scholarly journals Physical health indicators in major mental illness: analysis of QOF data across UK general practice

2014 ◽  
Vol 64 (627) ◽  
pp. e649-e656 ◽  
Author(s):  
Julie Langan Martin ◽  
Richard Lowrie ◽  
Alex McConnachie ◽  
Gary McLean ◽  
Frances Mair ◽  
...  
BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0201
Author(s):  
Nancy Jennifer Sturman ◽  
Ryan Williams ◽  
Marianne Wyder ◽  
Johanna Lynch

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.


The Lancet ◽  
2015 ◽  
Vol 385 ◽  
pp. S61 ◽  
Author(s):  
Julie Langan Martin ◽  
Richard Lowrie ◽  
Alex McConnachie ◽  
Gary McLean ◽  
Frances Mair ◽  
...  

2014 ◽  
Vol 2 (3) ◽  
pp. 376
Author(s):  
Amanda Wheeler ◽  
Samantha Caldwell

The physical health outcomes of people with mental illness are significantly poorer compared to the normal population. The aims of this study were to (i) assess the feasibility and outcomes of a 12-week healthy living programme piloted in a community adult mental health setting and (ii) assess the lead author’s research and evaluation competency as part of the conditions of the Psychology Supervised Practice Programme. Participants were referred to the programme to learn and develop healthy living skills, assist in weight management, and enhance emotional wellbeing.  The programme included weekly educational sessions followed by an activity related to the education for 3-4 hours, between June-September 2010. The programme facilitators completed assessments with participants at Week 1 (baseline) and Week 12 (graduation) including; demographic and physical health indicators (e.g. weight, BMI, blood pressure), psychological wellbeing and overall satisfaction with programme. Seventeen participants commenced the healthy living programme pilot. There was an average weekly attendance of eleven people and nine graduated at Week 12. No meaningful change in physical health or psychological wellbeing could be determined from the measurements at 12 weeks however the graduates rated the programme highly, particularly the social perspective and healthy eating skills. This feasibility assessment of the HLP pilot illustrates the difficulties inherent in real-world service-based research but also highlights the potential benefits for future replication of the HLP for enhancing both physical health and quality of life for people with a serious mental illness. Key words: physical health, community mental health, healthy living, evaluation, group programme


2021 ◽  
Vol 50 (12) ◽  
pp. 944-949
Author(s):  
Josephine Belcher ◽  
Rimma Myton ◽  
Jeannie Yoo ◽  
Claire Boville ◽  
Kendal Chidwick

2014 ◽  
Vol 85 (4) ◽  
pp. 453-465 ◽  
Author(s):  
Sungkyu Lee ◽  
Yin-Ling Irene Wong ◽  
Aileen Rothbard

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