Viewing blog posts tagged with "Anorexia"

What does good treatment outcome for anorexia in children look like?

posted by Julie O'Toole on June 25, 2011 at 1:48am

Academics and researchers argue about what they refer to as "outcome" all the time.  How should treatment outcome be defined? How do you know that the patient is "there"?

These are important questions because "good outcome" will need to be defined before we can answer questions like: what percentage of children will achieve a certain outcome? How long will it take?  What factors can affect outcome? How can families influence the likelihood of a good outcome for their own child? What…

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Vertical Integration of Eating Disorder Treatment

posted by Julie O'Toole on June 18, 2011 at 1:15am

There are many by-words in contemporary medicine and ever more coming along.  “Vertical integration” is one of them, but what exactly does it mean?

It means something that we have been doing at Kartini Clinic since 2000 and something we would like to refine further as we move into the future of care for children with eating disorders.  Once, vertical integration was an innovation, now it is becoming standard.  Vertical integration is a system of care where, as the patient moves…

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The other day a young patient of mine asked me “which is more important: psychological remission or physical remission?”  Of course she was asking because she wanted to know how she could get out of the DTU most quickly, but it was a good question nonetheless.

Which is more important?  Well, let’s see…which is more important: breathing or heart beating?  Yes, it’s just like that.  There is no psychological remission without physical remission.  That’s been tried.  In fact, we spent…

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Family Based Treatment and the Kartini Method

posted by Julie O'Toole on April 22, 2011 at 8:00pm

Several people whom I respect have asked me to do something I find hard: stop calling what we do at Kartini Clinic "Family based Treatment". That term, they aver, should be reserved for "certified" Maudlsey practitioners.

This gripes me on two accounts:

Firstly, we have been calling what we do "family-based treatment" since at least 2000. When I left my practice of general pediatrics to begin seeing only children with all conditions of disordered eating, I was influenced by several…

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