Monitoring the physical health of individuals with serious mental illness

2008 ◽  
Vol 25 (3) ◽  
pp. 108-115
Author(s):  
Majella Cahill ◽  
Anne Jackson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Health Monitoring ◽  
Service Providers ◽  
Psychiatric Service ◽  
Service Users ◽  
Effective Models

AbstractDeveloping effective models of identifying and managing physical ill health amongst mental health service users has become an increasing concern for psychiatric service providers. This article sets out the general professional and Irish statutory obligations to provide physical health monitoring services for individuals with serious mental illness. Review and summary statements are provided in relation to the currently available guidelines on physical health monitoring.

A spatial analysis of Los Angeles County’s burden of serious mental illness in relation to public mental health service providers

2019 ◽  
Vol 18 (4) ◽  
pp. 231-239
Author(s):  
Sarah Simmons
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Los Angeles ◽  
Serious Mental Illness ◽  
Los Angeles County ◽  
Service Providers ◽  
Hot Spot ◽  
Content Type ◽  
Health Service Providers

Purpose The purpose of this paper is to identify regions of Los Angeles County with high burdens of serious mental illness and determine whether these regions align with those experiencing the greatest economic hardship. Design/methodology/approach This cross-sectional study analyzed the estimated prevalence of serious mental illness and the locations of publicly funded mental health service providers within each census tract of Los Angeles County. The burden of serious mental illness was calculated for each census tract using these variables and an optimized hot spot analysis was conducted to determine which regions were the most underserved in terms of serious mental illness. Findings There is a significantly higher burden of serious mental illness in Southeastern Los Angeles and Pomona Valley than in the rest of Los Angeles County (p = 0.01). The same can be said regarding the Lancaster-Palmdale area and San Fernando Valley (p = 0.05). These areas do appear to align with the areas of Los Angeles County with an economic hardship index in the fourth quartile. Originality/value Mental health initiatives targeting the four hot spot regions should be given priority by the County of Los Angeles. This is especially true when allocating funds from Proposition 63, which aims to address mental health disparities in underserved, unserved or inappropriately served populations.

scholarly journals Canadian Service Providers’ Perceptions of Barriers and Support Gaps in Housing and Mental Health

2017 ◽  
Vol 36 (2) ◽  
pp. 61-75 ◽  
Author(s):  
Nick Kerman ◽  
Reena Sirohi ◽  
Susan Eckerle Curwood ◽  
John Trainor
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Service Providers ◽  
Service Users ◽  
Canadian Study ◽  
Community Based ◽  
Health Service Providers ◽  
Lasting Change

People experiencing mental illness and homelessness face numerous barriers to becoming housed. Service providers who work with this population also encounter challenges to meeting service users’ needs, yet their perspectives have been only minimally studied. Using survey data from a pan-Canadian study, this article explores the barriers and facilitators to fostering lasting change in housing and mental health according to 96 housing providers and 186 community-based mental health service providers. Findings show that the perspectives of mental health service providers are largely consistent with those of housing providers, and identify a range of support gaps and barriers.

Trends in mental health service use by age among adults with serious mental illness

2019 ◽  
Vol 30 ◽  
pp. 71-73
Author(s):  
Natasha E. Latzman ◽  
Heather Ringeisen ◽  
Valerie L. Forman–Hoffman ◽  
Breda Munoz ◽  
Shari Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Serious Mental Illness ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Reciprocity membership: A potential pathway towards recovery from mental illness in a Middle Eastern context

2019 ◽  
pp. 136346151989236
Author(s):  
Jason E. Hickey ◽  
Steven Pryjmachuk ◽  
Heather Waterman
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Middle Eastern ◽  
Service Users ◽  
Mutual Exchange ◽  
Classic Grounded Theory ◽  
Group Members ◽  
Recovery Models

While recovery has become a popular framework for mental health services, there is limited understanding of its applicability outside of Western countries. In fact, recent studies in non-Anglophone populations suggest that recovery is contextually dependent and that the implementation of mainstream recovery models risks imposing inappropriate values. We used classic grounded theory to explore the main concerns of mental health service users in a Middle Eastern context and the strategies they use to resolve those concerns. The theory of ‘reciprocity membership’, a process involving ongoing mutual exchange with a group or community, was developed. Reciprocity membership becomes balanced when an individual is satisfied with their ‘contribution to’ the group, the ‘acknowledgement from’ other group members, the ‘expectations of’ the group, and their ‘alignment with’ the values of the group. Balance among these conditions is appraised by a sub-process called ‘valuing’, and developed or maintained by two further sub-processes called ‘positioning’ and ‘managing relationships’. Balanced reciprocity membership seems to be associated with recovery. This study is the first in-depth exploration of people's experience of mental illness in a Middle Eastern context; findings provide evidence for a novel potential pathway towards recovery.

scholarly journals Improving life expectancy in people with serious mental illness: Should we place more emphasis on primary prevention?

2017 ◽  
Vol 211 (4) ◽  
pp. 194-197 ◽  
Author(s):  
Athif Ilyas ◽  
Edward Chesney ◽  
Rashmi Patel
Keyword(s):  
Cardiovascular Disease ◽  
Mental Illness ◽  
Primary Prevention ◽  
Life Expectancy ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Health Monitoring ◽  
Prevention Strategies ◽  
Everyday Clinical Practice ◽  
Exercise Interventions

SummaryPeople 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.

scholarly journals PREDICTORS OF HEALTH-RELATED QUALITY OF LIFE AND RECOVERY AMONG OLDER ADULTS WITH SERIOUS MENTAL ILLNESS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S877-S877
Author(s):  
Anjana Muralidharan ◽  
Clayton H Brown ◽  
Richard W Goldberg
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Older adults with serious mental illness (i.e., schizophrenia spectrum disorders and affective psychoses) exhibit marked impairments across medical, cognitive, and psychiatric domains. The present study examined predictors of health-related quality-of-life and mental health recovery in this population. Participants (N=211) were ages 50 and older with a chart diagnosis of serious mental illness and a co-occurring medical condition, engaged in outpatient mental health services at a study site. Participants completed a battery of assessments including subtests from the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), the 24-Item Behavior and Symptom Identification Scale (BASIS-24), the 12-Item Short-Form Health Survey (SF-12), and the Maryland Assessment of Recovery Scale (MARS). Multiple linear regression analyses, with age, race, gender, and BMI as covariates, examined number of current medical conditions, RBANS, and BASIS as predictors of quality-of-life and recovery. Significant predictors of physical health-related quality-of-life (R-squared=.298, F(9,182)=8.57, p<.0001) were number of medical conditions (β=-1.70, p<.0001), BASIS-Depression/Functioning (β=-4.84, p<.0001), and BASIS-Psychosis (β=2.39, p<.0008). Significant predictors of mental health-related quality-of-life (R-squared=.575, F(9,182)=27.37, p<.0001) were RBANS (β=0.03, p=.05), BASIS-Depression/Functioning (β=-6.49, p<.0001), BASIS-Relationships (β=-3.17, p<.0001), and BASIS-Psychosis (β=-1.30, p=.03). Significant predictors of MARS (R-squared=.434, F(9,183)=15.56, p<.0001) were BASIS-Depression/Functioning (β=-4.68, p=.002) and BASIS-Relationships (β=-9.44, p<.0001). To promote holistic recovery among older adults with serious mental illness, integrated interventions are required. For example, to improve physical health-related quality-of-life, one should target depression and psychotic symptoms as well as medical illness burden. To improve mental health-related quality-of-life, depression symptoms and interpersonal functioning may be key targets, as well as neurocognitive function.

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