The Second Wave of Public Policy Advocacy for Eating Disorders : Charting the Course to Maximize Population Impact - 30/04/19

Doi : 10.1016/j.psc.2019.01.013

S. Bryn Austin, ScD ^a,^b,^c,^d,^⁎ , Rebecca Hutcheson, MSW ^d,^e, Shalini Wickramatilake-Templeman, MHS ^d,^{^{1
Present address: 1919 Pennsylvania Avenue, Northwest, Suite M-250, Washington, DC 20006.}}, Katrina Velasquez, Esq, MA ^f,^{^{2
Present address: 1140 3rd Street, Northeast, 2nd Floor, Washington, DC 20002.}}
^a Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
^b Department of Pediatrics, Harvard Medical School, Boston, MA, USA
^c Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, 333 Longwood Avenue, Room 634, Boston, MA 02115, USA
^d Strategic Training Initiative for the Prevention of Eating Disorders: A Public Health Incubator, Boston, MA, USA
^e Department of Health Services, University of Washington School of Public Health, Health and Public Health Systems Research, The University of Washington, 1959 Northeast Pacific Street, Box 357660, Seattle, WA 98195, USA
^f Center Road Solutions, LLC, Washington, DC, USA

^∗Corresponding author. Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, 333 Longwood Avenue, Room 634, Boston, MA 02115.Division of Adolescent and Young Adult MedicineBoston Children's Hospital333 Longwood AvenueRoom 634BostonMA02115

Résumé

Over the past decade, a first wave of US public policy advocacy for eating disorders made substantial progress, with passage of the federal 21st Century Cures Act in 2016 as its crowning achievement. However, the US response to eating disorders continues to fall short in several ways. On the cusp of a second wave of policy advocacy, efforts must be broadened to target structural determinants of illness and inequities to maximize clinical impact and diminish suffering. Mental health clinicians, patients, and their families will be essential players in public policy advocacy efforts in this regard.

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Keywords : Eating disorders, Policy, Advocacy, Mental health, Prevention, Early detection, Treatment, Recovery

Plan

Key points

Introduction

Recommendations from the Lancet Commission on Global Mental Health

The first wave of eating disorders public policy advocacy: many successes, much work still to be done

A strategic plan for the second wave

Second-Wave Strategy 1: Leverage Existing Government Platforms

Second-Wave Strategy 2: Develop Policy Initiatives Targeting Structural Determinants of Poor Health and Health Inequities

Second-Wave Strategy 3: Establish Public Health Data Collection to Inform Policy Surveillance and Evaluation

Second-Wave Strategy 4: Engage Mental Health Clinicians and Researchers in Public Policy Advocacy and Collaborative Governance Initiatives

Summary and implications

Disclosure Statement: K. Velasquez is a consultant for the Residential Eating Disorders Consortium, a nonprofit trade association for eating disorders treatment centers.