title: A new service model for the treatment of severe anorexia nervosa in the community: the Anorexia Nervosa Intensive Treatment Team.
abstract: Aims and method A community intensive treatment service for severe anorexia nervosa is described. The service is multidisciplinary but driven by a focus on psychological formulation. Psychological and dietetic interventions are grounded in a process of active risk management. Evaluations of safety, cost and acceptability of the service are described. Results Patients are highly satisfied with their care. A relatively low mortality rate for such a high-risk population was observed. In-patient bed use and costs were substantially reduced. Clinical implications There is a case for greater use of intensive community care for patients with severe anorexia nervosa, as it can be acceptable to patients, relatively safe and cost less than admission.
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK ; Department of Psychiatry, University of Edinburgh, UK.
authors.forename: Calum
authors.initials: C
authors.lastname: Munro
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
authors.forename: Victoria
authors.initials: V
authors.lastname: Thomson
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
authors.forename: Jean
authors.initials: J
authors.lastname: Corr
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
authors.forename: Louise
authors.initials: L
authors.lastname: Randell
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
authors.forename: Jennie E
authors.initials: JE
authors.lastname: Davies
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Gittoes
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK.
authors.forename: Vicky
authors.initials: V
authors.lastname: Honeyman
authors.affiliation: Anorexia Nervosa Intensive Treatment Team (ANITT), NHS Lothian, Edinburgh, UK ; Queen Margaret University, Edinburgh, UK.
authors.forename: Chris P
authors.initials: CP
authors.lastname: Freeman