Factors influencing self-esteem among individuals with severe mental illness: Implications for social work

2004 ◽  
Vol 28 (4) ◽  
pp. 225-236 ◽  
Author(s):  
S. K. Kahng ◽  
C. Mowbray
Keyword(s):  
Mental Illness ◽  
Social Work ◽  
Severe Mental Illness ◽  
Self Esteem ◽  
Factors Influencing

A well-being programme in severe mental illness. reducing risk for physical ill-health: A post-programme service evaluation at 2 years

2007 ◽  
Vol 22 (7) ◽  
pp. 413-418 ◽  
Author(s):  
Shubulade Smith ◽  
David Yeomans ◽  
Chris J.P. Bushe ◽  
Cecilia Eriksson ◽  
Tom Harrison ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mental Illness ◽  
Cardiovascular Risk ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Cardiovascular Risk Factors ◽  
Well Being ◽  
Self Esteem ◽  
Service Evaluation ◽  
Support Programme

AbstractintroductionCardiovascular disease is more prevalent in patients with severe mental illness (SMI) than in the general population.MethodSeven geographically diverse centres were assigned a nurse to monitor the physical health of SMI patients in secondary care over a 2-year period in the “Well-being Support Programme” (WSP). A physical health screen was performed and patients were given individual weight and lifestyle advice including smoking cessation to reduce cardiovascular risk.ResultsNine hundred and sixty-six outpatients with SMI >2 years were enrolled. The completion rate at 2 years was 80%. Significant improvements were observed in levels of physical activity (p < 0.0001), smoking (p < 0.05) and diet (p < 0.0001). There were no changes in mean BMI although 42% lost weight over 2 years. Self-esteem improved significantly. Low self-esteem decreased from 43% at baseline to 15% at 2 years (p < 0.0001). At the end of the programme significant cardiovascular risk factors remained, 46% of subjects smoked, 26% had hypertension and 81% had BMI >25.ConclusionPhysical health problems are common in SMI subjects. Many patients completed 2 years follow up suggesting that this format of programme is an acceptable option for SMI patients. Cardiovascular risk factors were significantly improved. interventions such as the Well-being Support Programme should be made widely available to people with SMI.

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