Background The World Health Organization declared the outbreak of COVID-19 as a global pandemic on the 11th March 2020. As a result, the UK Government imposed severe restrictions on working and social contact as part of “lockdown.” Whilst the full extent of the pandemic’s impact on eating disorder patients is unknown, the literature suggests that patients with pre-existing mental illness may be more vulnerable to the mental health impacts. In addition, the restrictions greatly reduced the access to mental health services and presented new challenges to service delivery. A service evaluation was carried out to explore how the COVID-19 global pandemic changed service provision in a young person’s eating disorder service and how this affected patient, family and staff experiences. Methods An audit was carried out to explore how the lockdown period had impacted referrals and service delivery. Quantitative data was collected in an online survey and qualitative data was collected in two formats: open ended answers as part of the online survey and open-ended focus groups, structured using narrative enquiry. The 43 participants consisted of 12 patients, 19 parents/carers, and 12 staff members. Patients were under the age of 18 and had a diagnosis of an eating disorder. Results COVID-19 and lockdown increased the pressure on the service and changed service provision significantly. This has impacted the relational experiences for patients and their carers and staff have been faced with new challenges. Patients, parents/carers and staff all preferred face-to-face appointments over virtual options. There was no difference in service satisfaction before and during COVID-19. Conclusions It is possible to provide an eating disorder service in lockdown restrictions that patients and parents report high satisfaction with. Providing face-to-face appointments at the beginning of treatment and including families in the planning should be prioritised. Staff support is crucial to be able to continue delivering high quality services. The key themes are identified, and clinical recommendations are made to guide service delivery.

中文翻译：

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全球大流行 (COVID-19) 封锁期对饮食失调服务的体验有何影响？对病人、家长/照顾者和工作人员意见的服务评估

背景 世界卫生组织于 2020 年 3 月 11 日宣布 COVID-19 的爆发为全球大流行病。因此，作为“封锁”的一部分，英国政府对工作和社交接触实施了严格限制。虽然大流行对饮食失调患者的全面影响尚不清楚，但文献表明，已有精神疾病的患者可能更容易受到精神健康影响。此外，这些限制极大地减少了获得精神卫生服务的机会，并对服务提供提出了新的挑战。开展了一项服务评估，以探讨 COVID-19 全球大流行如何改变年轻人饮食失调服务中的服务供应，以及这如何影响患者、家人和员工的体验。方法 进行了一项审计，以探讨锁定期如何影响转诊和服务提供。在在线调查中收集了定量数据，并以两种格式收集了定性数据：作为在线调查的一部分的开放式答案和使用叙事查询结构化的开放式焦点小组。43 名参与者包括 12 名患者、19 名父母/照顾者和 12 名工作人员。患者年龄在 18 岁以下，并被诊断为饮食失调。结果 COVID-19 和封锁增加了服务压力并显着改变了服务供应。这影响了患者的关系体验，他们的护理人员和工作人员面临着新的挑战。与虚拟选项相比，患者、父母/护理人员和工作人员都更喜欢面对面的预约。COVID-19 之前和期间的服务满意度没有差异。结论 可以在患者和家长报告高度满意的锁定限制条件下提供饮食失调服务。应优先考虑在治疗开始时提供面对面的预约，并将家庭纳入计划。员工支持对于能够继续提供高质量服务至关重要。确定关键主题，并提出临床建议以指导服务提供。员工支持对于能够继续提供高质量服务至关重要。确定关键主题，并提出临床建议以指导服务提供。员工支持对于能够继续提供高质量服务至关重要。确定关键主题，并提出临床建议以指导服务提供。