A pilot evaluation of a novel First Episode and Rapid Early Intervention service for Eating Disorders (FREED)
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This pilot study assesses the impact of FREED (First Episode Rapid Early Intervention for Eating Disorders [ED]), a novel transdiagnostic service for emerging adults with recent ED onset, on clinical outcomes. Data were collected from 56 patients and 19 carers for 12 months following enrolment. FREED patients showed significant improvements in ED and other symptoms across time. Carers also showed psychological improvements. For FREED anorexia nervosa (AN) patients, body mass index (BMI) at initial clinical assessment was similar to that of comparable patients (audit cohort) seen in our service before (16.4 vs 16.1 kg/m 2). By start of treatment, because of their shorter wait, FREED‐AN had gained weight whereas audit patients had lost (16.7 vs 15.8 kg/m 2). This difference continued throughout treatment, and at 12 months, nearly 60% FREED‐AN patients returned to a BMI of 18.5 or greater. FREED shows promise as a service model for emerging adults with EDs.
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Early intervention in EDs is associated with better outcomes.
“Early intervention in EDs is associated with better outcomes [23–28].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [27]
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Early Intervention for Eating Disorders in Young People
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Duration of untreated eating disorders and its impact on outcomes: An updated systematic review
Menescal, L. L., Lassen, R. H., Peres, M. A. D. A., de Moraes, C. E. F., & Appolinário, J. C. (2026) · Psychiatry Research Communications · doi:10.1016/j.psycom.2026.100275
- Authors
- McClelland, J., Hodsoll, J., Brown, A., Lang, K., Boysen, E., Flynn, M., Mountford, V. A., Glennon, D., & Schmidt, U.
- Affiliations
- King's College London (GB)
- South London and Maudsley NHS Foundation Trust (GB)
- Corresponding author
- Schmidt, Ulrike
- ORCID
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2018-02-19
- Volume
- 26
- Issue
- 2
- Pages
- 129-140
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2792298808
- Cited by
- 97
- References
- 42
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 15 · 2023: 14 · 2022: 18 · 2021: 15 · 2020: 12 · 2019: 4 · 2018: 3
- FWCI
- 9.99
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Funders
- Health Foundation (GIFTS 7294/CRM 1216)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorders, anorexia nervosa, emerging adults, carer outcomes, body mass index, weight gain, service model, clinical outcomes
- MeSH terms
- Adult, Anorexia Nervosa, Female, Humans, Male, Pilot Projects, Program Evaluation, Body Mass Index, Caregivers, Bulimia Nervosa
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