Does the length of institutionalization matter? Longitudinal follow‐up of persons with severe mental illness 65 years and older: shorter‐stay versus longer‐stay

BackgroundPeople with severe mental illness (SMI) show significantly shorter life expectancy, mostly due to more prevalent cardiovascular disease. Although age is a prominent contributor to contemporary risk assessment and SMI usually affects younger people, these assessments still do not reveal the actual risk. By assessing advanced glycation end products (AGEs), cardiovascular risk can be assessed independent of age.AimsTo establish whether detection of AGEs with the AGE-reader will give a more accurate cardiovascular risk assessment in people with SMI.MethodWe compared assessment with the AGE-reader with that of the Systematic Coronary Risk Evaluation (SCORE) table in a group of 120 patients with SMI.ResultsThe AGE-reader showed an increased cardiovascular risk more often than the SCORE table, especially in the youngest group.ConclusionsBecause of its ease of use and substantiation by studies done on other chronic diseases, we advocate use of the AGE-reader in daily care for patients with SMI to detect cardiovascular risk as early as possible. However, the findings of the current study should be evaluated with caution and should be seen as preliminary findings that require confirmation by a prospective longitudinal cohort study with a substantial follow-up observation period.Declaration of interestNone.

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Satisfaction with primary care and mental health care among individuals with severe mental illness in a rural area: a seven-year follow-up study of a clinical cohort

International Journal of Mental Health Systems ◽

10.1186/s13033-016-0064-8 ◽

2016 ◽

Vol 10 (1) ◽

Cited By ~ 11

Author(s):

Torleif Ruud ◽

Trond F. Aarre ◽

Berit Boeskov ◽

Per Ståle Husevåg ◽

Rigmor Klepp ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Mental Illness ◽

Mental Health Care ◽

Severe Mental Illness ◽

Rural Area ◽

Clinical Cohort ◽

Follow Up Study

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Self-management interventions for people with severe mental illness: systematic review and meta-analysis

The British Journal of Psychiatry ◽

10.1192/bjp.2019.54 ◽

2019 ◽

Vol 214 (5) ◽

pp. 260-268 ◽

Cited By ~ 18

Author(s):

Melanie Lean ◽

Miriam Fornells-Ambrojo ◽

Alyssa Milton ◽

Brynmor Lloyd-Evans ◽

Bronwyn Harrison-Stewart ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Mental Illness ◽

Severe Mental Illness ◽

Meta Analysis ◽

Health Problems ◽

Self Management ◽

Management Interventions

BackgroundSelf-management is intended to empower individuals in their recovery by providing the skills and confidence they need to take active steps in recognising and managing their own health problems. Evidence supports such interventions in a range of long-term physical health conditions, but a recent systematic synthesis is not available for people with severe mental health problems.AimsTo evaluate the effectiveness of self-management interventions for adults with severe mental illness (SMI).MethodA systematic review of randomised controlled trials was conducted. A meta-analysis of symptomatic, relapse, recovery, functioning and quality of life outcomes was conducted, using RevMan.ResultsA total of 37 trials were included with 5790 participants. From the meta-analysis, self-management interventions conferred benefits in terms of reducing symptoms and length of admission, and improving functioning and quality of life both at the end of treatment and at follow-up. Overall the effect size was small to medium. The evidence for self-management interventions on readmissions was mixed. However, self-management did have a significant effect compared with control on subjective measures of recovery such as hope and empowerment at follow-up, and self-rated recovery and self-efficacy at both time points.ConclusionThere is evidence that the provision of self-management interventions alongside standard care improves outcomes for people with SMI. Self-management interventions should form part of the standard package of care provided to people with SMI and should be prioritised in guidelines: research on best methods of implementing such interventions in routine practice is needed.Declaration of interestsNone.

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A Randomized Controlled Trial of Telephone Follow-Up in Patients With Severe Mental Illness: Study Protocol

Iranian Journal of Psychiatry and Clinical Psychology ◽

10.18869/nirp.ijpcp.23.1.108 ◽

2017 ◽

Vol 23 (1) ◽

pp. 108-117 ◽

Cited By ~ 1

Author(s):

Belgheis Pad ◽

Kaveh Alavi ◽

Ahmad Hajebi ◽

◽

...

Keyword(s):

Mental Illness ◽

Randomized Controlled Trial ◽

Severe Mental Illness ◽

Study Protocol ◽

Controlled Trial ◽

Randomized Controlled ◽

Illness Study

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Coping with the Dual Demands of Severe Mental Illness and Parenting: The Parents' Perspective

Families in Society The Journal of Contemporary Social Services ◽

10.1606/1044-3894.69 ◽

2003 ◽

Vol 84 (1) ◽

pp. 109-118 ◽

Cited By ~ 61

Author(s):

Barry J. Ackerson

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Interpersonal Relationships ◽

Mentally Ill ◽

Role Reversal ◽

Future Research ◽

Single Parenthood ◽

Sources Of Support ◽

Boundary Issues

The experience of parenthood by individuals with severe mental illness has not been well studied. Research on mentally ill parents has focused on their pathology and the potential risk for their children without considering the parents' perspective. This qualitative study used interviews to explore how these parents coped with the dual demands of parenthood and their illness. Participants included individuals whose children are now young adults as well as those with younger children. Themes that emerged were problems with diagnosis and treatment, stigma, chaotic interpersonal relationships, the strain of single parenthood, custody issues, relationship with children, social support, and pride in being a parent. Follow-up interviews focused on the themes of relationship with children, strain of single parenthood, and sources of support. Relationship with children contained three specific topics: discipline, boundary issues, and role reversal. Implications for practice are discussed along with recommendations for future research involving other family members.

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