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National Clinical Programme for Eating Disorders: a pragmatic review of a new national eating disorder service in Ireland

Published online by Cambridge University Press:  09 June 2022

David J. O. Driscoll ,
Jennifer Fagan ,
Rhona Jennings ,
Michelle Clifford ,
Caroline Maher ,
Marie Corbett ,
Sarah Wade  and
Sara McDevitt
David J. O. Driscoll*
Affiliation:
Cork and Kerry Regional Eating Disorder Service, National Clinical Programme for Eating Disorders (CAREDS), St. Stephens Hospital, Glanmire, Cork, Ireland Health Service Executive, National Clinical Programme for Eating Disorders, Dublin, Ireland
Jennifer Fagan
Affiliation:
Health Service Executive, National Clinical Programme for Eating Disorders, Dublin, Ireland Linn Dara Child & Adolescent Mental Health Services, Eating Disorder Service, Cherry Orchard Hospital, Dublin, Ireland
Rhona Jennings
Affiliation:
Health Service Executive, National Clinical Programme for Eating Disorders, Dublin, Ireland
Michelle Clifford
Affiliation:
Health Service Executive, National Clinical Programme for Eating Disorders, Dublin, Ireland Linn Dara Child & Adolescent Mental Health Services, Eating Disorder Service, Cherry Orchard Hospital, Dublin, Ireland
Caroline Maher
Affiliation:
Health Service Executive, National Clinical Programme for Eating Disorders, Dublin, Ireland Eating Disorder Service, St. Vincent’s University Hospital, Dublin, Ireland
Marie Corbett
Affiliation:
Cork and Kerry Regional Eating Disorder Service, National Clinical Programme for Eating Disorders (CAREDS), St. Stephens Hospital, Glanmire, Cork, Ireland
Sarah Wade
Affiliation:
University College Cork, Cork, Ireland
Sara McDevitt
Affiliation:
Cork and Kerry Regional Eating Disorder Service, National Clinical Programme for Eating Disorders (CAREDS), St. Stephens Hospital, Glanmire, Cork, Ireland Health Service Executive, National Clinical Programme for Eating Disorders, Dublin, Ireland University College Cork, Cork, Ireland
*
Address for correspondence: David J. O. Driscoll, Child and Adolescent Regional Eating Disorder Service (CAREDS) Cork Kerry, Unit 9, St. Stephens Hospital, Glanmire, Cork, T45 VK40, Ireland. (Email: david.odriscoll1@hse.ie)
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Abstract

Objective:

The Health Service Executive National Clinical Programme for Eating Disorders (NCPED) launched a Model of Care for Eating Disorder Services in Ireland in 2018. Currently, one adult and two child and adolescent eating disorder services are operational out of a total of sixteen recommended. The three objectives of this paper are to describe the early (1) referral pattern, (2) level of service activity and (3) the level of service user satisfaction.

Method:

Monthly submitted service activity data from each service to the NCPED between March 2018 and October 2020 were retrospectively analysed. One hundred and fifty-nine carers and service users completed an experience of service questionnaire (ESQ). A descriptive analysis of referral pattern, level of service activity and ESQ was performed. A thematic analysis was performed on three qualitative questions on the ESQ.

Results:

There was substantial referral numbers to eating disorder services by 18 months (n = 258). The main referral source was community mental health teams. The majority (n = 222, 86%) of referrals were offered an assessment. The most common age profile was 10–17 years of age (n = 120, 54.1%), and anorexia nervosa was the most common disorder (n = 96, 43.2%). ESQ results demonstrate that most service users were satisfied with their service, and the main themes were carer involvement, staff expertise, therapeutic alliance and service access.

Conclusions:

This preliminary service activity and service user satisfaction data highlight several issues, including trends when setting up a regional eating disorder service, potential pitfalls of pragmatic data collection and the need for adequate information-technology infrastructure.

Keywords

Early interventioneating disordermental healthservice development
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 41 , Issue 1 , March 2024 , pp. 68 - 77
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of College of Psychiatrists of Ireland

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