Incorporating family-based therapy principles into a partial hospitalization programme for adolescents with anorexia nervosa: challenges and considerations

There is increasing research evidence that family-based treatment (FBT) is the most effective form of treatment currently available for adolescents with anorexia nervosa, while preliminary evidence suggests that it may also be effective for adolescents with bulimia nervosa. Originally designed as a weekly outpatient treatment, FBT's efficacy has led to its adaptation for use in other treatment settings, such as partial hospitalization or intensive outpatient programmes. Although FBT cannot be replicated in these treatment settings, FBT principles can be borrowed and implemented. This article reviews challenges that arise when incorporating FBT into more intensive treatment settings while attempting to remain true to the intent of the original treatment approach. Practitioner points FBT cannot be replicated in higher levels of care, but FBT principles can be effectively incorporated into a day treatment programme for eating disorders. Challenges in incorporating FBT into higher levels of care include adequate parental involvement and empowerment.