Long-term maintenance of weight loss in patients with severe mental illness through a behavioural treatment programme in the UK

Summary Smoking contributes to health inequalities for people with severe mental illness (SMI). Although smoking cessation interventions are effective in the short term, there are few long-term trial-based estimates of abstinence. The SCIMITAR trials programme includes the largest trial to date of a smoking cessation intervention for people with SMI, but this was underpowered to detect anticipated long-term quit rates. By pooling pilot and full-trial data we found that quit rates were maintained at 12 months (OR = 1.67, 95% CI 1.02–2.73, P = 0.04). Policymakers can now be confident that bespoke smoking cessation interventions produce successful short- and long-term quitting.

Download Full-text

Faculty Opinions recommendation of Interaction of leptin and amylin in the long-term maintenance of weight loss in diet-induced obese rats.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.2647958.2311057 ◽

2010 ◽

Author(s):

Lora Heisler ◽

Oliver Marston

Keyword(s):

Weight Loss ◽

Obese Rats ◽

Term Maintenance

Download Full-text

Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization

The Canadian Journal of Psychiatry ◽

10.1177/0706743717752881 ◽

2018 ◽

Vol 63 (7) ◽

pp. 492-500 ◽

Cited By ~ 1

Author(s):

David Rudoler ◽

Claire de Oliveira ◽

Binu Jacob ◽

Melonie Hopkins ◽

Paul Kurdyak

Keyword(s):

Mental Health ◽

Mental Illness ◽

Cost Saving ◽

Cost Analysis ◽

Severe Mental Illness ◽

Inpatient Care ◽

Cost Savings ◽

Support Housing ◽

High Support

Objective: The objective of this article was to conduct a cost analysis comparing the costs of a supportive housing intervention to inpatient care for clients with severe mental illness who were designated alternative-level care while inpatient at the Centre for Addiction and Mental Health in Toronto. The intervention, called the High Support Housing Initiative, was implemented in 2013 through a collaboration between 15 agencies in the Toronto area. Method: The perspective of this cost analysis was that of the Ontario Ministry of Health and Long-Term Care. We compared the cost of inpatient mental health care to high-support housing. Cost data were derived from a variety of sources, including health administrative data, expenditures reported by housing providers, and document analysis. Results: The High Support Housing Initiative was cost saving relative to inpatient care. The average cost savings per diem were between $140 and $160. This amounts to an annual cost savings of approximately $51,000 to $58,000. When tested through sensitivity analysis, the intervention remained cost saving in most scenarios; however, the result was highly sensitive to health system costs for clients of the High Support Housing Initiative program. Conclusions: This study suggests the High Support Housing Initiative is potentially cost saving relative to inpatient hospitalization at the Centre for Addiction and Mental Health.

Download Full-text

Poverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994–2015

Psychological Medicine ◽

10.1017/s0033291721000350 ◽

2021 ◽

pp. 1-9

Author(s):

Yue-Hui Yu ◽

Wei Luo ◽

Bo Liu ◽

Wei-Hong Kuang ◽

Larry Davidson ◽

...

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Poverty Rate ◽

International Classification Of Disease ◽

Fast Change ◽

The Social ◽

Poverty Transitions ◽

Icd 10 ◽

Persistent Poverty

Abstract Background Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China. Methods Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015. A total of 308 persons with SMI identified in 1994 were followed up in 2015. The profiles of poverty transitions were identified and regression modelling methods were applied to determine the predictive factors of poverty transitions. Results The poverty rate of persons with SMI increased from 39.9% to 49.4% in 1994 and 2015. A larger proportion of them had fallen into poverty (27.3%) rather than moved out of it (17.8%). Those persons with SMI who had lost work ability, had physical illness and more severe mental disabilities in 1994, as well as those who had experienced negative changes on these factors were more likely to live in persistent poverty or fall into poverty. Higher education level and medical treatment were major protective factors of falling into poverty. Conclusions This study shows long-term evidence on the social drift of persons with SMI during the period of rapid social development in China. Further targeted poverty alleviation interventions should be crucial for improving treatment and mental recovery and alleviating poverty related to SMI.

Download Full-text