Many risk factors have been confirmed for poor bone health among the general population including age, gender and corticosteroid use. There is a paucity of investigation among people with intellectual disability; however, research points to differing risks namely anti-epileptic medication use, Down syndrome and poor behaviour lifestyle. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Rodgers M, Dalton J, Harden M, Street A, Parker G, Eastwood A. Integrated care to address the physical health needs of people with severe mental illness: a rapid review. Health Serv Deliv Res 2016;4(13)
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests that this discrepancy is driven by a combination of clinical risk factors, socioeconomic factors and health system factors.
Objective(s)
To explore current service provision and map the recent evidence on models of integrated care addressing the physical health needs of people with severe mental illness (SMI) primarily within the mental health service setting. The research was designed as a rapid review of published evidence from 2013–15, including an update of a comprehensive 2013 review, together with further grey literature and insights from an expert advisory group.
Dr Martin Myers, Consultant Clinical Scientist and Director of Clinical Biochemistry at Lancashire Teaching Hospital, is using over 14 years’ worth of experience of working with black, Asian and minority ethnic communities, to develop a new service that will take testing for conditions such as diabetes and CVD out to people with mental health problems.
The service will see health teams taking testing kits out to pop-up clinics across the North West – for example to clinics where mental health service users attend appointments to get their drug injections.
The aim is to take testing out to people, rather than relying on them to attend their GP or hospital appointments. It could eventually see people being tested in their homes.
Major depression is the leading cause of non-fatal disease burden. Because major depression is not a homogeneous condition, this study estimated the non-fatal disease burden for mild, moderate and severe depression in both single episode and recurrent depression. All estimates were assessed from an individual and a population perspective and presented as unadjusted, raw estimates and as estimates adjusted for comorbidity.
In the light of the high prevalence of physical comorbidities in people with psychotic illness, there is a need to explore modifiable risk factors that may contribute to this disease burden. The benefits of physical activity to both physical and mental health have been well established. We aimed to examine the prevalence and correlates of physical activity in a national sample of adults living with psychotic illness. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Four mental health trusts almost doubled the number of people getting five key physical health checks during a pilot scheme now being shared for adoption across the NHS.
Hundreds of patients with serious mental illness (SMI) were part of the two-year improvement programme to improve physical care in mental health inpatient units. This saw 86 per cent get five recommended Cardiovascular screens compared to 46 per cent at the start.
It used the ‘Lester tool’, a poster and electronic clinical prompt system to support clinical teams to screen and intervene for cardiovascular conditions such as diabetes and high blood pressure, as well as smoking, lifestyle and weight. The programme was independently evaluated by the Royal College of Psychiatrists Clinical Care Quality Improvement Unit ( CCQI) .
One of the most concerning adverse events during treatment with psychostimulants relates to their possible cardiovascular effects. ....In a study recently published in the BMJ, Shin J.Y. et al. (2016) set out to address this issue using a study design, namely self controlled case series analysis, that allowed for the control of possible confounding factors.
ambulatory blood pressure monitoring (ABPM) may be helpful for the management of hypertension, but little is known about its tolerability in people with dementia. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Adolescents with intellectual disability experience poorer heath than their peers in the general population, partially due to communication barriers and knowledge gaps in their health history. This study aimed to test a health intervention package against usual care for a range of health promotion and disease detection outcomes. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Open access. The Francis report highlights perceptions of care that are affected by different factors including ward structures.
Aims- To assess patient and staff perceptions of psychiatric in-patient wards over time.
NEP Director of Nursing and Quality, Natalie Hammond, said:” While we focus on the mental health of our service users, as healthcare professionals we must always be concerned about our service users’ physical health needs as well. Recently we have been giving more emphasis to this, especially around issues such as smoking cessation. Now we are moving further forward with more staff undergoing physical healthcare training and the introduction of a new booklet for service users that gives advice on lifestyle choices and signposts them to help and support within the community.”
Background: People with severe mental illness (SMI) have higher rates of diabetes than the general population. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
Aims: To assess the type-2 diabetes screening rates in primary care and the relation between body mass index (BMI) and dysglycaemia for patients on the SMI register in the Cheshire region of the United Kingdom.
People with alcohol use disorders (AUDs) have a double increased risk for cardiovascular diseases (CVD) and associated premature mortality. Metabolic syndrome (MetS) and its components are highly predictive of CVD. The primary aim of this meta-analysis was to describe pooled rates of MetS and its components in people with AUDs taking into account variations in demographic and clinical variables. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Patients with severe mental illness often suffer from disruptions in circadian rest-activity cycles, which might partly be attributed to ongoing psychopharmacological medication. Benzodiazepines are frequently prescribed for prolonged periods despite recommendations of only short-term usage. Melatonin, a naturally occurring nocturnal hormone, has the potential to stabilize disrupted circadian rhythmicity. Our aim was to investigate how prolonged-release melatonin affects rest-activity patterns in medicated patients with severe mental illness and if benzodiazepine dose reduction is associated with changes in circadian rhythm parameters.
Young adulthood represents a critical time to address elevated obesity rates and the risk of early mortality, particularly among people with serious mental illness. Few studies have assessed the benefits of lifestyle interventions targeting weight loss among these young adults. This study examined the impact of the 12-month In SHAPE lifestyle intervention on weight loss and fitness among overweight and obese young adults with serious mental illness (ages 21–30) compared with participants over age 30. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Open access. The aim of the present study was to examine the effect of selective serotonin reuptake inhibitors (SSRIs) on cardiovascular risk factors in patients with schizophrenia or bipolar disorder.
The 4Pi is a framework used to help create meaningful involvement from service users, developed specifically within the mental health context. Using the concept of the 4Pi standards (Principles, Purpose, Presence, Process and Impact), CNWL developed a framework for engaging and involving mental health service users in improving their physical health.
The quality improvement team, who implemented the project, consisted of three service users, ward staff and staff from community mental health services. Service users were treated as full and equal members of the team to achieve an accurate understanding of service user’s experience.
Assertive community treatment (ACT) is one of the few evidence-based practices for adults with severe mental illness. Interest has slowly waned for ACT implementation. Yet ACT remains an appealing services platform to achieve the triple aim of health care reform (improved health outcomes, reduced cost, and improved satisfaction) through integration of primary care and behavioral health services. This review highlights the evidence for ACT to improve general medical outcomes, reduce treatment costs, and increase access to treatment. : Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.