MARSIPAN: Management of really sick patients with anorexia nervosa (2nd Ed)

Royal College of Psychiatrists, October 2014

This report aims to clarify the situation and provides recommendations and unambiguous guidelines on the management of patients with severe anorexia nervosa in a number of settings, in order to help reduce the number of avoidable deaths of patients with severe anorexia nervosa. It provides:

  • Advice on physical assessment.
  • Advice to the primary care team and criteria for admission to both medical units and specialist eating disorder units as well as non-specialist psychiatric units, and criteria for transfer between those services.
  • Advice on the required members of the in-patient medical team.
  • Medical, nutritional and psychiatric management of patients with severe anorexia nervosa in medical units, including the appropriate use of mental health legislation.
  • Advice for commissioners on required services for this group of very ill patients.

This is a joint report from the Royal College of Psychiatrists, the Royal College of Physicians (London) and the Royal College of Pathologists.

Click here to download the full report.