Introduction Eating disorders are complex to manage, and there is limited guidance around the depth and breadth of knowledge, skills and experience required by treatment providers. The Australia & New Zealand Academy for Eating Disorders (ANZAED) convened an expert group of eating disorder researchers and clinicians to define the clinical practice and training standards recommended for mental health professionals and dietitians providing treatment for individuals with an eating disorder. General principles and clinical practice standards were first developed, after which separate mental health professional and dietitian standards were drafted and collated by the appropriate members of the expert group. The subsequent review process included four stages of consultation and document revision: (1) expert reviewers; (2) a face-to-face consultation workshop attended by approximately 100 health professionals working within the sector; (3) an extensive open access online consultation process; and (4) consultation with key professional and consumer/carer stakeholder organisations. Recommendations The resulting paper outlines and describes the following eight eating disorder treatment principles: (1) early intervention is essential; (2) co-ordination of services is fundamental to all service models; (3) services must be evidence-based; (4) involvement of significant others in service provision is highly desirable; (5) a personalised treatment approach is required for all patients; (6) education and/or psychoeducation is included in all interventions; (7) multidisciplinary care is required and (8) a skilled workforce is necessary. Seven general clinical practice standards are also discussed, including: (1) diagnosis and assessment; (2) the multidisciplinary care team; (3) a positive therapeutic alliance; (4) knowledge of evidence-based treatment; (5) knowledge of levels of care; (6) relapse prevention; and (7) professional responsibility. Conclusions These principles and standards provide guidance to professional training programs and service providers on the development of knowledge required as a foundation on which to build competent practice in the eating disorder field. Implementing these standards aims to bring treatment closer to best practice, and consequently improve treatment outcomes, reduce financial cost to patients and services and improve patient quality of life.

中文翻译：

---

ANZAED 饮食失调治疗原则和一般临床实践和培训标准

简介 饮食失调管理起来很复杂，而且治疗提供者所需的知识、技能和经验的深度和广度方面的指导有限。澳大利亚和新西兰饮食失调学会 (ANZAED) 召集了一个由饮食失调研究人员和临床医生组成的专家组，为为患有饮食失调症的患者提供治疗的心理健康专业人员和营养师制定了推荐的临床实践和培训标准。首先制定了一般原则和临床实践标准，然后由专家组的适当成员起草和整理了单独的心理健康专业和营养师标准。随后的评审过程包括四个阶段的咨询和文件修订：（1）专家评审；(2) 约 100 名在该部门工作的卫生专业人员参加的面对面咨询研讨会；(3) 广泛的开放获取在线咨询过程；(4) 与主要的专业和消费者/护理人员利益相关者组织进行协商。建议 最终的论文概述并描述了以下八项饮食失调治疗原则： (1) 早期干预必不可少；(2) 服务协调是所有服务模式的基础；(3) 服务必须以证据为基础；(4) 非常需要重要他人参与服务提供；(5) 所有患者都需要个性化的治疗方法；(6) 教育和/或心理教育包括在所有干预措施中；(7) 需要多学科护理和 (8) 需要熟练的劳动力。还讨论了七个一般临床实践标准，包括：（1）诊断和评估；(2) 多学科护理团队；(3) 积极的治疗联盟；（四）循证治疗知识；(5) 护理水平的知识；(6) 预防复发；(7) 职业责任。结论 这些原则和标准为专业培训计划和服务提供者提供了有关知识发展的指导，这些知识是在饮食失调领域建立合格实践的基础。实施这些标准旨在使治疗更接近最佳实践，从而改善治疗结果，降低患者和服务的财务成本并提高患者的生活质量。(2) 多学科护理团队；(3) 积极的治疗联盟；（四）循证治疗知识；(5) 护理水平的知识；(6) 预防复发；(7) 职业责任。结论 这些原则和标准为专业培训计划和服务提供者提供了有关知识发展的指导，这些知识是在饮食失调领域建立合格实践的基础。实施这些标准旨在使治疗更接近最佳实践，从而改善治疗结果，降低患者和服务的财务成本并提高患者的生活质量。(2) 多学科护理团队；(3) 积极的治疗联盟；（四）循证治疗知识；(5) 护理水平的知识；(6) 预防复发；(7) 职业责任。结论 这些原则和标准为专业培训计划和服务提供者提供了有关知识发展的指导，这些知识是在饮食失调领域建立合格实践的基础。实施这些标准旨在使治疗更接近最佳实践，从而改善治疗结果，降低患者和服务的财务成本并提高患者的生活质量。结论 这些原则和标准为专业培训计划和服务提供者提供了有关知识发展的指导，这些知识是在饮食失调领域建立合格实践的基础。实施这些标准旨在使治疗更接近最佳实践，从而改善治疗结果，降低患者和服务的财务成本并提高患者的生活质量。结论 这些原则和标准为专业培训计划和服务提供者提供了有关知识发展的指导，这些知识是在饮食失调领域建立合格实践的基础。实施这些标准旨在使治疗更接近最佳实践，从而改善治疗结果，降低患者和服务的财务成本并提高患者的生活质量。