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.
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
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.”
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.
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.
Surveillance decision
We will not update the guideline at this time.
Reason for the decision
We found 54 new studies relevant to the guideline through the surveillance process. We found one study which may impact recommendations relating to strength and balance training for falls prevention in older people living in the community. We subsequently discussed this with topic experts who noted that there would be a number of relevant studies in this area published in the community setting since the last review date in 2011. Additionally they made us aware of a highly relevant Cochrane review (Gillespie et al. 2012) which is being updated at the moment. Experts highlighted that being able to be more specific in terms of type and duration of intervention would add value to the guideline. However, in light of the update of this directly relevant Cochrane review, it is felt more appropriate to await the outcome of the review and reassess the guideline when this completes. NICE will liaise with the Cochrane Review Group to ensure the update includes the population that is directly applicable to NICE guideline CG161.
Topic experts also raised concerns that service delivery was not adequately covered as part of the 2013 guideline update that focused on falls in the hospital settings. However, a guideline on multimorbidity is in development (publication date September 2016) and it has been confirmed that this guideline will consider falls as a trigger to holistic assessment for frail older people. On that basis, it was felt appropriate to await the completion of this guideline and consider its impact on NICE guideline CG161 at that time.
In light of the above, the decision to update was deferred until both the Cochrane review and the multimorbidity guideline are published.
This systematic review and meta-analysis examined mortality risk among people with psychiatric conditions and differences in risk by cause of death, diagnosis and study characteristics. To read the full article, log in using your NHS OpenAthens details
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.
April 2016: Statement 4 describing the use of compression stockings was removed. This is because the guidance from NICE has been updated and the advice on using compression stockings has changed. All other information remains the same.
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.
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.
Objective To test whether a long term, structured physical activity program compared with a health education program reduces the risk of serious fall injuries among sedentary older people with functional limitations.
Psychiatric Rehabilitation Journal39.1 (Mar 2016): 33-41.
Objective: Individuals with serious mental illnesses are disproportionately affected by overweight and obesity. Understanding the factors that facilitate or hinder lifestyle change in this population could lead to better interventions and improved health outcomes. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
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
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.
This article examines an important nursing role in hospital that tries to prevent re-admissions for alcohol-related illnesses. This role has developed over the last 10 years and is now present in most hospitals in England. This article describes a service in a hospital in Islington, London and examines the patient cohort. To read the full article, log in using your NHS OpenAthens details