47.5% had comorbid mental disorders. All patients were screened in the first 48 h after referral, and the program retention rate was 91.52%. As for use of health services, 2016.03 hospital stays were avoided, and only 16.12% of the 31 calls received for urgent care required emergency department visits. Families gave the program an overall satisfaction score of 4.95/5, and all described it as "very safe."

Discussion: The HaH program described is a feasible and acceptable care model in adolescents with severe EDs and comorbidities. Effectiveness studies should be performed.

Public significance: Eating disorders are a major concern for public health. The adolescent HaH program presented marks an advance in intensive community treatments for patients with severe EDs and comorbidities.

Keywords: adolescents; community-based treatments; eating disorders; hospital at home.

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References

REFERENCES

    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. V. Text. American Psychiatric Association. https://doi.org/10.1002/jps.3080051129
    1. Boege, I., Corpus, N., Schepker, R., Kilian, R., & Fegert, J. M. (2015). Cost-effectiveness of intensive home treatment enhanced by inpatient treatment elements in child and adolescent psychiatry in Germany: A randomised trial. Cambridge.Org. Retrieved from https://www.cambridge.org/core/journals/european-psychiatry/article/cost...
    1. Derenne, J. (2019). The role of higher levels of care for eating disorders in youth. Child and Adolescent Psychiatric Clinics, 28(4), 573-582. https://doi.org/10.1016/J.CHC.2019.05.006
    1. Fjermestad, K. W., Rø, A. E., Espeland, K. E., Halvorsen, M. S., & Halvorsen, I. M. (2020). “Do I exist in this world, really, or is it just her?” Youths' perspectives of living with a sibling with anorexia nervosa. Eating Disorders, 28(1), 80-95. https://doi.org/10.1080/10640266.2019.1573046
    1. Flütsch, N., Hilti, N., Schräer, C., Soumana, M., Probst, F., Häberling, I., Berger, G., & Pauli, D. (2021). Feasibility and acceptability of home treatment as an add-on to family based therapy for adolescents with anorexia nervosa. A case series. The International Journal of Eating Disorders, 54(9), 1707-1710. https://doi.org/10.1002/EAT.23567