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The costs and benefits of intensive day treatment programs and outpatient treatments for eating disorders: An idea worth researching.

Author
Abstract
:

Outpatient care (e.g., individual, group, or self-help therapies) and day treatment programs (DTPs) are common and effective treatments for adults with eating disorders. Compared to outpatient care, DTPs have additional expenses and could have unintended iatrogenic effects (e.g., may create an overly protective environment that undermines self-efficacy). However, these potential downsides may be offset if DTPs are shown to have advantages over outpatient care. To explore this question, our team conducted a scoping review that aimed to synthesize the existing body of adult eating disorder literature (a) comparing outcomes for DTPs to outpatient care, and (b) examining the use of DTPs as a higher level of care in a stepped care model. Only four studies met the predefined search criteria. The limited results suggest that the treatments have similar effects and that outpatient care is more cost-effective. Furthermore, no studies explored the use of DTPs as a higher level of care in a stepped care model (despite international guidelines recommending this approach). Given the clear dearth of literature on this clinically relevant topic, we have provided specific avenues for further research.

Year of Publication
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2021
Journal
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The International journal of eating disorders
Volume
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54
Issue
:
7
Number of Pages
:
1099-1105
ISSN Number
:
0276-3478
URL
:
https://doi.org/10.1002/eat.23514
DOI
:
10.1002/eat.23514
Short Title
:
Int J Eat Disord
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