Cargando…

A well-being support program for patients with severe mental illness: a service evaluation

BACKGROUND: The risk of cardiovascular disease is increased in patients with severe mental illness (SMI) dramatically reducing life expectancy. METHOD: A real world pragmatic service evaluation of a Well-Being Support Program (WSP) was conducted. This was a four-session package delivered over a one-...

Descripción completa

Detalles Bibliográficos
Autores principales: Eldridge, Donna, Dawber, Nicky, Gray, Richard
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070634/
https://www.ncbi.nlm.nih.gov/pubmed/21418627
http://dx.doi.org/10.1186/1471-244X-11-46
_version_ 1782201396291960832
author Eldridge, Donna
Dawber, Nicky
Gray, Richard
author_facet Eldridge, Donna
Dawber, Nicky
Gray, Richard
author_sort Eldridge, Donna
collection PubMed
description BACKGROUND: The risk of cardiovascular disease is increased in patients with severe mental illness (SMI) dramatically reducing life expectancy. METHOD: A real world pragmatic service evaluation of a Well-Being Support Program (WSP) was conducted. This was a four-session package delivered over a one-year period by mental health practitioners that had received additional training in providing physical health assessment and intervention. Patients' physical health was screened and appropriate one-to-one and group intervention was offered. RESULTS: 212 mental health practitioners were trained in the WSP and 782 patients were enrolled on the program. The majority of our sample was overweight or obese; 66% had a Body Mass Index (BMI) >25. Lifestyle risk factors for cardiovascular disease (CVD) were common and the patients had low self esteem. The average number of formally recorded well-being sessions attended was 2.10. Just under a quarter of those patients enrolled in the program completed. The only cardiovascular risk factor that significantly altered in patients that completed the program was BMI. The qualitative feedback about the program was largely positive. CONCLUSIONS: The need to intervene to enhance the physical health of people with SMI is beyond doubt. Maintaining patient engagement in a physical health improvement program is challenging. Regular comprehensive physical health monitoring is necessary to establish the benefit of intervention and increase life expectancy and well-being in this population.
format Text
id pubmed-3070634
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-30706342011-04-05 A well-being support program for patients with severe mental illness: a service evaluation Eldridge, Donna Dawber, Nicky Gray, Richard BMC Psychiatry Research Article BACKGROUND: The risk of cardiovascular disease is increased in patients with severe mental illness (SMI) dramatically reducing life expectancy. METHOD: A real world pragmatic service evaluation of a Well-Being Support Program (WSP) was conducted. This was a four-session package delivered over a one-year period by mental health practitioners that had received additional training in providing physical health assessment and intervention. Patients' physical health was screened and appropriate one-to-one and group intervention was offered. RESULTS: 212 mental health practitioners were trained in the WSP and 782 patients were enrolled on the program. The majority of our sample was overweight or obese; 66% had a Body Mass Index (BMI) >25. Lifestyle risk factors for cardiovascular disease (CVD) were common and the patients had low self esteem. The average number of formally recorded well-being sessions attended was 2.10. Just under a quarter of those patients enrolled in the program completed. The only cardiovascular risk factor that significantly altered in patients that completed the program was BMI. The qualitative feedback about the program was largely positive. CONCLUSIONS: The need to intervene to enhance the physical health of people with SMI is beyond doubt. Maintaining patient engagement in a physical health improvement program is challenging. Regular comprehensive physical health monitoring is necessary to establish the benefit of intervention and increase life expectancy and well-being in this population. BioMed Central 2011-03-21 /pmc/articles/PMC3070634/ /pubmed/21418627 http://dx.doi.org/10.1186/1471-244X-11-46 Text en Copyright ©2011 Eldridge et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Eldridge, Donna
Dawber, Nicky
Gray, Richard
A well-being support program for patients with severe mental illness: a service evaluation
title A well-being support program for patients with severe mental illness: a service evaluation
title_full A well-being support program for patients with severe mental illness: a service evaluation
title_fullStr A well-being support program for patients with severe mental illness: a service evaluation
title_full_unstemmed A well-being support program for patients with severe mental illness: a service evaluation
title_short A well-being support program for patients with severe mental illness: a service evaluation
title_sort well-being support program for patients with severe mental illness: a service evaluation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070634/
https://www.ncbi.nlm.nih.gov/pubmed/21418627
http://dx.doi.org/10.1186/1471-244X-11-46
work_keys_str_mv AT eldridgedonna awellbeingsupportprogramforpatientswithseverementalillnessaserviceevaluation
AT dawbernicky awellbeingsupportprogramforpatientswithseverementalillnessaserviceevaluation
AT grayrichard awellbeingsupportprogramforpatientswithseverementalillnessaserviceevaluation
AT eldridgedonna wellbeingsupportprogramforpatientswithseverementalillnessaserviceevaluation
AT dawbernicky wellbeingsupportprogramforpatientswithseverementalillnessaserviceevaluation
AT grayrichard wellbeingsupportprogramforpatientswithseverementalillnessaserviceevaluation