Priority 5 from the Eating Disorders (Netherlands) PSP

UNCERTAINTY: Which treatment setting (outpatient, at home, day treatment, inpatient/residential, with or without parents) provides the best treatment outcome? (JLA PSP Priority 5)
Overall ranking 5
JLA question ID 0039/5
Explanatory note Most patients with an eating disorder also have co-morbid disorders (affective disorder, PTSD, OCD, etc.). What to treat first, the eating disorder or the co-morbid disorder, or to treat both integrally, has never been tested in a clinical trail.

Hay, P. J., Claudino, A. M., Smith, C. A., Touyz, S., Lujic, S., & Madden, S. (2013). Inpatient versus outpatient care, partial hospitalisation and wait-list for people with eating disorders. Protocols Cochrane Database of Systematic Reviews

Hay, P. J., Claudino, A. M., Touyz, S., & Elbaky, G. A. (2015). Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa. Cochrane Database of Systematic Reviews Reviews, (7). doi:10.1002/14651858.cd003909.pub2  doi:10.1002/14651858.cd010827

Hay, P. P., Bacaltchuk, J., Stefano, S., & Kashyap, P. (2009). Psychological treatments for bulimia nervosa and binging. Cochrane Database of Systematic Reviews Reviews, (4). doi:10.1002/14651858.cd000562.pub3

Health Research Classification System category Mental Health
Extra information provided by this PSP
Original uncertainty examples What has so far proved to be the best setting for treatment of eating disorders? And is there a difference for bulimia / anorexia? is the effectiveness of a healthy or health-promoting environment different from that of a care / disease environment? (A house or something instead of a hospital or clinic, green surroundings, with or without involvement of family)
Submitted by Clinician x 1, Patients x 2
PSP information
PSP unique ID 0039
PSP name Eating Disorders (Netherlands)
Total number of uncertainties identified by this PSP 77  
Date of priority setting workshop 3 June 2016