Self-Reported Health, Health Behaviors, Attitudes, and Beliefs of Regional Mental Health Consumers

Happell, Brenda; Scott, David; Hoey, Wendy; Stanton, Robert

doi:10.1111/ppc.12043

Cited by 8 publications

(12 citation statements)

References 41 publications

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“…Furthermore, the administrators of the mental health services and the municipalities have a crucial role in implementing policies to increase possibilities for achieving healthy living among people with SMI (Happell et al . ; Wärdig et al . ).…”

Section: Discussionmentioning

confidence: 99%

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Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Blomqvist

Sandgren

Carlsson

et al. 2017

Int J Mental Health Nurs

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It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data. The interviews resulted in an overall theme “Being regarded as a whole human being by self and others”, which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness.

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Section: Discussionmentioning

confidence: 99%

“…) and experience a lower level of well‐being and quality of life (Happell et al . ; Saarni et al . ).…”

Section: Introductionmentioning

confidence: 99%

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Blomqvist

Sandgren

Carlsson

et al. 2017

Int J Mental Health Nurs

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“…, Happell et al . ), and expected MHSs, on which they rely for healthcare, to enable them to improve outcomes, especially where ‘treatment’ is causing problems. Moreover, challenging clinicians’ view of service user disinterest as a deterrent for clinical attention to physical health, participants conveyed a hope that apparently low motivation due to SMI would prompt a proactive response by clinicians.…”

Section: Discussionmentioning

confidence: 99%

Attending to physical health in mental health services in Australia: a qualitative study of service users’ experiences and expectations

Young

Praskova

Hayward³

et al. 2016

Health Soc Care Community

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Evidence is unequivocal: the premature death of people with severe mental health problems is attributable primarily to cardiovascular disease, and healthcare provided is often suboptimal. With the overarching aim of improving outcomes, policies and guidelines oblige mental health services and psychiatrists to monitor cardio-metabolic health of patients and intervene as appropriate. Practice is highly variable; however, with ongoing debate about resourcing and responsibilities dominated by clinicians who have identified disinterest among patients as influencing practice. Seeking to balance discussion, we posed the question 'what do patients experience and expect of mental health services in relation to their physical health?' To answer it, we interviewed a convenience sample of 40 service users recruited from a mental health service in Australia, early in 2015. Data were analysed using the framework approach. With few regarding themselves as healthy, participants were commonly concerned about side effects of medication, weight and fitness but rarely mentioned tobacco smoking. Participants' accounts reinforce extensive research demonstrating variability in attention to physical health in mental health services. Reports by some participants of comprehensive care are encouraging, but widespread uncertainty about reasons for various assessments and denial of requests for management of medication side effects, including weight gain, gives cause for concern. Although participants in this study wanted to improve their health and health-related quality of life, they acknowledged that their motivation and ability to do so fluctuated with mental health. They expected clinicians to work proactively, especially when symptoms compromised capacity for self-care, and mental health services to provide or enable access to health-promoting interventions. Attention should be given, as a matter of priority, to creating conditions (culture and infrastructure) needed to support sustained attention to physical health within services and, importantly, to full engagement of service users in management of their physical health.

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“…Studies show that insufficient priority is currently being given to meet the physical health-care needs of people experiencing mental illness (Happell et al, 2014d; Heald et al, 2010; Laursen & Nodentoft, 2006). Furthermore, the current fragmentation of the health care system entails that individuals with impaired ability to express their needs become at risk of being offered separate treatments for different types of health problems, even though their health issues may have derived from the complexity of the person’s entire life situation (Happell et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, role ambiguities among mental health nurses have been revealed, and mental health nurses normally feel that physical care is outside their remit and expertise (Happell et al, 2012). Thus, master’s level mental health nurses should be routinely supported with physical health-care education and training to avoid role ambiguity regarding physical health issues among mental health service users (Blythe & White, 2013; Happell, Platania-Phung, & Scott, 2014c; Happell, Scott, & Hoey et al, 2014d). …”

Section: Attitudesmentioning

confidence: 99%

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Jormfeldt

Doyle

Ellilä

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula.

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Self-Reported Health, Health Behaviors, Attitudes, and Beliefs of Regional Mental Health Consumers

Abstract: An individualized intervention based on knowledge and attitudes may be necessary.

Cited by 8 publications

References 41 publications

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services

Attending to physical health in mental health services in Australia: a qualitative study of service users’ experiences and expectations

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

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