title: Structured, supported feeding admissions for restrictive eating disorders on paediatric wards.
abstract: Restrictive eating disorders in young people are increasingly requiring admission to the hospital and can be a challenge to manage on acute general paediatric wards.
  
  
  
  We have developed a joint working model with Child and Adolescent Mental Health services (CAMHS) using short, structured, supported feeding admissions to supplement outpatient treatment in high risk or 'stuck' cases.
  
  
  
  We have successfully managed the majority of young people in the community avoiding lengthy, expensive, specialist CAMHS eating disorder inpatient unit admissions (tier 4). Local ward admissions are easier to manage and the attitudes of nursing and medical staff towards these young people have changed.
  
  
  
  Joint working between paediatric and CAMHS teams enables shorter, more manageable local ward admissions, reducing the need for tier-4 units.
authors.affiliation: Department of Paediatrics, Royal Devon and Exeter Foundation Trust, Wonford Hospital, Exeter, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Street
authors.affiliation: Department of Paediatrics, Royal Devon and Exeter Foundation Trust, Wonford Hospital, Exeter, UK.
authors.forename: Susie
authors.initials: S
authors.lastname: Costelloe
authors.affiliation: Department of Paediatrics, Royal Devon and Exeter Foundation Trust, Wonford Hospital, Exeter, UK.
authors.forename: Michelle
authors.initials: M
authors.lastname: Wootton
authors.affiliation: Devon CAMHS, Virgin Care, Unit 1 Capitol Court, Exeter, UK.
authors.forename: Sonja
authors.initials: S
authors.lastname: Upton
authors.affiliation: Devon CAMHS, Virgin Care, Unit 1 Capitol Court, Exeter, UK.
authors.forename: Julie
authors.initials: J
authors.lastname: Brough
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration; D001291:Attitude of Health Personnel; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D019091:Critical Pathways; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D004739:England; D001068:Feeding and Eating Disorders / Q000628:therapy*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration
keywords: Adolescent Health; Child Psychiatry; General Paediatrics; Multidisciplinary team-care