ABSTRACT

There has been a growing effort to incorporate the evidence-based practices of family-based treatment (FBT) into higher levels of care, such as day-treatment programs. This study tracked the effects of integrating the principles and strategies of FBT into a partial hospitalization program (PHP) for youth with eating disorders. Following retrospective chart review, rates of readmission to the PHP were measured for three years before (2011–2014) and after (2014–2017) FBT was incorporated into the hospital programming. Patients (N = 326) were primarily adolescents with anorexia nervosa. Rates of readmission were significantly lower for those who received care during the implementation of FBT-based PHP programming (2.95%) as compared to the prior traditional PHP (11.7%). Patterns of readmission to the PHP before and after FBT implementation suggest that FBT can be adapted for higher levels of care, and may reduce readmissions and promote continuity of care.

摘要

越来越多的努力将家庭治疗 (FBT) 的循证实践纳入更高水平的护理，例如日间治疗计划。这项研究追踪了将 FBT 的原则和策略整合到针对患有饮食失调的青少年的部分住院治疗计划 (PHP) 中的效果。在回顾性图表审查之后，在 FBT 纳入医院规划之前（2011-2014）和之后（2014-2017）的三年内，对 PHP 的再入院率进行了测量。患者 ( N= 326) 主要是患有神经性厌食症的青少年。与之前的传统 PHP (11.7%) 相比，在实施基于 FBT 的 PHP 编程期间接受护理的患者的再入院率 (2.95%) 显着降低。FBT 实施前后的 PHP 再入院模式表明 FBT 可以适应更高水平的护理，并可能减少再入院并促进护理的连续性。