A Mixed Methods Exploration of Family Involvement in Medical Care for Older Adults with Serious Mental Illness

Aschbrenner, Kelly A.; Pepin, Renée; Mueser, Kim T.; Naslund, John A.; Rolin, Stephanie A.; Faber, Marjan J.; Bartels, Stephen J.

doi:10.2190/pm.48.2.e

Cited by 16 publications

(22 citation statements)

References 35 publications

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“…Carers are another potentially valuable resource in supporting consumers' physical health. This avenue is being explored and evaluated as are carers' own needs in this endeavour (Aschbrenner et al 2014;Bailey et al 2017;Happell et al 2017). The use of signage, particularly digital signage in waiting rooms and staff areas, may also assist in re-enforcing specific health messages and could be employed in a similar fashion with clinicians to promote the uptake of evidence-based practices.…”

Section: Discussionmentioning

confidence: 99%

Providing physical health care for people accessing mental health services: Clinicians’ perceptions of their role

Clancy

Lewin

Bowman

et al. 2018

Int J Mental Health Nurs

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The prevalence of health risk behaviours and associated poor physical health is high in people with severe mental illness. Mental health service guidelines and policies stipulate that mental health services should address physical health of people who access services. This study reports results from a large, interdisciplinary, cross-sectional study exploring mental health clinicians' (n = 385) views of role legitimacy in physical health service provision. All disciplines reported that mental health clinicians have a role to play in addressing the physical health of consumers. Among mental health clinicians, psychiatrists and mental health nurses received higher endorsement than allied health clinicians in relation to the provision of physical health care, with primary care providers including general practitioners also ranking highly. As community mental health services routinely appoint allied health staff to case management roles, a challenge for services and a challenge for clinicians are to ensure that physical health and the effects of medication are monitored appropriately and systematically. Online and telephone support services received relatively lower endorsement. As the availability of nonface to face services increases, there is a need to explore their utility in this population and where appropriate promote their uptake.

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Section: Discussionmentioning

confidence: 99%

Providing physical health care for people accessing mental health services: Clinicians’ perceptions of their role

Clancy

Lewin

Bowman

et al. 2018

Int J Mental Health Nurs

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“…The United States qualitative study mentioned above found participants desired guidance from primary care clinicians in the form of strategies to support weight loss (Aschbrenner et al, 2014). A qualitative study in New Zealand ( N = 6) found that family members reported receiving inadequate information from mental health services regarding the harms of tobacco, the benefits of available cessation treatments, and the impact of cessation on client mental distress (Missen et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Family carers: A role in addressing chronic disease risk behaviours for people with a mental illness?

Bailey

Wye

Wiggers

et al. 2017

Preventive Medicine Reports

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People with a mental illness experience greater chronic disease morbidity and mortality compared to those without mental illness. Family carers have the potential to promote the health behaviours of those they care for however factors which may influence the extent to which they do so have not been reported. An exploratory study was conducted to investigate carers': 1) promotion of fruit and vegetable consumption, physical activity, quitting smoking, and reducing alcohol consumption; 2) perceptions of their role and ability to promote such behaviours; 3) and the association between carer perceptions and the promotion of such behaviours. A cross-sectional survey was conducted with mental health carers (N = 144, 37.6% response rate) in New South Wales, Australia in 2013. Associations between current promotion of health behaviours and carer perceptions were explored through multivariate regression analysis in 2016. A majority of respondents promoted fruit and vegetable consumption (63.8%), physical activity (60.3%), quitting smoking (56.3%), and reducing alcohol consumption (56.2%) to the person they cared for. A perception that it was ‘very important’ to have a positive influence on these behaviours was positively related with promotion of each of the four behaviours, with those holding such a view being more likely to promote such behaviours, than those who did not (odds ratio: 9.47–24.13, p < 0.001). The majority (56.2%–63.8%) of carers reported promoting the health behaviours of those they cared for, demonstrating a need and opportunity to build the capacity of carers to contribute to reducing the health risk behaviours among people with a mental illness.

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“…Such findings may suggest carers' own risk status may not impact on their perceptions of physical health care for their family members with a mental health condition. Further research is required to explore this finding to determine if carers may have the potential to support health risk behaviour change among people with a mental health condition (which a limited body of research suggests [78,79,101,102,107,108]) and if their own risk status may impact on such a potential. Research among mental health professionals suggests the provision of support to change health risk behaviours may be decreased in those professionals engage in health risk behaviours [66].…”

Section: Discussionmentioning

confidence: 99%

“…To date however, there has been limited research undertaken with family carers to understand their expectations regarding what type of care to address the chronic disease risk behaviours should be provided to people with a mental health condition by health and community services. Only two previous studies have focused on this issue relevant to inadequate physical activity and nutrition generally [78][79][80]. One qualitative study from the US of 13 carers of older adults with serious mental illness found that carers reported a need for guidance from health care professionals regarding strategies to promote weight loss by their family member [78].…”

Section: Introductionmentioning

confidence: 99%

“…Only two previous studies have focused on this issue relevant to inadequate physical activity and nutrition generally [78][79][80]. One qualitative study from the US of 13 carers of older adults with serious mental illness found that carers reported a need for guidance from health care professionals regarding strategies to promote weight loss by their family member [78].…”

Section: Introductionmentioning

confidence: 99%

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Preventive care for physical activity and fruit and vegetable consumption: a survey of family carer expectations of health service delivery for people with a mental health condition

Bailey

Clinton‐McHarg

Wye

et al. 2020

BMC Health Serv Res

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Background: Chronic disease is a leading cause of death globally, where inadequate fruit and vegetable consumption and inadequate physical activity are consistently implicated as key contributing risk factors for such diseases. People with a mental health condition are reported to experience a higher prevalence of such risks and experience an increased morbidity and mortality from resultant chronic disease. Despite guidelines identifying a need for services accessed by people with a mental health condition to provide care to address such health risk behaviours, sub-optimal care is frequently reported suggesting a need for innovative strategies to increase the provision of physical health care. An exploratory study was conducted to examine: 1) family carers' expectations of care provision regarding fruit and vegetable consumption and physical activity by health and community services for people with a mental health condition; 2) carer's own health risk behaviour status and perceptions of the influence of the health risk behaviours on mental health; and 3) possible associations of socio-demographic, clinical and attitudinal factors with carer expectations of care provision for fruit and vegetable consumption and physical activity. Methods: Family carers (n = 144) of a person with a mental health condition completed a cross-sectional survey. Participants were members of a mental health carer support organisation operating in New South Wales, Australia.

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A Mixed Methods Exploration of Family Involvement in Medical Care for Older Adults with Serious Mental Illness

Cited by 16 publications

References 35 publications

Providing physical health care for people accessing mental health services: Clinicians’ perceptions of their role

Providing physical health care for people accessing mental health services: Clinicians’ perceptions of their role

Family carers: A role in addressing chronic disease risk behaviours for people with a mental illness?

Preventive care for physical activity and fruit and vegetable consumption: a survey of family carer expectations of health service delivery for people with a mental health condition

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