Transition From Child to Adult Eating Disorder Services: A Qualitative Meta-Aggregation.
Amelia Austin, Manya Singh, Sela Scott et al.
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In 30 seconds
This systematic review and qualitative meta-aggregation examined experiences and recommendations concerning transfer from paediatric to adult eating disorder services. It synthesised findings from 21 qualitative studies. The synthesis identified 12 areas for attention, including clear communication, developmentally appropriate timing, personalised transition plans, straightforward referrals, and coordination between services. It also highlighted the need to consider distress among young people, families, and clinicians, while balancing caregiver involvement with young people’s growing independence. The authors suggest that these findings provide a qualitative evidence base to inform development and co-production of transition interventions.
Key findings
- The review synthesised qualitative findings from 21 studies on transitions between child and adult eating disorder services.
- Findings emphasised developmentally ready timing, personalised plans, and attention to concurrent life transitions.
- Suggested supports included overlapping care, transition coordinators, transition passports, and peer support.
- The synthesis highlighted clear communication, straightforward referrals, and training for GPs and generalist adult services.
Why it matters
Transitions involve more than a change in service: the synthesis identifies emotional, developmental, and coordination needs affecting young people, families, and clinicians. These findings can help frame service discussions and intervention development around communication, readiness, continuity, and independence, rather than treating transfer as a single administrative event.
What to keep in mind
The synthesis draws on qualitative studies and does not establish the effectiveness of the proposed supports or interventions.