Addressing the Physical Health of Individuals With Severe Mental Illnesses

2009 ◽  
Author(s):  
Marie Mesidor
Keyword(s):  
Physical Health ◽  
Mental Illnesses

Peer Support Shows Promise in Helping Persons Living with Mental Illness Address Their Physical Health Needs

2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Peer Support ◽  
Western Australia ◽  
Public Mental Health ◽  
Support Service ◽  
Mental Illnesses ◽  
Health Needs ◽  
People With Mental Illness

The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.

Experiences of individuals with severe mental illnesses about physical health services: A qualitative study

2020 ◽  
Vol 34 (4) ◽  
pp. 237-243 ◽  
Author(s):  
Mukaddes Müberra Gedik ◽  
Neslihan Partlak Günüşen ◽  
Sevecen Çelik Ince
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Physical Health ◽  
Mental Illnesses

scholarly journals Associations Between Physical Health Limitations and Community Participation Among People With and Without Serious Mental Illnesses

2019 ◽  
Vol 70 (8) ◽  
pp. 689-695 ◽  
Author(s):  
Greg Townley ◽  
Rachel Terry ◽  
Eugene Brusilovskiy ◽  
Gretchen Snethen ◽  
Mark S. Salzer
Keyword(s):  
Physical Health ◽  
Community Participation ◽  
Mental Illnesses ◽  
Serious Mental Illnesses

scholarly journals A feasibility hybrid II randomised controlled trial of volunteer ‘Health Champions’ supporting people with serious mental illness manage their physical health: study protocol

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Julie Williams ◽  
Elliann Fairbairn ◽  
Ray McGrath ◽  
Ioannis Bakolis ◽  
Andy Healey ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomised Controlled Trial ◽  
Mental Health Services ◽  
Health Services ◽  
Physical Health ◽  
Controlled Trial ◽  
Unintended Consequences ◽  
Mental Illnesses ◽  
Feasibility Trial ◽  
Randomised Controlled

Abstract Background People with serious mental illnesses (SMI) such as schizophrenia often also have physical health illnesses and interventions are needed to address the resultant multimorbidity and reduced life expectancy. Research has shown that volunteers can support people with SMI. This protocol describes a feasibility randomised controlled trial (RCT) of a novel intervention involving volunteer ‘Health Champions’ supporting people with SMI to manage and improve their physical health. Methods This is a feasibility hybrid II randomised effectiveness-implementation controlled trial. The intervention involves training volunteers to be ‘Health Champions’ to support individual people with SMI using mental health services. This face-to-face or remote support will take place weekly and last for up to 9 months following initial introduction. This study will recruit 120 participants to compare Health Champions to treatment as usual for people with SMI using secondary community mental health services in South London, UK. We will measure the clinical and cost effectiveness including quality of life. We will measure the implementation outcomes of acceptability, feasibility, appropriateness, fidelity, barriers and enablers, unintended consequences, adoption and sustainability. Discussion There is a need for interventions to support people with SMI with their physical health. If this feasibility trial is successful, a definitive trial will follow to fully evaluate the clinical, cost and implementation effectiveness of Health Champions supporting people with SMI. Trial registration ClinicalTrials.gov, registration no: NCT04124744.

Psychiatry is essential for now but might eventually disappear (although this is unlikely to happen any time soon)

2021 ◽  
pp. 103985622110481
Author(s):  
Brendan D Kelly
Keyword(s):  
Mental Illness ◽  
Nmda Receptor ◽  
Physical Health ◽  
Psychological Functioning ◽  
Psychiatric Symptoms ◽  
Mental Illnesses ◽  
Positive Development ◽  
Biological Basis ◽  
Fine Grained ◽  
Nmda Receptor Encephalitis

Objective: To provide an overview of specific aspects of historical and possible future trajectories of psychiatry. Conclusions: Psychiatric treatments alleviate suffering, promote physical health, and are associated with increased longevity. As the biological underpinnings of mental illnesses are slowly uncovered, they generally cease to be primarily part of psychiatry (e.g. epilepsy, anti-NMDA receptor encephalitis). If this process continues, the biological basis of all symptom-based ‘mental illnesses’ might be described, and psychiatry absorbed into neurology and other disciplines. This will be a positive development if it provides better treatment for mental illness and psychiatric symptoms in other conditions, which is psychiatry’s sole concern. Psychiatry’s own survival as a distinct discipline is irrelevant if other disciplines can do the job better, possibly in collaboration. Given the tiny impact of neuroscience on psychiatry to date, the disappearance of psychiatry is unlikely to occur anytime soon, if ever. It is possible that human psychological functioning and psychiatric suffering are sufficiently complex and changeable as to defy complete, fine-grained, neuroscientific explanation. This would leave a role for psychiatry indefinitely, treating the immensely disabling, biologically unexplained clusters of symptoms that we currently call ‘mental illnesses’, increasingly in collaboration with, or absorbed within, other disciplines in medicine.

Prospectively identifying adults with serious mental illness at risk for poor physical health: The role of person reported outcomes

2020 ◽  
Author(s):  
Limor Hochman ◽  
Galia S Moran ◽  
Marc Gelkopf ◽  
David ROE ◽  
Efrat Shadmi
Keyword(s):  
Physical Health ◽  
Outcome Measures ◽  
Psychiatric Rehabilitation ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Mental Illnesses ◽  
Poor Physical Health ◽  
Patient Reported ◽  
Self Reports ◽  
Serious Mental Illnesses

Abstract Objective Persons with serious mental illnesses are at increased risk for co-occurring physical comorbidities. Patient-reported outcome measures are increasingly used in routine assessments of persons with serious mental illnesses, yet the relation of patient-reported outcome measures to physical health outcomes has not been comprehensively investigated. We examined the association between patient-reported outcome measures and self-reported physical health at 1-year follow-up. Design A retrospective cohort study. Setting Data were collected as part of the Israeli Psychiatric Rehabilitation Patient-Reported Outcome Measurement program in Israel. Participants A total of 2581 psychiatric rehabilitation service users assessed between April 2013 and January 2016. Main Outcome Measures Self-reports on two consecutive years of physical health dichotomized as poor versus good. Results More than one-third of participants reported having poor physical health. Multivariate regression analysis showed that quality of life (odds ratio [OR] = 0.71; 95% confidence interval [CI]: 0.60–0.84) and lack of effect of symptoms on functioning (OR = 0.81; 95%CI: 0.74–0.89) predict subsequent physical health, controlling for all other factors. Compared to a multivariate model with personal characteristics and self-reports on physical health at baseline (Model A), the model which also included patient-reported outcome measures (Model B) showed slightly better discrimination (c-statistic: 0.74 vs. 0.76, respectively). Conclusions These results suggest that patient-reported outcome measures contribute to the prediction of poor physical health and thus can be useful as an early screening tool for people with serious mental illnesses living in the community, who are at risk of physical health problems.

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