Nearly 14% of all youth display disordered eating patterns. Despite the prevalence of these disorders, there is limited literature on the integration of eating disorder support services in schools. Further, there is often limited eating disorder knowledge and training for school mental health (SMH) professionals. This paper describes a two-phase study involving qualitative and quantitative components examining the perspectives of adolescents in recovery from eating disorders, family members, and SMH professionals. Fourteen participants were recruited from an eating disorder treatment facility in the southeastern USA. Eight adolescent females who received treatment for disordered eating while in primary or secondary school and six of their mothers completed interviews. In addition, 720 SMH and allied professionals were surveyed on their knowledge and training in disordered eating identification and intervention and their perspectives on service provision, with 561 complete and usable surveys. Analyses of adolescent and family data revealed the following themes that hindered or helped recovery: Isolation, Perfectionism, Difficulties with Self-Acceptance and Comparison to Others, Uncertainty, Teacher Identification, Support in Recovery. Themes surrounding the benefits of including SMH services for this population included: Increased Awareness, Support in Recovery, Family Involvement, and Linking to Resources. Results revealed that the majority of SMH professionals did not receive training in the identification and/or intervention of disordered eating. Data suggested that lack of referrals and limited knowledge, skills, and time interfered with their ability to effectively identify and intervene. Findings provide a foundation for understanding the experiences of adolescents with disordered eating and the role of SMH programs in assisting them.

在所有年轻人中，将近14％的人表现出饮食失调。尽管这些疾病普遍存在，但有关学校饮食失调支持服务整合的文献有限。此外，对于学校心理健康（SMH）专业人员来说，饮食失调知识和培训通常很有限。本文介绍了一个分为两个阶段的研究，涉及定性和定量成分，研究了青少年从饮食失调，家庭成员和SMH专业人士中恢复的观点。从美国东南部的饮食失调治疗机构招募了14名参与者。八名青春期女性在小学或中学时期接受了饮食失调治疗，其母亲中有六位完成了采访。此外，对720名SMH和相关专业人员进行了有关饮食识别和干预的知识和培训，以及他们对服务提供的看法，并进行了561项完整且可用的调查。对青少年和家庭数据的分析揭示了以下阻碍或帮助康复的主题：隔离，完美主义，以自我难点-接受和比较给其他人，不确定性，老师鉴定，恢复支持。围绕为该人群提供SMH服务的好处的主题包括：意识增强，康复支持，家庭参与以及与资源的链接。结果显示，大多数SMH专业人士并未接受有关识别和/或干预饮食失调的培训。数据表明，缺乏推荐和有限的知识，技能和时间会干扰他们的有效识别和干预能力。研究结果为了解青少年饮食失调的经历以及SMH计划在帮助他们中的作用提供了基础。