Cited by 97Eating Disorders and BehaviorsNutrition, Health and Food BehaviorPersonality Disorders and Psychopathology

Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi‐centre quasi‐experimental study

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Flynn, Michaela, Austin, Amelia, Lang, Katie, Allen, Karina, Bassi, Ranjeet, Brady, Gabrielle, Brown, Amy, Connan, Frances +12 more·2021·European Eating Disorders Review

Abstract

Background: Duration of untreated eating disorder (DUED), that is, the time between illness onset and start of first evidence‐based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention for EDs), a service model and care pathway for emerging adults with EDs. Here, we assess the impact of FREED on DUED in a multi‐centre study using a quasi‐experimental design. Methods: Two hundred and seventy‐eight patients aged 16–25, with first episode illness of less than 3 years duration, were recruited from specialist ED services and offered treatment via FREED. These were compared to 224 patients, of similar age and illness duration, seen previously in participating services (treatment as usual [TAU]) on DUED, waiting times and treatment uptake. Results: FREED patients had significantly shorter DUED and waiting times than TAU patients. On average, DUED was reduced by ∼4 months when systemic delays were minimal. Furthermore, 97.8% of FREED patients took up treatment, versus 75.4% of TAU. Discussion: Findings indicate that FREED significantly improves access to treatment for emerging adults with first episode ED. FREED may reduce distress, prevent deterioration and facilitate recovery.

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  1. McClelland, J. (2019). Prodromal eating disorders in adolescents and young adults (Unpublished DClin dissertation). King's College London, United Kingdom.

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Authors
Flynn, M., Austin, A., Lang, K., Allen, K., Bassi, R., Brady, G., Brown, A., Connan, F., Franklin‐Smith, M., Glennon, D., Grant, N., Jones, W. R., Kali, K., Koskina, A., Mahony, K., Mountford, V., Nunes, N., Schelhase, M., Serpell, L., & Schmidt, U.
Affiliations
  • King's College London (GB)
  • South London and Maudsley NHS Foundation Trust (GB)
  • Central and North West London NHS Foundation Trust (GB)
  • Leeds and York Partnership NHS Foundation Trust (GB)
  • North East London NHS Foundation Trust (GB)
Corresponding author
Schmidt, Ulrike
Venue
European Eating Disorders Review
Publisher
Wiley
Published
2020-10-28
Volume
29
Issue
3
Pages
458-471
ISSN
  • 1072-4133 (ISSN-L)
  • 1099-0968
OpenAlex
W3096792315
Cited by
97
References
44
Citations by year
2026: 9 · 2025: 17 · 2024: 26 · 2023: 14 · 2022: 15 · 2021: 16
FWCI
4.50
Type
journal article
Language
en
Open access
Locations
  • European Eating Disorders Review (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
Health Foundation (Scaling Up Improvement Award)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
eating disorders, emerging adults, care pathways, treatment wait times, treatment uptake, access to treatment
MeSH terms
Adolescent, Adult, Feeding and Eating Disorders, Humans, Young Adult

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