Preventive care practices to address health behaviours among people living with mental health conditions: A survey of Community Managed Organisations

Gibson, Lauren; Clinton‐McHarg, Tara; Wilczynska, Magdalena; Latter, Joanna; Bartlem, Kate; Henderson, Corinne; Wiggers, John; Wilson, Andrew; Searles, Andrew; Bowman, Jenny

doi:10.1016/j.pmedr.2021.101495

Cited by 4 publications

(14 citation statements)

References 29 publications

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“…There is some evidence that at least part of the 5As and AAC models form existing policies and guidelines for CMOs [33][34][35]. For example, one study of CMO leaders in New South Wales [33] found that smoking cessation support was provided to consumers through: assessment of smoking status, information about smoking cessation supports available (i.e., advise), and referral to external support for smoking cessation (i.e., connect).…”

Section: Introductionmentioning

confidence: 99%

“…Although the opportunity exists for CMOs to address health risk behaviours among people with mental health conditions, only a small number of Australian studies have examined the level of preventive care currently being provided in this setting [33][34][35][36]. This previous research suggests that low levels of preventive care support are being provided to consumers accessing CMOs [34].…”

Section: Introductionmentioning

confidence: 99%

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Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation

Clinton‐McHarg

Gibson

Bartlem

et al. 2022

IJERPH

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People living with mental health conditions experience a reduced life expectancy largely due to a higher prevalence of chronic diseases. Addressing health risk behaviours, including tobacco smoking, inadequate nutrition, harmful alcohol consumption, and physical inactivity (SNAP), through the provision of preventive care, is recommended to reduce this burden. Community Managed Organisations (CMOs) may play an important role in providing preventive care to consumers with mental health conditions, however, few studies have examined preventive care provision in CMO settings; and no studies have comprehensively assessed barriers to the provision of this care using a tool such as the Theoretical Domains Framework (TDF). To fill this research gap, we conducted an online survey among staff (N = 190) from one CMO in Australia to (1) identify barriers to preventive care provision (ask, advise, assist, connect) to address SNAP behaviours among consumers; and (2) explore associations between barriers and preventive care provision. Results demonstrate that while staff reported knowing how to provide preventive care and believed it would positively impact consumers; barriers including confidence in providing this care and consumer uptake of referrals, were identified. Further research among multiple CMOs is needed to identify care provision and associated barriers in the sector more widely.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation

Clinton‐McHarg

Gibson

Bartlem

et al. 2022

IJERPH

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“…There has been a growing recognition of the importance of community managed organisations (CMOs) for delivering support to people with mental health conditions [6][7][8][9]. Internationally, CMOs are sometimes referred to as third sector, non-government, or not-forprofit organisations [6,10].…”

Section: Introductionmentioning

confidence: 99%

“…They provide a diversity of supports including those that address: psychosocial disability, rehabilitation and clinical care, accommodation support and outreach, employment and education, self-help and peer-support, promotion and advocacy, information provision, helpline and counselling services, and leisure and recreation [11]. CMOs have also been identified as a potentially important setting to address the health risk behaviours that impact physical health, as well as the mental wellbeing, of people living with mental health conditions [5,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…The study identified variable care provision depending on the risk behaviour (e.g., alcohol consumption) and type of care provided (i.e., ask, assist, connect) [25]. In another study by Gibson et al [7] where surveys were undertaken with CMO leaders, it was found that care provision for physical activity and nutrition was more commonly provided compared to care provision for alcohol consumption, tobacco smoking, and sleep. Further, the presence of organisational level guidelines for preventive care provision and staff training in preventive care delivery was associated with health risk behaviour screening and providing support to consumers for all five health risk behaviours [7].…”

Section: Introductionmentioning

confidence: 99%

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Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders

Dray

Gibson

Clinton‐McHarg

et al. 2022

IJERPH

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People living with mental health conditions experience a significantly reduced life expectancy compared to people without, largely linked to health risk behaviours and associated chronic disease. Community managed organisations (CMOs) represent an important setting in which to address health risk behaviours among people with mental health conditions. However, little is known about how these behaviours (smoking, poor nutrition, alcohol consumption, inadequate physical activity, poor sleep: SNAPS) are being addressed in this setting. One-on-one, semi-structured telephone interviews were conducted with a sample of 12 senior staff, representing 12 CMOs in New South Wales, Australia to: (1) explore types of support provided by CMOs to address the SNAPS behaviours of consumers living with a mental health condition; and (2) assess perceived organisational and staff level barriers and facilitators to providing such support. Transcribed interviews were analysed using inductive thematic analysis. This study found there was a range of supports offered by CMOs, and these differed by health risk behaviour. Findings suggest CMOs are well-placed to embed SNAPS supports as a part of their service provision; however, available funding, consistency of supports, workplace policies and culture, collaboration with other available supports, staff training and education, all impacted capacity.

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Co‐development of implementation strategies to assist staff of a mental health community managed organisation provide preventive care for health behaviours

Regan,

Dray,

Fehily

et al. 2023

Health Prom J of Aust

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Issue AddressedPeople with a mental health condition are at risk of developing chronic physical disease due to smoking tobacco, inadequate nutrition, high alcohol consumption, low physical activity and poor sleep (SNAPS). Community managed organisations (CMOs) represent an opportune setting to support mental health consumers to improve their health behaviours through providing preventive care. Reporting of methods used to co‐develop implementation strategies to assist CMO staff to deliver preventive care for SNAPS are scarce yet warranted.ObjectivesThis study aims to: (1) describe a co‐development workshop involving CMO staff and researchers to identify preferred implementation support strategies to help staff routinely provide preventive care; (2) describe the strategies that emerged from the workshop; and (3) report staff ratings of the workshop on four co‐development principles.MethodsA three‐hour co‐development workshop was conducted on two occasions with staff of one CMO in New South Wales, Australia. Twenty staff participated in the workshops.ResultsParticipants generated and ranked a total of seven discrete implementation strategies within five categories (training, point of care prompts, guidelines, continuous quality improvement and consumer activation). Training for staff to have difficult conversations about behaviour change was ranked highest in both workshops. Participants rated the workshops positively across four co‐development principles.ConclusionsThe co‐development workshop enabled implementation strategies to be developed within the context in which they were to be delivered and tested, potentially increasing their feasibility, acceptability, appropriateness and impact.So What?Implementation strategies selected from the workshops will inform a pilot implementation support trial to assist CMO staff to provide preventive care to people with mental health conditions.

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Preventive care practices to address health behaviours among people living with mental health conditions: A survey of Community Managed Organisations

Cited by 4 publications

References 29 publications

Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation

Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation

Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders

Co‐development of implementation strategies to assist staff of a mental health community managed organisation provide preventive care for health behaviours

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