Why eating disorders in children and young people are increasing: implications for practice.

According to data collected by NHS England in 2022 1,721 children and young people were awaiting treatment for eating disorders compared with 603 patients in 2016. This reveals an increase of 185% in eating disorders among children and young people and suggests that this increase will continue to occur even with the government pledging £79 million ( GOV UK 2021 ) to expand children and adolescent mental health services (CAMHS) and early intervention services ( NHS England 2022a ). This is due to the already extensive CAMHS waiting list managing the sizeable accumulation of referrals combined with the consistent increase of new referrals. This article outlines the most common types of eating disorders, the importance of the school nurse and factors that have affected the prevalence of eating disorders in young people, highlighting that early intervention and prevention is vital. The authors argue that this can be achieved through increased funding for services such as CAMHS and the First Episode and Rapid Early Intervention for Eating Disorders service, stricter legislation surrounding social media and greater mental health education in schools for teachers, young people and their families.

[1]  M. Simic,et al.  From efficacy to effectiveness: child and adolescent eating disorder treatments in the real world (Part 2): 7-year follow-up , 2022, Journal of eating disorders.

[2]  Dennis Ougrin,et al.  Impact of the COVID-19 pandemic on child and adolescent mental health services , 2021, BJPsych Open.

[3]  F. Solmi,et al.  COVID-19 and eating disorders in young people , 2021, The Lancet Child & Adolescent Health.

[4]  U. Schmidt,et al.  The First Episode Rapid Early Intervention for Eating Disorders ‐ Upscaled study: Clinical outcomes , 2021, Early intervention in psychiatry.

[5]  H. Thabrew,et al.  Psychosocial Challenges and Opportunities for Youth With Chronic Health Conditions During the COVID-19 Pandemic , 2020, JMIR pediatrics and parenting.

[6]  M. Marmot Society and the slow burn of inequality , 2020, The Lancet.

[7]  Alanna McCrory The relationship between highly visual social media and young people’s mental health: A scoping review , 2020, Children and Youth Services Review.

[8]  E. Davies,et al.  Teachers and pupils under pressure: UK teachers’ views on the content and format of personal, social, health and economic education , 2020 .

[9]  S. Byrne,et al.  The relationship between social media use and disordered eating in young adolescents. , 2019, The International journal of eating disorders.

[10]  R. Jepson,et al.  Supporting the health and well-being of school-aged children through a school nurse programme: a realist evaluation , 2018, BMC Health Services Research.

[11]  Kelly L Zuromski,et al.  Eating disorders and suicidality: what we know, what we don't know, and suggestions for future research. , 2018, Current opinion in psychology.

[12]  E. Stice,et al.  Interactions between risk factors in the prediction of onset of eating disorders: Exploratory hypothesis generating analyses. , 2018, Behaviour research and therapy.

[13]  K. Sonneville,et al.  Disparities in eating disorder diagnosis and treatment according to weight status, race/ethnicity, socioeconomic background, and sex among college students , 2018, The International journal of eating disorders.

[14]  M. O’Reilly,et al.  Whose Responsibility is Adolescent’s Mental Health in the UK? Perspectives of Key Stakeholders , 2018, School mental health.

[15]  S. Ehrlich,et al.  The Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders , 2017, European eating disorders review : the journal of the Eating Disorders Association.

[16]  V. Young,et al.  School Nurses’ perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study , 2016, BMC Nursing.

[17]  J. Treasure,et al.  Spotting and supporting eating disorders in school: recommendations from school staff. , 2013, Health education research.

[18]  L. Festinger A Theory of Social Comparison Processes , 1954 .