The Junior MARSIPAN working group was formed to develop guidelines for young people with anorexia nervosa to complement the report from the MARSIPAN group (CR162. MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa) which addresses the care of adult in-patients with anorexia nervosa.
The rationale for a separate document is that the definition of very sick patients with anorexia nervosa differs in young people, because serious underweight varies with age and gender; other aspects of risk differ in young people (e.g. blood pressure norms); consent and capacity are addressed within different legal frameworks for young people than adults; there are differences in service organisation for specialist child and adolescent mental health services (CAMHS); and paediatric services have a central role in the care of young people.
The Junior MARSIPAN report provides guidance and recommendations on:
- Risk assessment, physical examination and associated action.
- Location of care and transition between services.
- Compulsory treatment.
- Paediatric admission and local protocols.
- Management of re-feeding.
- Management of compensatory behaviours associated with an eating disorder in a paediatric setting.
- Management in primary care and paediatric out-patient settings.
- Discharge from paediatric settings.
- Management in specialist CAMHS in-patient settings.
View the full report: