Case Managers' Attitudes to the Physical Health of Their Patients

2003 ◽  
Vol 37 (6) ◽  
pp. 710-714 ◽  
Author(s):  
Brendan Hyland ◽  
Fiona Judd ◽  
Sandra Davidson ◽  
Damien Jolley ◽  
Barbara Hocking
Keyword(s):  
Mental Illness ◽  
Physical Health ◽  
Case Managers ◽  
Chronic Mental Illness ◽  
Health Issues ◽  
Poor General Health ◽  
Attitudes And Practices ◽  
Health Measures ◽  
The Poor ◽  
People With Mental Illness

Objective: To examine the attitudes and practices of case managers working in Area Mental Health Services (AMHS) towards the physical health of people with chronic mental illness. Method: Case managers at four AMHS in Melbourne participated in focus groups and completed a survey questionnaire. Results: Case managers generally believed that mental illness, psychotropic medication and lifestyle factors contributed to the poor physical health status of their patients. Although many case managers attempted interventions aimed at improving physical health, there was inconsistency regarding the areas targeted. Preventive health measures were often neglected. Overall, there was a sense of pessimism around whether improved physical health was possible for people with chronic mental illness. Conclusions: Lack of coordination among health professionals and the health system may contribute to the poor general health of people with mental illness. Patients often have difficulty accessing general practitioners and the culture within the AMHS can exclude considerations of physical health. Case management should include aspects addressing the physical health issues of AMHS clients.

Physical Health Risk Behaviours in Young People with Mental Illness

2015 ◽  
Vol 36 (10) ◽  
pp. 781-790 ◽  
Author(s):  
Andrea McCloughen ◽  
Kim Foster ◽  
Nikka Marabong ◽  
David Miu ◽  
Judith Fethney
Keyword(s):  
Mental Illness ◽  
Young People ◽  
Health Risk ◽  
Physical Health ◽  
Risk Behaviours ◽  
People With Mental Illness ◽  
Health Risk Behaviours

scholarly journals Heard, known and safe in general practice? An interview study with patients with severe and persistent mental illness

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0201
Author(s):  
Nancy Jennifer Sturman ◽  
Ryan Williams ◽  
Marianne Wyder ◽  
Johanna Lynch
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practice ◽  
Physical Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Persistent Mental Illness ◽  
Community Mental Health Clinics

BackgroundAlthough GPs provide care to many patients with severe and persistent mental illness, the role and skillset of the GP in this space are contested. Patients are less satisfied with GP care of mental health than physical health issues.AimTo explore patient expectations and experiences of GP roles in their mental health, and identify opportunities for improving mental health care in general practice.Design & settingPatient participants were recruited from community mental health clinics in Brisbane, Australia.MethodIndividual semi-structured interviews were conducted with a convenience sample of patients. Interviews were audio-recorded and transcribed professionally. The authors conducted an inductive thematic analysis, attending to participant vulnerability and reflexivity.Results16 interviews were conducted by one author (RW), average duration 29 minutes. Three overarching themes were identified: being heard; being known; and being safe. Participants greatly valued ‘good GPs’ who were able to detect early signs of relapse, and with whom they came to feel heard, known and safe over time. Experiences of perfunctory, hurried care and avoidance of mental health issues were also reported. Many participants were uncertain whether GP training in mental health was sufficient to keep them safe. Patients may suspect negative attitudes to mental illness in GPs who actively engage predominantly with their physical health.ConclusionSome GPs play central roles in patients’ mental healthcare. Barriers for others need further exploration, and may include time, confidence and/or expertise. Findings challenge GPs to engage more actively and effectively with these patients in theirgeneral practice consultations.

Individual Funding for People With Mental Health Issues

2019 ◽  
pp. 93-106
Author(s):  
Christina David ◽  
Carmel Laragy ◽  
Elizabeth Hudson
Keyword(s):  
Mental Illness ◽  
International Studies ◽  
Health Issues ◽  
Eligibility Criteria ◽  
Permanent Disability ◽  
Mental Health Issues ◽  
People With Mental Illness ◽  
Funding Programs ◽  
Key Features ◽  
Individual Funding

This chapter outlines the key features of individual funding programs and examines their suitability for people with mental illness. This is a contested area with some writers concerned that mental illness is different from other types of disability and unsuitable for individual funding. The recovery model and the episodic nature of mental illness are seen as conflicting with individual funding eligibility criteria for consistent and permanent disability. The counter view is that flexible individual funding is ideally suited to meeting the fluctuating needs of people with mental illness: its key principles of empowerment and self-direction being consistent with the recovery paradigm. Evidence from Australian and international studies is reviewed, suggesting that successful outcomes can be achieved if the necessary supports and resources are available to meet people's needs.

Individual Funding for People With Mental Health Issues

2021 ◽  
pp. 519-532
Author(s):  
Christina David ◽  
Carmel Laragy ◽  
Elizabeth Hudson
Keyword(s):  
Mental Illness ◽  
International Studies ◽  
Health Issues ◽  
Eligibility Criteria ◽  
Permanent Disability ◽  
Mental Health Issues ◽  
People With Mental Illness ◽  
Funding Programs ◽  
Key Features ◽  
Individual Funding

This chapter outlines the key features of individual funding programs and examines their suitability for people with mental illness. This is a contested area with some writers concerned that mental illness is different from other types of disability and unsuitable for individual funding. The recovery model and the episodic nature of mental illness are seen as conflicting with individual funding eligibility criteria for consistent and permanent disability. The counter view is that flexible individual funding is ideally suited to meeting the fluctuating needs of people with mental illness: its key principles of empowerment and self-direction being consistent with the recovery paradigm. Evidence from Australian and international studies is reviewed, suggesting that successful outcomes can be achieved if the necessary supports and resources are available to meet people's needs.

scholarly journals The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

2019 ◽  
Vol 6 (8) ◽  
pp. 675-712 ◽  
Author(s):  
Joseph Firth ◽  
Najma Siddiqi ◽  
Ai Koyanagi ◽  
Dan Siskind ◽  
Simon Rosenbaum ◽  
...  
Keyword(s):  
Mental Illness ◽  
Physical Health ◽  
People With Mental Illness

Peer Support Shows Promise in Helping Persons Living with Mental Illness Address Their Physical Health Needs

2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Peer Support ◽  
Western Australia ◽  
Public Mental Health ◽  
Support Service ◽  
Mental Illnesses ◽  
Health Needs ◽  
People With Mental Illness

The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.

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