Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.

Publication/Presentation Date

11-18-2025

Abstract

OBJECTIVE: Program-led and focused models may overcome structural barriers to accessing ED care, such as limited availability, for youth with EDs by prioritizing strategic, evidence-based care delivered through a structured approach. The Rapid Intervention to Support Eating Issues (RISE) pilot aimed to promote weight restoration and prevent hospitalization among malnourished adolescents at risk for hospitalization. We used a "home hospital" approach, integrating medical oversight, family-based treatment principles, and nutritional support via structured outpatient care.

METHODS: Participants completed 4-5 visits with adolescent medicine and nutrition over 8 weeks. They received psychoeducation and support in implementing home hospital. Vital signs, anthropometrics, dietary intake, ED behaviors, and cognitions were assessed.

RESULTS: A total of 27 patients participated. Patients experienced low hospitalization rates (n = 1 throughout; 3.7%) and significant weight gain (M

DISCUSSION: This program-led and focused intervention produced meaningful outcomes and circumvented hospitalization for youth at high risk in a short time frame. This approach offers promise for scalable, early ED care that leverages programmatic expertise, consistent with evolving models of mental health service delivery.

ISSN

1098-108X

Disciplines

Medicine and Health Sciences

PubMedID

41250963

Department(s)

Fellows and Residents, Department of Emergency Medicine

Document Type

Article

Link to Full Text

Share

COinS