“Mental Health Professionals Have Never Mentioned My Diabetes, They Don’t Get Into That”: A Qualitative Study of Support Needs in Adults With Type 1 and Type 2 Diabetes and Severe Mental Illness

2020 ◽  
Vol 44 (6) ◽  
pp. 494-500 ◽  
Author(s):  
Vibeke Stenov ◽  
Lene Eide Joensen ◽  
Lenette Knudsen ◽  
Dorte Lindqvist Hansen ◽  
Ingrid Willaing Tapager
Keyword(s):  
Mental Health ◽  
Type 2 Diabetes ◽  
Mental Illness ◽  
Qualitative Study ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Support Needs

Mental Health Professionals’ Attitudes to Severe Mental Illness and Its Correlates in Psychiatric Hospitals of Attica: The Role of Workers’ Empathy

2019 ◽  
Vol 56 (4) ◽  
pp. 614-625
Author(s):  
Marina Economou ◽  
Lily Evangelia Peppou ◽  
Konstantinos Kontoangelos ◽  
Alexandra Palli ◽  
Irene Tsaliagkou ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Hospitals

scholarly journals A collaboration between service users and professionals for the development and evaluation of a new program for cardiovascular risk management in persons with a diagnosis of severe mental illness: French multicenter qualitative and feasibility studies

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Antoine Baleige ◽  
Jean-François Besnard ◽  
Nicolas Meunier-Beillard ◽  
Vincent Demassiet ◽  
Alain Monnier ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Mental Illness ◽  
Risk Management ◽  
Cardiovascular Risk ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Promotion Program ◽  
Cardiovascular Risk Management

Abstract Background Persons with a diagnosis of severe mental illness have a life expectancy that is 20 years lower than the general population, and they are disproportionately affected by cardiovascular disorders. Improving the management of cardiovascular risk is one of the main challenges for the public health system. In the care pathway of persons with a diagnosis of severe mental illness, a better understanding of limiting and facilitating factors is required. The objective was to include persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals in the creation and evaluation (feasibility) of a health promotion program designed to improve cardiovascular risk management through empowerment. Methods This study combines a mixed methodology with qualitative and quantitative components. A multicenter prospective qualitative study was conducted in seven mental health units in France and was coordinated by a steering committee composed of persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals. Results This health promotion program must enable persons with a diagnosis of severe mental illness to assert their right to self-determination and to exercise greater control over their lives, beyond their diagnosis and care. Following a preliminary feasibility study, the effectiveness of this new tool will be evaluated using a randomized controlled trial in a second study. Conclusions The findings can be used by health organizations as a starting point for developing new and improved services for persons with a diagnosis of severe mental illness. Trial registration Clinical Trials Gov NCT03689296. Date registered September 28, 2018

scholarly journals The Diabetes and Emotional Health Handbook and Toolkit for Health Professionals Supporting Adults With Type 1 and Type 2 Diabetes: Formative Evaluation

10.2196/15007 ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. e15007 ◽  
Author(s):  
Jennifer A Halliday ◽  
Jane Speight ◽  
Andrea Bennet ◽  
Linda J Beeney ◽  
Christel Hendrieckx
Keyword(s):  
Type 2 Diabetes ◽  
Qualitative Study ◽  
Health Professionals ◽  
Formative Evaluation ◽  
Emotional Health ◽  
Psychological Problems ◽  
Evidence Based ◽  
Stakeholder Consultation

Background Health professionals have expressed unmet needs, including lacking the skills, confidence, training, and resources needed to properly attend to the psychological needs of people with diabetes. Objective Informed by needs assessments, this study aimed to develop practical, evidence-based resources to support health professionals to address the emotional needs of adults with type 1 or type 2 diabetes. Methods We developed a new handbook and toolkit informed by formative evaluation, including literature reviews, stakeholder consultation and review, and a qualitative study. In the qualitative study, health professionals participated in interviews after reading sections of the handbook and toolkit. Results The literature review uncovered that psychological problems are common among adults with diabetes, but health professionals lack resources to provide related support. We planned and drafted resources to fill this unmet need, guided by stakeholder consultation and an Expert Reference Group (ERG). Before finalizing the resources, we implemented feedback received from stakeholders (ERG, health professionals, academics, and people with diabetes). The resulting resources were the practical, evidence-based Diabetes and Emotional Health handbook and toolkit. A total of 19 health professionals took part in the qualitative study about the handbook and toolkit. They viewed the resources favorably, felt empowered to support people with diabetes experiencing psychological problems, and felt motivated to share the resources with others. Some gave examples of how they had used the handbook in clinical practice. A perceived highlight was the inclusion of a process model outlining 7 steps for identifying and supporting people with emotional problems: the 7 A’s model. With funding from the National Diabetes Services Scheme (NDSS), more than 2400 copies of Diabetes and Emotional Health have been distributed. It is freely available on the Web. The NDSS is an initiative of the Australian Government administered with the assistance of Diabetes Australia. Conclusions The new evidence-based resources are perceived by stakeholders as effective aids to assist health professionals in providing emotional support to adults with diabetes. The 7 A’s model may have clinical utility for routine monitoring of other psychological and health-related problems, as part of person-centered clinical care.

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