Tracy and Angela spoke about the Visiting GP Service, which was rolled out across our secure services. The service operates from The Forge GP practice in Warrington and is accessible to all service users staying on our low-secure inpatient wards at Hollins Park Hospital.
Tracy and Angela have also implemented a comprehensive physical health database to assist the service in reviewing, monitoring and optimising the health and wellbeing of our patients. The database captures the whole range of physical health needs, including national screening programmes and the safe management of service users with long-term health conditions.
To investigate whether continued lithium or anticonvulsant treatment after a first diagnosis of chronic kidney disease (CKD) was associated with progression to irreversible end-stage kidney disease. To read the full article, log in using your SSSFT NHS OpenAthens details.
Using national Danish registers, we estimated rates of clozapine-associated cardiac adverse events. Rates of undiagnosed myocarditis were estimated by exploring causes of death after clozapine initiation. To read the full article, log in using your SSSFT NHS OpenAthens details.
Accessing oral health care can be more difficult for adults with intellectual disabilities with reports of poorer levels of oral health. This investigation identifies factors influencing engagement in day-to-day oral and dental health care for adults with intellectual disabilities. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
ABSTRACT FROM: Stubbs B, Koyanagi A, Veronese N, et al. Physical multimorbidity and psychosis: comprehensive cross sectional analysis including 242,952 people across 48 low- and middle-income countries. BMC Med 2016 Nov 22;14:189.
What is already known on this topic?
There is a very strong association between mental and physical illness that challenges the typical focus of healthcare systems on either mental or physical disorders.1 The relationship between psychosis and physical illness, including multiple physical illnesses (multimorbidity), is of considerable interest because people with psychosis have a greatly reduced life expectancy2 and in high-income countries most of those excess early deaths are due to natural causes. The most common of these causes may be inter-related and may therefore form a distinctive pattern of ‘multimorbidity’ associated with psychosis.3 To read the full article, log in using your NHS OpenAthens details.
Hospitalized tobacco users with mental illnesses (MI) may face several barriers to stopping smoking. However, motivational factors that affect the intention to engage in tobacco treatment have been shown to predict actual engagement. To read the full article, log in using your SSSFT NHS OpenAthens details.
Death of people with intellectual disabilities is considered to be earlier than for the general population. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
QTc prolongation creates an electrophysiological environment that confers an increased risk for development of ventricular arrhythmias, in particular torsades de pointes (TdP), a form of polymorphic ventricular tachycardia. This may result in syncope or sudden cardiac death.1–5 In addition, prolonged QTc at admission has been associated with worse outcomes independent of malignant ventricular rhythms.6 Numerous studies have demonstrated a high prevalence of QTc prolongation among patients admitted to the hospital in a wide variety of settings including the intensive care unit and acute psychiatric units. To read the full article, log in using your NHS OpenAthens details.
This study compared levels of physical activity completed by adults with and without Down syndrome. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This audit tool consists of 6 questions and is designed to support practices, primary care liaison staff, health facilitators to improve the uptake and quality of annual health checks, and reduce the health inequalities experienced by people with learning disabilities.
Open access. People with serious mental illness have a reduced life expectancy that is partly attributable to increased cardiovascular disease. One approach to address this is regular physical health monitoring. However, physical health monitoring is poorly implemented in everyday clinical practice and there is little evidence to suggest that it improves physical health. We argue that greater emphasis should be placed on primary prevention strategies such as assertive smoking cessation, dietary and exercise interventions and more judicious psychotropic prescribing.
This study examined the prevalence of cigarette smoking and the quantity of cigarettes consumed by individuals with schizophrenia and bipolar disorder and those without a psychiatric disorder in the period 1999–2016. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.
This study examined mammogram screening rates among women with severe mental illness by using a socioecological framework. Because it has been shown that people with severe mental illness receive less preventive health care overall, the analysis included psychosocial predictors of mammogram screening rates in a cohort of women with severe mental illness. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.
Letter. SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
In this editorial, we discuss a UK-based cohort study examining the mortality gap for people with schizophrenia and bipolar disorder from 2000 to 2014. There have been concerted efforts to improve physical and mental healthcare for this population in recent decades. Have these initiatives reduced mortality and ‘closed the gap’? SSSFT staff - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Second-generation antipsychotics increase the risk of diabetes and other metabolic conditions among individuals with schizophrenia. Although metabolic testing is recommended to reduce this risk, low testing rates have prompted concerns about negative health consequences and downstream medical costs. This study simulated the effect of increasing metabolic testing rates on ten-year prevalence rates of prediabetes and diabetes (diabetes conditions) and their associated health care costs. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.