Table 1 Description of the phases incorporated into an DTP commenced in Brisbane, Australia

Phase one (weeks 1–2):

Assessment and treatment planning

Incorporates five individual assessment sessions with a dietitian (2), key worker (2) and psychiatrist (1). Participants work with program staff and designated Key Worker to develop an Individualised Treatment Plan (ITP). The ITP establishes treatment expectations, treatment non-negotiables (for example, the expectation to eat with other group members and staff) and personal goals of participation. Throughout the program, participants meet with their Key Worker to assess progress and refine the ITP.

Phase two (weeks 3–10) (including one week break in week 5):

Supportive Meal Therapy and group program

Supportive meal therapy and meal challenges in conjunction with various therapeutic interventions: Maudsley Anorexia Nervosa Treatment for Adults (MANTRA), Cognitive Behavioural Therapy – Enhanced (CBT-e), Cognitive Remediation Therapy (CRT), Acceptance and Commitment Therapy (ACT), Wellness Recovery and Action Plan (WRAP), peer mentoring, diversion/distraction/self-soothing/relaxation strategies, music therapy, therapy dog visits, and recreational groups. Group sessions are facilitated by clinicians.

Phase three (weeks 11–12):

Discharge planning

Participants discuss their ongoing treatment options with program staff. Five individual appointments are conducted with a dietitian (2), key worker (2) and psychiatrist (1).