scholarly journals The evaluation of a physical health promotion intervention for people with severe mental illness receiving community based accommodational support: a mixed-method pilot study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Viola Kirschner ◽  
Natalie Lamp ◽  
Ümmügülsüm Dinc ◽  
Thomas Becker ◽  
Reinhold Kilian ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Mental Illness ◽  
Pilot Study ◽  
Motivational Interviewing ◽  
Severe Mental Illness ◽  
Mixed Method ◽  
Health Staff ◽  
Mental Health Staff ◽  
Community Based

Abstract Background Unhealthy lifestyle constitutes a cause of increased morbidity and mortality in people with severe mental illness. The aim of this mixed-method pilot study was to investigate the feasibility and preliminary effectiveness of an intervention to promote a health-conscious lifestyle in comparison to care as usual among people with severe mental illness receiving accommodational support in community settings. Methods This was a prospective, quasi-experimental, controlled study over four six-month assessment points (t0, + 6 months, + 12 months, + 18 months) with 70 persons with severe mental illness receiving community based accommodational support. Mental health staff members of the housing facilities were trained in Motivational Interviewing and conducted a six-week health course with the intervention group participants in addition to care as usual. Next to the primary outcome - self-rated physical well-being (FEW 16) - anthropometric parameters and unhealthy behaviours (diet, physical activity, alcohol and tobacco consumption, and oral hygiene) were examined. Effectiveness analysis was conducted using mixed-effects regression models with propensity score adjustment to control for selection bias. One year after the end of the intervention, semi-standardized expert interviews were conducted with 12 of these employees and evaluated by content analysis. Results The qualitative interviews with mental health staff underline the intervention’s feasibility in people with severe mental illness in sheltered housing, and the acceptability of and satisfaction with the intervention among mental health workers. But in this pilot study no superiority of the HELPS intervention compared to routine care could be demonstrated in terms of the investigated outcomes. Conclusions The findings of this pilot study underscore the feasibility and acceptability of health promotion programmes based on Motivational Interviewing and highlight the need to further develop multi-modal programs according to the needs of the target group. Long-term and sustainable support for healthy lifestyles of people with severe mental illness receiving community mental health care requires multi-modal concepts and organisational change. Trial registration DRKS00011659, date of registration was 2017/02/15; retrospectively registered as date of first enrolment was 2017/01/24.

Severe Mental Illness and Cancer – A Program for Psychiatric Patients in a Cancer Center

2017 ◽  
Vol 41 (S1) ◽  
pp. S670-S670
Author(s):  
J. Graça ◽  
F. Silva Carvalho ◽  
R. Ramos Coutinho ◽  
A. Ribeiro ◽  
L. Monteiro
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Patients ◽  
Cancer Center ◽  
Health Staff ◽  
Mental Health Staff ◽  
Oncological Treatment ◽  
Increased Risk ◽  
Co Morbidity

IntroductionThe prevalence of severe mental illness (SMI) is estimated to be 4%. There are increased risk factors for cancer in SMI patients. People with SMI have deficient access and referral to routine cancer screening and psychiatric illness is often associated to late oncological diagnosis.ObjectivesCharacterize the population of SMI patients that undergoes oncological treatment; establish a comparison with the general population in terms of stage at the time of diagnosis and the type of follow-up that ensued; characterize the psychiatric care available to these patients; propose the necessary changes to ensure adequate healthcare for SMI patients.AimsTo assess and improve the quality of oncological care for SMI patients in our hospital.MethodsWe analyzed the data from SMI patients suffering from SMI observed by our group during a 12 month period.ResultsLow percentage of SMI patients being treated in our center regarding general rates; surprisingly high referral time to psychiatry unity; good compliance with treatments and appointments; have mostly been submitted to the standard oncological protocols of treatment.ConclusionIn spite of serious psychiatric co-morbidity and psychosocial deficits, our SMI patients are able for standard cancer treatment and present sufficient compliance. We value the help of family members and social workers. We have to insist in educational sessions and psychiatric screening procedures for oncological teams. It is also fundamental to implement educational programs for mental health centers in Lisbon in order to sensitize for cancer risks among SMI and alert for the pivotal role of mental health staff, namely the psychiatrists.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Discrimination against people with severe mental illness and their access to social capital: findings from the Viewpoint survey

2013 ◽  
Vol 23 (2) ◽  
pp. 155-165 ◽  
Author(s):  
M. Webber ◽  
E. Corker ◽  
S. Hamilton ◽  
C. Weeks ◽  
V. Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Longitudinal Research ◽  
Univariate Analysis ◽  
Harmful Effect ◽  
Health Staff ◽  
Mental Health Staff ◽  
Cross Sectional Survey

Aims.Discrimination against people with severe mental illness is an international problem. It is associated with reduced social contact and hinders recovery. This paper aims to evaluate if experienced or anticipated discrimination is associated with social capital, a known correlate of mental health.Methods.Data from the annual viewpoint cross-sectional survey of people with severe mental illness (n = 1016) were analysed. Exploratory univariate analysis was used to identify correlates of social capital in the sample, which were then evaluated in linear regression models. Additional hypotheses were tested using t tests.Results.Experienced discrimination made a modest contribution to the explained variance of social capital. Experienced discrimination from friends and immediate family was associated with reduced access to social capital from these groups, but this was not found for wider family, neighbours or mental health staff. Experience of discrimination in finding or keeping a job was also associated with reduced access to social capital.Conclusions.Further longitudinal research is needed to determine how resources within people's networks can help to build resilience, which reduces the harmful effect of discrimination on mental health.

P02.211 Burnout among hospital and community based mental health staff

2000 ◽  
Vol 15 (S2) ◽  
pp. 378s-379s
Author(s):  
V. Bozikasl ◽  
V. Kioseogloul ◽  
M. Palialial ◽  
I. Nimatoudis ◽  
A. Iakovides ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Staff ◽  
Mental Health Staff ◽  
Community Based

Improving Community-Based Services for Older Patients with Depression: The Benefits of an Educational and Service Initiative

2001 ◽  
Vol 35 (4) ◽  
pp. 449-454 ◽  
Author(s):  
Carolyn Mutch ◽  
Margaret Tobin ◽  
Ian Hickie ◽  
Carolyn Mutch ◽  
Margaret Tobin ◽  
...  
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Older Patients ◽  
Community Mental Health Services ◽  
Service Development ◽  
Health Staff ◽  
Mental Health Staff ◽  
Community Based ◽  
Educational Initiative ◽  
Improvement Project

Objective: The objective of this study was to report a quality improvement project for older patients with depression. The initiative focused on both clinical practice changes (improvement of medical, neurocognitive and behavioural assessment) and service development (greater continuity of care). Method: After initial identification of key deficits, implementation of a service and educational initiative took place within a district mental health service. The service consisted of an inpatient unit, a specialized psychogeriatric service and two adult community mental health services. Mental health staff received education regarding the specific needs of older patients with depression and were provided with assessment materials, patient education and treatment aids. General practitioners participated in shared long-term management. Results: Following graded implementation, the management of 44 subjects (mean age = 65.4 years, 91% female) recruited over an 8-month period was reviewed. Compared with 99 subjects (mean age = 68.9 years, 69% female) from the earlier 12-month assessment phase, there were significant improvements in medical (43% to 92%), neurocognitive (37% to 84%) and behavioural (e.g. suicidal ideation: 78% to 100%) assessments. Similarly, relevant laboratory investigations (neuroimaging: 21% to 67%) and communication with general practitioners (73% to 97%) improved. The most change occurred in the adult community-based treatment services. Conclusions: A coordinated management and educational initiative resulted in marked improvement in basic medical and psychiatric assessment and more integrated care. These changes did not require expansion of specialist services.

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

Oral Hygiene in Patients With Severe Mental Illness: A Pilot Study on the Collaboration Between Oral Hygienists and Mental Health Nurses

2015 ◽  
Vol 52 (3) ◽  
pp. 194-200 ◽  
Author(s):  
Langha de Mey ◽  
Ceren Çömlekçi ◽  
Fione de Reuver ◽  
Ineke van Waard ◽  
Ronald van Gool ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Pilot Study ◽  
Severe Mental Illness ◽  
Oral Hygiene ◽  
Mental Health Nurses
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