Young Person and Parent Experience of an Intensive Outreach Programme for Eating Disorders—A Reflexive Thematic Analysis.

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Title: Young Person and Parent Experience of an Intensive Outreach Programme for Eating Disorders—A Reflexive Thematic Analysis.
Authors: Brennan, Cliona (AUTHOR), McAdams, Ellen (AUTHOR), Chimes, Amy (AUTHOR), Konstantellou, Anna (AUTHOR), Simic, Mima (AUTHOR), Baudinet, Julian (AUTHOR)
Source: European Eating Disorders Review. Jul2026, Vol. 34 Issue 4, p971-980. 10p.
Subjects: Treatment of eating disorders, Patients' families, Qualitative research, Medical personnel, Interprofessional relations, Business management of health facilities, Interviewing, Parent attitudes, Thematic analysis, Patient-centered care, Research methodology, Communication, Quality assurance, Social support, Individualized medicine, Patients' attitudes, Caregiver attitudes, Customer satisfaction, Adolescence
Geographic Terms: England
Abstract: Background: Intensive Outreach Programmes (IOP) for eating disorders (ED) were established to reduce the need for inpatient admissions by providing intensive support to families of young people at high risk of hospitalisation, thereby facilitating ongoing community treatment and decreasing the use of inpatient services. This study investigates patient and carer experiences of treatment in IOP with the aim of identifying perceived benefits, challenges, and changes during treatment and generating recommendations for enhancing outreach services. Methods: Nine adolescent patients and 13 caregivers participated in individual semi‐structured interviews at 1‐month post‐discharge from the IOP. Open‐ended questions guided the discussions, which were recorded and transcribed verbatim. Data were analysed using the 6‐stages of reflexive thematic analysis. Results: The analysis generated three key themes: (1) From Despair to Direction (2) Rock Bottom (3) No Quick Fix. Various shared insights were reported, such as beginning during an acute crisis and viewing IOP as a catalyst to change. Parents reflected on feeling supported by professionals to take a more assertive role during treatment and young people reflecting on the firm but necessary boundaries that shaped and supported their engagement with the treatment. Discussion: Families recognised prompt structured support, collaboration, individualised approaches as key facilitators for change. Recommendations include enhancing communication between ED services and families, ensuring flexibility in appointments, and maintaining a structured, patient‐centred approach to optimise the efficacy of intensive outreach interventions for young people with ED. Highlights: IOP as a catalyst for change: Families described the programme as a turning point, moving from crisis to greater direction, with young people valuing firm boundaries and parents feeling empowered in their roles.Facilitators of positive outcomes: Prompt, structured support, collaborative care, and individualised approaches were identified as key contributors to progress during treatment.Recommendations for service improvement: Enhancing communication with families, offering flexible scheduling, and sustaining a structured, patient‐centred model were suggested to strengthen outreach interventions for young people with eating disorders. [ABSTRACT FROM AUTHOR]
Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Young Person and Parent Experience of an Intensive Outreach Programme for Eating Disorders—A Reflexive Thematic Analysis.
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  Data: <searchLink fieldCode="JN" term="%22European+Eating+Disorders+Review%22">European Eating Disorders Review</searchLink>. Jul2026, Vol. 34 Issue 4, p971-980. 10p.
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  Data: Background: Intensive Outreach Programmes (IOP) for eating disorders (ED) were established to reduce the need for inpatient admissions by providing intensive support to families of young people at high risk of hospitalisation, thereby facilitating ongoing community treatment and decreasing the use of inpatient services. This study investigates patient and carer experiences of treatment in IOP with the aim of identifying perceived benefits, challenges, and changes during treatment and generating recommendations for enhancing outreach services. Methods: Nine adolescent patients and 13 caregivers participated in individual semi‐structured interviews at 1‐month post‐discharge from the IOP. Open‐ended questions guided the discussions, which were recorded and transcribed verbatim. Data were analysed using the 6‐stages of reflexive thematic analysis. Results: The analysis generated three key themes: (1) From Despair to Direction (2) Rock Bottom (3) No Quick Fix. Various shared insights were reported, such as beginning during an acute crisis and viewing IOP as a catalyst to change. Parents reflected on feeling supported by professionals to take a more assertive role during treatment and young people reflecting on the firm but necessary boundaries that shaped and supported their engagement with the treatment. Discussion: Families recognised prompt structured support, collaboration, individualised approaches as key facilitators for change. Recommendations include enhancing communication between ED services and families, ensuring flexibility in appointments, and maintaining a structured, patient‐centred approach to optimise the efficacy of intensive outreach interventions for young people with ED. Highlights: IOP as a catalyst for change: Families described the programme as a turning point, moving from crisis to greater direction, with young people valuing firm boundaries and parents feeling empowered in their roles.Facilitators of positive outcomes: Prompt, structured support, collaborative care, and individualised approaches were identified as key contributors to progress during treatment.Recommendations for service improvement: Enhancing communication with families, offering flexible scheduling, and sustaining a structured, patient‐centred model were suggested to strengthen outreach interventions for young people with eating disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/erv.70082
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              Text: Jul2026
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