Navigating the transition from pediatric to adult eating disorder programs: perspectives of service providers

Int J Eat Disord. 2012 Sep;45(6):759-67. doi: 10.1002/eat.22017. Epub 2012 Mar 19.

Abstract

Objective: This study aims to conduct qualitative research on the perspectives of service providers regarding the transition process from pediatric to adult specialized eating disorder tertiary care programs.

Method: Two focus groups with a diverse group of clinicians in pediatric and adult eating disorder programs and five qualitative interviews with clinicians in the community were conducted.

Results: Three themes were identified as challenges during the transition process: (1) illness related factors (ambivalence and denial); (2) the interruption of normative adolescent developmental processes by the illness; and, (3) the impact of decreased parental involvement in the adult compared to pediatric eating disorder programs.

Discussion: These themes were compared with empirical evidence on other chronic mental or physical health concerns for the purpose of identifying ways to facilitate a more successful service transition for young adults with anorexia nervosa. Future research and clinical implications are delineated.

MeSH terms

  • Adolescent
  • Adolescent Development
  • Adolescent Health Services
  • Adult
  • Child
  • Child Health Services
  • Feeding and Eating Disorders / therapy*
  • Focus Groups
  • Humans
  • Parents
  • Transition to Adult Care*
  • Young Adult