By Professor Phillipa Hay
Most national and other clinical practice guidelines advise that the majority of people with eating disorders may receive recovery focussed treatment in an outpatient setting. This is often also their preference as it is the least restrictive setting, and also the preference of providers as it is less time and resource intense. Despite limitations in the research evidence for most eating disorders the review found “no clear difference in weight gain for people with anorexia nervosa who were treated in different settings, but they seemed more likely to complete treatment when some or all of it was offered in settings outside the hospital”. The trials did not include those at high medical or psychiatric risk where outpatient care may be unsafe. Attendees of this webinar will gain an understanding of the relative indications and evidence for treatment across different settings with a decision making tool that includes consideration of the person’s safety, preference and stage of change, and those who care for them.
Ref: Hay, PJ, Touyz, S, Claudino, AM, Lujic, S, Smith, CA, and Madden, S. Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders. Cochrane Database of Systematic Reviews 2019:1.
Professor Hay is an academic Psychiatrist (FRANZCP) with two higher degrees (MD, DPhil) in the field of eating disorders. She has extensive expertise in randomized controlled trials (RCTs), systematic reviews and meta-analyses, longitudinal and epidemiologic studies in eating disorders and related mental health problems. She is the lead author of several Cochrane Library systematic reviews and has been Chief Investigator on 4 major NHMRC funded RCTs in eating disorders as well as the RANZCP Clinical Practice Guidelines for treatment of people with eating disorders in the Australian and New Zealand context.
Professor Hay has a unique body of work reporting the point prevalence of eating disorders and their burden in the Australian general population and pioneered eating disorder literacy research in Australia. Her studies have provided key information to guide jurisdictions in planning health care services for eating disorders across Australia and inform national and international practice. She is Editor-in-Chief of Journal of Eating Disorders and is a keen supervisor and mentor. In 2018 both her honours Medical and (co-supervised) honours Psychology students were prize winners and first placed in their respective cohort. She is a strong collaborator, has received significant funding from international foundations, has made major contributions to the National Eating Disorder Collaboration and other community organisations, and is a past-President of ANZAED