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Inequalities in healthcare provision for people with severe mental illness

There are many factors that contribute to the poor physical health of people with severe mental illness (SMI), including lifestyle factors and medication side effects. However, there is increasing evidence that disparities in healthcare provision contribute to poor physical health outcomes. These in...

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Detalles Bibliográficos
Autores principales: Lawrence, David, Kisely, Stephen
Formato: Texto
Lenguaje:English
Publicado: SAGE Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951586/
https://www.ncbi.nlm.nih.gov/pubmed/20923921
http://dx.doi.org/10.1177/1359786810382058
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author Lawrence, David
Kisely, Stephen
author_facet Lawrence, David
Kisely, Stephen
author_sort Lawrence, David
collection PubMed
description There are many factors that contribute to the poor physical health of people with severe mental illness (SMI), including lifestyle factors and medication side effects. However, there is increasing evidence that disparities in healthcare provision contribute to poor physical health outcomes. These inequalities have been attributed to a combination of factors including systemic issues, such as the separation of mental health services from other medical services, healthcare provider issues including the pervasive stigma associated with mental illness, and consequences of mental illness and side effects of its treatment. A number of solutions have been proposed. To tackle systemic barriers to healthcare provision integrated care models could be employed including co-location of physical and mental health services or the use of case managers or other staff to undertake a co-ordination or liaison role between services. The health care sector could be targeted for programmes aimed at reducing the stigma of mental illness. The cognitive deficits and other consequences of SMI could be addressed through the provision of healthcare skills training to people with SMI or by the use of peer supporters. Population health and health promotion approaches could be developed and targeted at this population, by integrating health promotion activities across domains of interest. To date there have only been small-scale trials to evaluate these ideas suggesting that a range of models may have benefit. More work is needed to build the evidence base in this area.
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spelling pubmed-29515862010-10-11 Inequalities in healthcare provision for people with severe mental illness Lawrence, David Kisely, Stephen J Psychopharmacol Reviews There are many factors that contribute to the poor physical health of people with severe mental illness (SMI), including lifestyle factors and medication side effects. However, there is increasing evidence that disparities in healthcare provision contribute to poor physical health outcomes. These inequalities have been attributed to a combination of factors including systemic issues, such as the separation of mental health services from other medical services, healthcare provider issues including the pervasive stigma associated with mental illness, and consequences of mental illness and side effects of its treatment. A number of solutions have been proposed. To tackle systemic barriers to healthcare provision integrated care models could be employed including co-location of physical and mental health services or the use of case managers or other staff to undertake a co-ordination or liaison role between services. The health care sector could be targeted for programmes aimed at reducing the stigma of mental illness. The cognitive deficits and other consequences of SMI could be addressed through the provision of healthcare skills training to people with SMI or by the use of peer supporters. Population health and health promotion approaches could be developed and targeted at this population, by integrating health promotion activities across domains of interest. To date there have only been small-scale trials to evaluate these ideas suggesting that a range of models may have benefit. More work is needed to build the evidence base in this area. SAGE Publications 2010-11 /pmc/articles/PMC2951586/ /pubmed/20923921 http://dx.doi.org/10.1177/1359786810382058 Text en © The Author(s) 2010. Published by SAGE. All rights reserved. SAGE Publications
spellingShingle Reviews
Lawrence, David
Kisely, Stephen
Inequalities in healthcare provision for people with severe mental illness
title Inequalities in healthcare provision for people with severe mental illness
title_full Inequalities in healthcare provision for people with severe mental illness
title_fullStr Inequalities in healthcare provision for people with severe mental illness
title_full_unstemmed Inequalities in healthcare provision for people with severe mental illness
title_short Inequalities in healthcare provision for people with severe mental illness
title_sort inequalities in healthcare provision for people with severe mental illness
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951586/
https://www.ncbi.nlm.nih.gov/pubmed/20923921
http://dx.doi.org/10.1177/1359786810382058
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