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Letters Eating disorders in children and young people

Improving access to eating disorder services

BMJ 2018; 360 doi: (Published 29 January 2018) Cite this as: BMJ 2018;360:k382
  1. Antony Natt, retired GP and clinical awareness lecturer
  1. First Steps Derbyshire Eating Disorder Charity, Ingham House, Derby DE1 1DZ, UK
  1. gingernatt{at}

This timely article on eating disorders in children and young people reminds us that the interval between onset of illness and access to specialist interventions predicts outcome.12 Early intervention (specialist treatment within 6 months of onset) predicts good outcomes, whereas late intervention (after 36 months) predicts poorer outcomes.3 The estimated delay from onset to accessing specialist services is 42 months—patients present after about 36 months, and service …

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