Best Practices: Optimizing Care for People With Serious Mental Illness and Comorbid Diabetes

Sajatovic, Martha; Dawson, Neal V.; Perzynski, Adam T.; Blixen, Carol; Bialko, Christopher S.; McKibbin, Christine L.; Bauer, Mark S.; Seeholzer, Eileen; Kaiser, Denise; Fuentes-Casiano, Edna

doi:10.1176/ps.62.9.pss6209_1001

Cited by 39 publications

(41 citation statements)

References 6 publications

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“…Studies in the USA have suggested positive outcomes for people with Type 2 diabetes attending diabetes-specific versions [12,13], but in the UK a randomized controlled trial of an adapted version of the programme failed to demonstrate any statistically significant impact on measures of diabetes control [14]. The use of lay people to deliver education has been particularly favoured as a method of seeking to address the needs of harder-to-reach groups, including people from specific ethnic backgrounds [17][18][19] or from other vulnerable or marginalized groups, such as people with serious mental illness [20] or those living in farming communities [21]. In the UK, Baksi et al [15] compared patient outcomes after education that was delivered by either a healthcare professional or a trained peer advisor and found that, with effective training, lay people could impart knowledge to their peers as effectively as healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

Increasing capacity to deliver diabetes self‐management education: results of the DESMOND lay educator non‐randomized controlled equivalence trial

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Increasing capacity to deliver diabetes self‐management education: results of the DESMOND lay educator non‐randomized controlled equivalence trial

et al. 2014

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“…(Sajatovic et al, 2011). An uncontrolled pilot trial of TTIM was carried out in a primary care setting with a sample of 12 patients with serious mental illness and diabetes.…”

Section: Health Education For Persons With Spmi and Diabetesmentioning

confidence: 99%

“…Multidimensional approaches that simultaneously target mental health and general medical health such as TTIM motivates individuals to take active roles in their care can be effective (Sajatovic et al, 2011). Social skills training for people with severe mental illness promote social competence which allows successful daily living (Kopelowicz, Liberman, Zarate, 2006).…”

Section: Health Education For Persons With Spmi and Diabetesmentioning

confidence: 99%

“…The National Standards for Diabetes Self-Management Education and Support (Funnell et al, 2010), stipulate that methods and materials used for diabetes teaching should be tailored to meet the needs of the patient. Multidimensional approaches that concurrently target mental health and general medical health have been found to be successful as shown in the Targeted Training in Illness Management study (Sajatovic et al, 2011). Priority areas for diabetes self-management education are diet and exercise, medication adherence, self-monitoring of blood glucose and psychosocial adjustment (Funnell et al).…”

Section: Affective Support the First Recommendation Is The Provisionmentioning

confidence: 99%

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Evaluation of a Diabetes Management Program for Persons with Serious and Persistent Mental Illness

Mwangi¹

2017

Preprint

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Clinical Practice Recommendations and Evidence-Based Guidelines for Integrated Care were used to evaluate a diabetes management program for persons with serious and persistent mental illness in an integrated primary and behavioral health care center in New England. A simple random method was used to select a sample of 25 medical records of patients with diabetes and at least one mental illness. Data on seven diabetes content areas offered to patients and biophysical measures of weight, body mass index

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“…However, these negative outcomes are mitigated by effective medical and psychoeducational management (Murphy, Wadham, Hassler-Hurst, Rayman, & Skinner, 2012). Medical management of diabetes requires a multidisciplinary approach that includes medical treatment and adherence to supportive lifestyle management (Sajatovic et al, 2011;Shalev, & Geffken, 2015). Changing behaviour involves psychoeducational interventions that are implemented by physicians, nurses, educators, and parents for the benefit of adolescents.…”

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Psychoeducational interventions to improve adolescents’ medical management of diabetes: A comprehensive review

Bergmame¹,

Shaw²

2017

Health Psychology Report

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). The increase in technologically assisted psychoeducational interventions using text, apps, and interactive Internet-based programming results in a qualitative update of psychoeducational interventions and program evaluations. Also noted is an increase in the number of family-focused interventions that have been evaluated and published. The results of the current comprehensive literature review yield 42 evaluative studies of psychoeducational interventions for adolescents with type 1 diabetes with mixed outcomes. Despite the variety of interventions and research designs, only two of the 42 studies reported moderate effect sizes. All the others indicated no effects or small effects. Although not conclusive, the most promising approaches involve the use of motivational interviewing involving individual, family, and technological support. The ramifications for future research, potential value of psychoeducational interventions for adolescents, and implementation of technology for delivering psychoeducational interventions for adolescents with diabetes are described. Background Type 1 diabetes is one of the most common chronic illnesses affecting young people in North America (Babler & Strickland, 2015). The incidence of diabetes is growing in the general population, but this growth is especially apparent in low socioeconomic status and ethnic minority groups (Kassai et al., 2015). Being diagnosed with diabetes has a negative influence on academic, social, medical, and overall well-being. However, these negative outcomes are mitigated by effective medical and psychoeducational management (Murphy, Wadham, Hassler-Hurst, Rayman, & Skinner, 2012). Medical management of diabetes requires a multidisciplinary approach that includes medical treatment and adherence to supportive lifestyle management (Sajatovic et al., 2011;Shalev, & Geffken, 2015). Changing behaviour involves psychoeducational interventions that are implemented by physicians, nurses, educators, and parents for the benefit of adolescents. However, the effectiveness of these interventions for changing long-term behaviours is not clear.Adolescents with diabetes present a specific set of developmental challenges in care and management. There is an increased desire for independence, yet the daily living skills required for independence are developing (Markowitz, Garvey, & Laffel, 2015). For all adolescents, this is a challenging developmental period. Many experience a wide range of adjustment and mental health problems (Chilton & Pires-Yfantouda, 2015). Behavior patterns established during this process, including those related to the management of chronic medical issues such as diabetes, can have long-lasting positive or negative effects on future health and well-being. As a result, professionals have unique opportunities to influence adolescents. Parents, members of the community, medical professionals, and educators have the responsibility to promote adolescent development and adjustment as well as to intervene effectively when problems arise. For adolescent...

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Best Practices: Optimizing Care for People With Serious Mental Illness and Comorbid Diabetes

Cited by 39 publications

References 6 publications

Increasing capacity to deliver diabetes self‐management education: results of the DESMOND lay educator non‐randomized controlled equivalence trial

Increasing capacity to deliver diabetes self‐management education: results of the DESMOND lay educator non‐randomized controlled equivalence trial

Evaluation of a Diabetes Management Program for Persons with Serious and Persistent Mental Illness

Psychoeducational interventions to improve adolescents’ medical management of diabetes: A comprehensive review

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