Scientist-practitioner family therapists, postmodern medical practitioners and expert parents: second-order change in the Eating Disorders Program at The Children's Hospital at Westmead |
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| Authors: | Paul Rhodes Sloane Madden |
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| Affiliation: | Team Leader, Westmead Eating Disorders Family-based Treatment Team, The Children's Hospital at Westmead, and Psychology Department, Macquarie University, Sydney, Australia. E-mail:; Child and Adolescent Psychiatrist, Joint Head of Eating Disorders Program, The Children's Hospital at Westmead, Sydney, Australia. |
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| Abstract: | The Maudsley model of family-based treatment for anorexia integrates a variety of schools of family therapy, and has been developed and supported by a number of randomized controlled trials. In this paper we will describe the systemic organizational changes that have occurred as a result of the inclusion of this model in the Eating Disorders Program at The Children's Hospital at Westmead over an eighteen-month period, including a process of mutual influence between medical practitioners and family therapists. These changes have contributed towards a dramatic improvement in clinical outcomes including a significant drop in readmission rates to hospital. |
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