A5064947393- Eating Disorders and Behaviors
- Impact of Technology on Adolescents
- Obsessive-Compulsive Spectrum Disorders
- Mental Health Treatment and Access
- Child Nutrition and Feeding Issues
- Body Image and Dysmorphia Studies
- COVID-19 and Mental Health
- Occupational and Professional Licensing Regulation
- Employment and Welfare Studies
- Behavioral Health and Interventions
- Higher Education and Employability
- Child and Adolescent Health
- Healthcare professionals’ stress and burnout
- Schizophrenia research and treatment
- Health Systems, Economic Evaluations, Quality of Life
- Posttraumatic Stress Disorder Research
- Workplace Health and Well-being
- Child Abuse and Trauma
- Travel-related health issues
- Health and Well-being Studies
- Health, psychology, and well-being
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Migration, Health and Trauma
Surrey and Borders Partnership NHS Foundation Trust
2021-2025
University College London
2024
Le Moyne College
2021
Wildlife Information Liaison Development
2021
St Peter's Hospital
2011
East London NHS Foundation Trust
2010
London Borough of Hackney
2008
Background A substantial proportion of anorexia nervosa patients require intensive treatments, commonly inpatient or day-patient treatment. The relative merits these treatments for adults with are unknown. Therefore, a trial investigating the clinical effectiveness and cost-effectiveness treatment-as-usual versus stepped-care approach in (DAISIES) was commissioned. This terminated prematurely due to poor recruitment, mainly resulting from COVID-19’s impact on service provision. Objective We...
Abstract Background Admissions to intensive treatment (i.e., inpatient [IP] and/or day patient [DP]) for individuals with severe anorexia nervosa (AN) are common. Growing literature indicates potential risks and benefits of each approach; however, existing research has focused on carer perspectives these treatments. Also, there is scant empirical evidence available guiding the parameters treatments AN. We therefore explored clinicians’ experience supporting adults AN in settings. Methods...
Abstract Background Anorexia nervosa (AN) is a serious and disabling mental disorder with high disease burden. In proportion of cases, intensive hospital-based treatments, i.e. inpatient or day patient treatment, are required, treatment often being used as ‘step-down’ after period treatment. Demand for such approaches has seen sharp rise. Despite this, the relative merits these patients, their families, NHS wider society relatively unknown. This paper describes rationale for, protocol of,...
Abstract Background The COVID-19 pandemic has significantly affected intensive treatment settings (i.e., inpatient [IP] and day patient [DP]) in specialist eating disorder services. However, the impact on clinicians working these services is largely unknown. We therefore explored perspectives of those supporting individuals with severe anorexia nervosa (AN) during pandemic. Methods Between May 2020 June 2021, we interviewed ( n = 21) who delivered IP and/or DP to patients AN four United...
To ascertain the level of psychological distress, using validated psychology tools, among British National healthcare workers (HCW) during first wave Covid-19 crisis.A multi-centre, anonymized, all-comer staff survey across 3 hospitals in Lancashire, England (April to June 2020), consisting Patient Health Questionnaire (PHQ-9), Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder-7 (GAD-7), and Impact Events Scale (IES-6).Among 1113 HCW, median (IQR) PHQ-9, GAD-7, PSS-10, IES-6...
Abstract Objective The relative merits of inpatient or day‐treatment for adults with anorexia nervosa (AN) are unknown. DAISIES trial aimed to establish the non‐inferiority a stepped‐care day patient treatment (DPT) approach versus as usual (IP‐TAU) improving body mass index (BMI) at 12 months in AN. was terminated due poor recruitment. This paper presents outcomes and investigates reasons behind trial's failure. Method Fifteen patients AN (of 53 approached) participated were followed‐up 6...
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Aims To determine if the physical health monitoring of day-care patients in Adult Eating disorder service (AEDS) is done line with recommendations NICE guidelines and relevant Medical Emergencies Disorders (MEED) Guidance on Recognition Management. Methods 1. For every attendance to Clinic it expected that be offered would include: • Weight Height (if first attendance) BMI HR (Pulse rate) Sitting/Standing BP Temperature 2. Relevant blood tests ECGs a schedule based patient's or as needed...
Aims 1. To determine if the physical health monitoring of patients in Eating disorder service is done line with recommendations National Institute Clinical Excellence (NICE) guidelines and relevant MEED Guidance on Recognition Management. 2. current local AEDS (Adult eating services) guideline for Community patients, including blood tests ECG adequate community patient cohort. Methods For every attendance to Outpatient Physical Clinic (PHMC), it expected that be offered would include: •...