Care Provision to Prevent Chronic Disease by Community Mental Health Clinicians

Bartlem, Kate; Bowman, Jenny; Freund, Megan; Wye, Paula; McElwaine, Kathleen; Wolfenden, Luke; Campbell, Elizabeth; Gillham, Karen; Wiggers, John

doi:10.1016/j.amepre.2014.08.003

Cited by 35 publications

(38 citation statements)

References 61 publications

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“…As a result, physical activity was shown to have the strongest association with IADL in both men and women. Although health status was reported to be crucial for the quality of life of the elderly in our previous study18 and the presence of chronic disease was well-documented as the basis of any disorder,23 24 the associations with the IADL score were weaker than physical activity. We also compared the effect of the latent variable with the effects of original observed variables.…”

Section: Discussionmentioning

confidence: 73%

effect of physical activity on independent living ability among community-dwelling elderly in urban areas of Liaoning Province in China: a population-based study

Wang

Zhang

et al. 2019

BMJ Open

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ObjectiveIndependent living ability is crucial for the elderly; however, its assessment performed in China employs various scales and lacks risk factors, especially behavioural and social-psychological factors, which could be improved through health education. This study aimed to assess the independent living ability of community-dwelling elderly in urban areas of China and to identify the association with behavioral and social-psychological factors.DesignA population-based study using random cluster sampling method was performed in two core cities in Liaoning Province during March–November 2012.Study population3686 individuals who were >=65 years old, had no dementia and cognitive impairment, had lived in the sampled communities for >=5 years and could take part in the study were enrolled.Main outcome measuresInterviews were conducted to collect information of independent living ability, indicated by the instrumental activity of daily living (IADL), behavioural factors, social-psychological factors and confounders (demographic characteristics and health status). The Mini-Mental State Examination was used to screen for cognitive impairment.ResultsThe independence rate was 46.3% in men and 41.1% in women. Structural equation modelling analysis showed that physical activity, drawn from taking a walk and doing exercise, had the strongest association with the IADL in both men (−0.34, SE 0.10) and women (−0.33, SE 0.11). Falling in the last year and worrying about falling were also significantly associated with IADL. The effects of regular drinking, feeling lonely and participating in entertainment were significant in men.ConclusionThe independent living ability of the elderly in urban areas in Liaoning Province in China was at a low level. Physical activity was one of the important roles in both men and women; whereas the role of social-psychological factors only existed in men. Gender-specific healthcare and education to avoid sedentary life should be advocated for the elderly to maintain/improve their independent living ability.

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Section: Discussionmentioning

confidence: 73%

effect of physical activity on independent living ability among community-dwelling elderly in urban areas of Liaoning Province in China: a population-based study

Wang

Zhang

et al. 2019

BMJ Open

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“…A NSW Health Department state policy directive and guidelines were developed in 2009 to address the physical health of people who access mental health services and updated in 2017 (NSW Ministry of Health, 2017). Despite the introduction of these and other guidelines, addressing the physical health of people accessing mental health services remains a significant evidence-practice gap (Bartlem et al 2014;Ward et al 2017). The introduction of the National Disability Insurance Scheme (NDIS) in Australia has some capacity to provide 'reasonable and necessary' interventions for people with a range of disabilities (Foster et al 2016), but realizing the full potential of the NDIS for people with mental illness may be dependent on mental health clinicians' knowledge of NDIS services availability and their practices in the promotion of, and referral to these services.…”

Section: Introductionmentioning

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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“…However, consistent evidence demonstrates that care provision in accordance with these guidelines is suboptimal in mental health services (Bartlem et al . , ; Chwastiak et al . ; Greening ; Prochaska et al .…”

Section: Introductionmentioning

confidence: 99%

Do mental health consumers want to improve their long‐term disease risk behaviours? A survey of over 2000 psychiatric inpatients

Bartlem

Bailey

Metse

et al. 2017

Int J Mental Health Nurs

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Policies and clinical guidelines acknowledge the role mental health services have in addressing the physical health of individuals with a mental illness; however, little research has explored interest in reducing health risk behaviours or the acceptability of receiving support to reduce such risks among psychiatric inpatients. This study estimated the prevalence of four long-term disease risk behaviours (tobacco smoking, hazardous alcohol consumption, inadequate fruit and/or vegetable consumption, and inadequate physical activity); patient interest in reducing these risks; and acceptability of being provided care to do so during a psychiatric inpatient stay. A cross-sectional survey was undertaken with 2075 inpatients from four inpatient psychiatric facilities in one health district in Australia (October 2012-April 2014). Prevalence of risk behaviours ranged from 50.2% (inadequate physical activity) to 94.8% (inadequate fruit and/or vegetable consumption). The majority of respondents (88.4%) had more than one risk behaviour, and most were seriously considering improving their risk behaviours (47.6% to 65.3%). The majority (80.4%) agreed that it would be acceptable to be provided support and advice to change such behaviours during their psychiatric inpatient stay. Some diagnoses were associated with smoking and hazardous alcohol consumption, interest in reducing alcohol consumption and increasing fruit and/or vegetable consumption, and acceptability of receiving advice and support. The findings reinforce the need and opportunity for psychiatric inpatient facilities to address the long-term disease risk behaviours of their patients.

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Care Provision to Prevent Chronic Disease by Community Mental Health Clinicians

Abstract: The provision of preventive care focused on chronic disease prevention in community mental health services is suboptimal. Interventions to increase the routine provision of such care should involve increasing the availability of evidence-based strategies to support care provision.

Cited by 35 publications

References 61 publications

effect of physical activity on independent living ability among community-dwelling elderly in urban areas of Liaoning Province in China: a population-based study

effect of physical activity on independent living ability among community-dwelling elderly in urban areas of Liaoning Province in China: a population-based study

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

Do mental health consumers want to improve their long‐term disease risk behaviours? A survey of over 2000 psychiatric inpatients

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