User satisfaction with services in a randomised controlled trial of adolescent anorexia nervosa.

Background: User satisfaction is a neglected outcome in adolescent anorexia nervosa especially since the relative effectiveness of different treatments is unclear. It may also affect clinical outcome.

Aims: To assess young person's and parents' satisfaction with CAMHS outpatient, specialist outpatient and inpatient treatment received in a large randomised controlled trial.

Economic evaluation of a randomised controlled trial for anorexia nervosa in adolescents.

Background: Young people with anorexia nervosa are often admitted to hospital for treatment. As well as being disruptive to school, family and social life, in-patient treatment is expensive, yet cost-effectiveness evidence is lacking.

Aims: Cost-effectiveness analysis of three treatment strategies for adolescents with anorexia nervosa.

Clinical effectiveness of treatments for anorexia nervosa in adolescents: randomised controlled trial.

Background: Treatment guidelines identify few adequately powered trials to guide recommendations for anorexia nervosa.

Aims: To evaluate the effectiveness of three readily available National Health Service treatments for adolescents (aged 12-18 years) with anorexia nervosa.

Method: Multicentre randomised controlled trial of 167 young people comparing in-patient, specialist out-patient and general child and adolescent mental health service (CAMHS) treatment.

Inpatient services.

Purpose Of Review: Inpatient services constitute the most highly specialized child and adolescent mental health provision and cater for the most severe disorders in this age group. In view of a number of mapping and audit initiatives in the UK in recent years and changing influences on admission policies worldwide, it is timely to review their function and effectiveness.

Recent Findings: Recent attention has focused on describing service configurations and auditing against standards.

Evidence Based Research in CBT with Adolescent Eating Disorders.

Cognitive behaviour therapy (CBT) is increasingly becoming the treatment of choice for a number of adolescent mental health problems, including depression (Harrington et al., 1998) and obsessive compulsive disorder (OCD), (March, 1995). In considering the role of CBT in the treatment of adolescent eating disorders, it is helpful to review the phenomenology of anorexia and bulimia nervosa in this age group and to assess the theoretical relevance of a cognitive behavioural approach to their management.