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Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
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Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical

Michele Calderoni1,2, Samantha Turner2,3, Kerri Heckert4,5

  • 1Craig-Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

The International Journal of Eating Disorders
|November 18, 2025
PubMed
Summary
This summary is machine-generated.

The Rapid Intervention to Support Eating Issues (RISE) pilot successfully promoted weight restoration and prevented hospitalization in adolescents with eating disorders (EDs) using a home hospital model. This structured outpatient approach demonstrated significant improvements in nutritional intake and reductions in ED behaviors.

Keywords:
early interventioneating disorderfocusedmalnutritionprogram‐ledquality improvement

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Area of Science:

  • Adolescent Medicine
  • Clinical Psychology
  • Nutritional Psychiatry

Background:

  • Eating disorders (EDs) in adolescents present significant challenges to accessing timely and effective care.
  • Structural barriers like limited availability often hinder early intervention for youth with EDs.
  • Program-led models offer a structured approach to overcome these barriers.

Purpose of the Study:

  • To evaluate the effectiveness of the Rapid Intervention to Support Eating Issues (RISE) pilot program.
  • To promote weight restoration in malnourished adolescents at risk for hospitalization.
  • To prevent hospitalizations through a "home hospital" model integrating medical, family-based, and nutritional support.

Main Methods:

  • A pilot study involving 27 adolescents with EDs.
  • An 8-week outpatient program with 4-5 visits focusing on adolescent medicine and nutrition.
  • Integration of medical oversight, family-based treatment principles, and nutritional support within a "home hospital" framework.
  • Assessment of vital signs, anthropometrics, dietary intake, ED behaviors, and cognitions.

Main Results:

  • Low hospitalization rate (3.7%, 1 patient).
  • Significant average weight gain of +2.7 kg from baseline.
  • Increased calorie intake from 43.3% to 76.0% of recommendations.
  • Decreased disordered weight control behaviors reported by participants (37% to 11.1%).

Conclusions:

  • The RISE pilot demonstrated meaningful outcomes in a short timeframe for high-risk youth.
  • This program-led intervention successfully circumvented hospitalization.
  • The "home hospital" approach shows promise for scalable, early intervention in adolescent ED care.