Displaying One Session

Date
07.07.2020, Tuesday
Room
Berlin
Session Description
Proposed by the EPA Section on Eating DisordersThe European Brain Council (EBC) initiated a two-year research project (2015-2017) on the Value of Treatment for Brain Disorders . The European Psychiatric Association (EPA) together with Gamian Europe proposed "Eating Disorders" as a new case study to include the topic of "Transition of Care across age groups and services". This has involved a care Pathway Analysis followed by an Economic Evaluation Study. It is hoped that the project will lead to policy recommendation on how to improve the care pathway. In this workshop we will present the findings from the midway milestone and offer the opportunity for feedback and discussion with the wider European community
Session Session Pre Recorded Short Label
European 15:00 - 15:15

Care Pathways Overview. Improving Transitions from Inpatient Care: Collaborative Digital Solutions - W092

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European

Abstract

Abstract Body

Background. Inpatient care for anorexia nervosa is used for patients at high medical and psychiatric risk and who cannot be safely managed as outpatients. Approximately a third of patients relapse within the first 6 months. The aim of this programme of work was to examine whether psychoeducational interventions preparing for the transition back to the community codesigned by, and for, carers and patients to carers are of benefit.

Methods

Study 1 (CASIS). Patients (n=178) admitted to inpatient units across the UK entered a randomised trial in which carers received treatment as usual, with, or without augmentation with carers self-management materials. Outcomes were followed over two years (Hibbs et al 2016, Magill et al 2017).

Study 2 (TRIANGLE pilot) Patient (n=31) and carers (n=21) admitted to inpatient care were given the ECHOMANTRA intervention (with separate subsections for each) and were followed for 3 months after discharge (Adamson et al 2019).

Results

In CASIS, carer burden was reduced (Effect size 0.5) as was carer emotional behaviour (Effect size 0.5). The length of admission was shortened (148 vs 168 days) and re-admission rates were reduced (27% vs 32%; p=0.04). In the TRIANGLE pilot there were positive comments about the collaborative work from both parties. The length of admission was reduced by 4.5 weeks and weight gain was increased by 0.11 kg/week in the group given the ECHOMANTRA intervention in comparison to outcomes from audit data.

Conclusion

Augmenting treatment to help patients and carers to prepare for discharge can consolidate changes from inpatient care.

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European 15:15 - 15:30

The Economic Analysis - W093

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European
European 15:30 - 15:45

The Transition Into Care: Reducing the Duration of Untreated Illness - W094

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European
European 15:45 - 16:00

Policy Considerations From the Professional Perspective. 1 - W095

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European
European 16:00 - 16:15

Policy Considerations From Professional Perspective. 2 - W096

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European
European 16:15 - 16:30

Policy Considerations From the Family and Carer - W097

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European