CPG for Eating Disorders

8. Interventions at the Different Levels ofCare in the Management of EatingDisordersKey Questions:8.1. What are the primary care (PC) and specialised care interventions for eatingdisorders? Other resources?8.2. In eating disorders, what clinical criteria may be useful to assess referralamongst the health care resources available in the NHS?8.3. In eating disorders, what clinical criteria may be useful to assess completehospitalisation (inpatient care) in healthcare resources available in theNHS?8.4. In eating disorders, what clinical criteria may be useful to assess discharge inhealth care resources available in the NHS?8.1. What are the primary care (PC) andspecialised care interventions for eatingdisorders? Other resources?The management model proposed, in which patients are referred from one managementresource to another, is bound by protocols, recommendations and guidelines elaborated withclinical criteria for which there is little evidence that guides decisions regarding where toperform the intervention (See question 8.2. in this chapter).8.1.1. Primary Care (PC) interventionsPrimary care is carried out in primary care centres, the first level of access to health care. At thislevel interventions are focused on:– Identifying individuals at risk of developing an eating disorder (See chapter 6, “Detection”)and establishing an early diagnosis (See chapter 7, “Diagnosis”).– Deciding whether the disorder can be treated in the primary care centre or whether it must bereferred to specialised care. In order to make this decision, the patient’s type of eatingdisorder, age, level of risk, physical and psychological complications and preferences must betaken into account.CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS78