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Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.

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Title: Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.
Authors: Calderoni, Michele (AUTHOR), Turner, Samantha (AUTHOR), Heckert, Kerri (AUTHOR), Snyder, Carrie (AUTHOR), Cifra, Nicole (AUTHOR), Peebles, Rebecka (AUTHOR), Foy, Karen (AUTHOR), Walsh, Jonathan (AUTHOR), Widders, Amanda O. (AUTHOR), Timko, C. Alix (AUTHOR)
Source: International Journal of Eating Disorders. Mar2026, Vol. 59 Issue 3, p501-509. 9p.
Subjects: Malnutrition treatment, Treatment of eating disorders, Prevention of malnutrition, Bulimia, Weight loss, Early medical intervention, Human services programs, Data analysis, T-test (Statistics), Body mass index, Patients, Hospital care, Evaluation of human services programs, Questionnaires, Hospital admission & discharge, Regulation of body weight, Descriptive statistics, Odds ratio, Anorexia nervosa, Quality assurance, Anthropometry, Data analysis software, Confidence intervals
Geographic Terms: United States
Abstract: Objective: Program‐led and focused models may overcome structural barriers to accessing ED care, such as limited availability, for youth with EDs by prioritizing strategic, evidence‐based care delivered through a structured approach. The Rapid Intervention to Support Eating Issues (RISE) pilot aimed to promote weight restoration and prevent hospitalization among malnourished adolescents at risk for hospitalization. We used a "home hospital" approach, integrating medical oversight, family‐based treatment principles, and nutritional support via structured outpatient care. Methods: Participants completed 4–5 visits with adolescent medicine and nutrition over 8 weeks. They received psychoeducation and support in implementing home hospital. Vital signs, anthropometrics, dietary intake, ED behaviors, and cognitions were assessed. Results: A total of 27 patients participated. Patients experienced low hospitalization rates (n = 1 throughout; 3.7%) and significant weight gain (Mend of treatment = +2.7 kg from baseline, 95% CI: 2.6–4.7). There were statistically significant increases in calorie intake (Mbaseline = 43.3% of recommendation; Mend of treatment = 76.0% of recommendation; dz = 0.98, 95% CI: 0.45–1.50) and decreases in the report of disordered weight control behaviors (n reporting at baseline = 10 [37%], n reporting at end of treatment = 3 [11.1%]; paired RD = −1.00, 95% CI: −1.00–−0.33). Discussion: This program‐led and focused intervention produced meaningful outcomes and circumvented hospitalization for youth at high risk in a short time frame. This approach offers promise for scalable, early ED care that leverages programmatic expertise, consistent with evolving models of mental health service delivery. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Objective: Program‐led and focused models may overcome structural barriers to accessing ED care, such as limited availability, for youth with EDs by prioritizing strategic, evidence‐based care delivered through a structured approach. The Rapid Intervention to Support Eating Issues (RISE) pilot aimed to promote weight restoration and prevent hospitalization among malnourished adolescents at risk for hospitalization. We used a "home hospital" approach, integrating medical oversight, family‐based treatment principles, and nutritional support via structured outpatient care. Methods: Participants completed 4–5 visits with adolescent medicine and nutrition over 8 weeks. They received psychoeducation and support in implementing home hospital. Vital signs, anthropometrics, dietary intake, ED behaviors, and cognitions were assessed. Results: A total of 27 patients participated. Patients experienced low hospitalization rates (n = 1 throughout; 3.7%) and significant weight gain (Mend of treatment = +2.7 kg from baseline, 95% CI: 2.6–4.7). There were statistically significant increases in calorie intake (Mbaseline = 43.3% of recommendation; Mend of treatment = 76.0% of recommendation; dz = 0.98, 95% CI: 0.45–1.50) and decreases in the report of disordered weight control behaviors (n reporting at baseline = 10 [37%], n reporting at end of treatment = 3 [11.1%]; paired RD = −1.00, 95% CI: −1.00–−0.33). Discussion: This program‐led and focused intervention produced meaningful outcomes and circumvented hospitalization for youth at high risk in a short time frame. This approach offers promise for scalable, early ED care that leverages programmatic expertise, consistent with evolving models of mental health service delivery. [ABSTRACT FROM AUTHOR]
ISSN:02763478
DOI:10.1111/eat.70004