scholarly journals Improving the management of menopause in women with serious mental illness

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S185-S185
Author(s):  
Maria-Elena Di Lorenzo ◽  
Thomas Reilly ◽  
Tom Walker-Tilley ◽  
Shubhra Mace
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Significant Proportion ◽  
Psychiatric Ward ◽  
Health It ◽  
Physical And Mental Health ◽  
Nice Guidelines ◽  
Information Group ◽  
Night Sweats ◽  
Mental And Physical Health

AimsTo improve the diagnosis and management of menopause in women with a serious mental illness in psychiatric services. This will be achieved by developing a questionnaire to systematically assess symptoms related to the menopause, based on NICE guidelines. Women will be offered information and advice, according to these guidelines. Barriers to the assessment or management of the menopause will be identified by piloting the questionnaire on an inpatient female ward.MethodWomen aged 40 years and over, admitted to an acute female in-patient ward in South London and Maudsley NHS Foundation Trust, were interviewed using a structured questionnaire.ResultIn total, 23 eligible women were approached of whom 17 (74%) agreed to take part with mean age 53 years (range 40–67 years). Nine women reported that they had undergone the menopause and four women reported experiencing perimenopausal symptoms. Fifteen women had not previously received information about the menopause. Of the 13 women who had undergone the menopause or were experiencing irregular periods, 7 reported experiencing hot flushes, night sweats and a general change in physical and mental health and four reported a change in mood. Seven women reported that the changes noted may have been related to the menopause over the previous 12 months. Eight women requested further information either in written format or in the form of an information group about the menopause.ConclusionWe identified women who were admitted to a psychiatric ward who had experienced symptoms related to the menopause that had impacted on their mental and physical health. It was evident that the majority of these women with severe mental illness had not had the opportunity to discuss their symptoms with a healthcare professional in the past and a significant proportion welcomed further information to help make sense of their symptoms. We intend to implement the questionnaire trust-wide with the eventual aim of developing a local guideline to inform the assessment and management of the menopause within our services.

scholarly journals Identifying primary care quality indicators for people with serious mental illness: a systematic review

2017 ◽  
Vol 67 (661) ◽  
pp. e519-e530 ◽  
Author(s):  
Christoph Kronenberg ◽  
Tim Doran ◽  
Maria Goddard ◽  
Tony Kendrick ◽  
Simon Gilbody ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Quality Indicators ◽  
Serious Mental Illness ◽  
Quality Indicator ◽  
Routine Data ◽  
Care Quality ◽  
Physical And Mental Health ◽  
Long Term Conditions ◽  
Primary Care Quality

BackgroundSerious mental illness (SMI) — which comprises long-term conditions such as schizophrenia, bipolar disorder, and other psychoses — has enormous costs for patients and society. In many countries, people with SMI are treated solely in primary care, and have particular needs for physical care.AimThe objective of this study was to systematically review the literature to create a list of quality indicators relevant to patients with SMI that could be captured using routine data, and which could be used to monitor or incentivise better-quality primary care.Design and settingA systematic literature review, combined with a search of quality indicator databases and guidelines.MethodThe authors assessed whether indicators could be measured from routine data and the quality of the evidence.ResultsOut of 1847 papers and quality indicator databases identified, 27 were included, from which 59 quality indicators were identified, covering six domains. Of the 59 indicators, 52 could be assessed using routine data. The evidence base underpinning these indicators was relatively weak, and was primarily based on expert opinion rather than trial evidence.ConclusionWith appropriate adaptation for different contexts, and in line with the relative responsibilities of primary and secondary care, use of the quality indicators has the potential to improve care and to improve the physical and mental health of people with SMI. However, before the indicators can be used to monitor or incentivise primary care quality, more robust links need to be established, with improved patient outcomes.

scholarly journals Deaf people: What every clinician needs to know

2017 ◽  
Vol 23 (2) ◽  
pp. 89-94 ◽  
Author(s):  
Margaret du Feu
Keyword(s):  
Mental Health ◽  
Adverse Effects ◽  
Significant Proportion ◽  
Learning Objectives ◽  
Deaf People ◽  
Physical And Mental Health ◽  
Know How ◽  
High Prevalence ◽  
Potential Impact ◽  
Mental And Physical Health

SummaryDeafness is a common and varied medical, social and psychological construct that affects a significant proportion of the population. Restricted communication and uninformed attitudes have adverse effects on the physical and mental health of deaf people. Clinicians need to know how to recognise and resolve these difficulties.Learning Objectives• Be aware of the high prevalence and diverse nature of deafness• Recognise the importance of effective communication and how to achieve this with deaf people• Understand the potential impact of deafness on mental and physical health

Mental Illness: Adults

2013 ◽  
Author(s):  
Catherine N. Dulmus ◽  
Albert R. Roberts
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Service Delivery ◽  
Serious Mental Illness ◽  
Evidence Based ◽  
Service Delivery System ◽  
Physical And Mental Health ◽  
Evidence Based Practices ◽  
Persistent Mental Illness ◽  
Recovery Movement

This entry focuses on serious mental illness among adults, including those having serious and persistent mental illness. Social work's historic and current roles in service delivery are reviewed, its present trends in the field (including the recovery movement, evidence-based practices, comorbidity, and the integration of physical and mental health), as well as the service delivery system and the current needs and challenges it faces, are discussed.

Expanding collaborative care: integrating the role of dietitians and nutrition interventions in services for people with mental illness

2017 ◽  
Vol 26 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Scott B Teasdale ◽  
Geogina Latimer ◽  
Annette Byron ◽  
Vanessa Schuldt ◽  
Josephine Pizzinga ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Dietary Intervention ◽  
Nutrition Therapy ◽  
Physical And Mental Health ◽  
Dietary Practices ◽  
Physical Health Outcomes ◽  
People With Mental Illness ◽  
Mental And Physical Health

Objective: This article aims to draw mental health clinicians’ attention to the connections between nutrition and mental health, and the roles that Accredited Practising Dietitians play in improving mental and physical health through dietary change. Methods: Selective narrative review. Results: Unhealthy dietary practices are common in high prevalence and severe mental illness. Epidemiological evidence demonstrates that nutrients and dietary patterns impact on mental health. In addition, poor physical health is well documented in people with mental illness and the greatest contributor to the mortality gap. Dietary intervention studies demonstrate improved mental and physical health outcomes. Accredited Practising Dietitians translate nutrition science into practical advice to improve the nutritional status of patients with mental illness, and prevent and manage comorbidities in a variety of care settings. Conclusions: Medical Nutrition Therapy offers opportunities to improve the physical and mental health of people living with mental illness.

Challenges in advancing mental and physical health of patients with serious mental illness

2005 ◽  
Vol 19 (6_suppl) ◽  
pp. 3-5
Author(s):  
Serdar Dursun ◽  
Timothy G. Dinan ◽  
Chris Bushe ◽  
Jogin Thakore
Keyword(s):  
Mental Illness ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Mental And Physical Health

Stress and Comorbidity of Physical and Mental Health

2018 ◽  
pp. 312-330
Author(s):  
Kelsey D. Vig ◽  
Renée El-Gabalawy ◽  
Gordon J. G. Asmundson
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Stress Disorder ◽  
Health Conditions ◽  
Future Research ◽  
Health It ◽  
Physical And Mental Health ◽  
Theoretical Frameworks ◽  
The Relationship ◽  
Mental And Physical Health

This chapter discusses the complex relationship between stress and physical health, with a focus on comorbid posttraumatic stress disorder (PTSD) and physical health conditions. There is a great deal of evidence that stress and mental health conditions, such as PTSD, often co-occur with physical health conditions. This chapter reviews this evidence, describes potential mechanisms underlying the comorbidity, and outlines theoretical frameworks for understanding the relationship between stress and physical health. It considers the ways in which stress leads to poor physical health, how physical health conditions can lead to stress, and how other factors may both increase stress and worsen physical health. Clinical implications of comorbid mental and physical health conditions and suggestions for future research in the area are also discussed.

The measurement of burden of care in serious mental illness: A qualitative review

2012 ◽  
Vol 47 (3) ◽  
pp. 222-234 ◽  
Author(s):  
Shae-Leigh Vella ◽  
Nagesh Pai
Keyword(s):  
Bipolar Disorder ◽  
Mental Illness ◽  
Psychometric Properties ◽  
Serious Mental Illness ◽  
Financial Strain ◽  
Future Research ◽  
Assessment Instruments ◽  
Burden Of Care ◽  
Physical And Mental Health ◽  
Definition Of

Objective: Caring for someone with serious mental illness such as schizophrenia or bipolar disorder can result in considerable consequences for the caregiver. Carers often experience a range of negative emotions, impacts upon their physical and mental health, as well as financial strain. Resultant from these impacts, carers utilise medical services at a higher rate than their non-caregiving counterparts. Further, these consequences of caregiving can also impact upon the patient, resulting in an increase in psychopathology and relapse. Although the notion of burden has been studied for approximately 60 years, many flaws and inadequacies remain; most notably, a lack of agreement on the definition of the construct along with the poor psychometric properties of the burden assessment instruments. Method: This article reviews and evaluates the measures of burden of care that have been utilised with carers of people with a serious mental illness. A systematic search was conducted and all articles that had measured burden of care in schizophrenia or bipolar disorder in the database PUBMED were reviewed to ascertain the measure utilised. Results: Ten different measures were subsequently identified and eight were reviewed; two were excluded on the basis that they had only been utilised once. Conclusions: It was apparent that many of the measures lacked a strong theoretical basis and sound psychometric properties. Further, some of the measures lacked utility, feasibility and specificity. The article concludes with recommendations for future research.

Mental and physical health

2018 ◽  
pp. 181-190
Author(s):  
Mike McHugh
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Well Being ◽  
Positive Influence ◽  
Western Society ◽  
Physical And Mental Health ◽  
Population Mental Health ◽  
Mental And Physical Health ◽  
Health And Well Being

Until recently the biomedical model dominated thinking about both physical health and mental health in Western society. It is now more useful to frame health as an integrated totality—one that includes physiological functioning, psychological and spiritual processes, and behaviour. This chapter explores this emerging agenda and focuses on well-being and prevention, particularly where well-being and prevention impact on both physical and mental illness. Evidence tells us that by strengthening mental health and well-being we not only reduce the risk of mental illness, but we also enhance physical health and population health more widely. Equally, improving physical health has a significantly positive influence on population mental health. We can increasingly exploit our understanding of these interconnections and release their potential to tackle some of the pressing health and well-being challenges we face. We have an opportunity to meaningfully draw physical and mental health together as a mutually dependent, integrated whole.

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