Cargando…

A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers

People with severe mental illness suffer from a high burden of oral diseases, which can negatively impact their physical and mental well-being. Despite the high burden, they are less likely to engage in oral health care including accessing dental services. We aimed to identify both the service users...

Descripción completa

Detalles Bibliográficos
Autores principales: Mishu, Masuma Pervin, Faisal, Mehreen Riaz, Macnamara, Alexandra, Sabbah, Wael, Peckham, Emily, Newbronner, Liz, Gilbody, Simon, Gega, Lina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998854/
https://www.ncbi.nlm.nih.gov/pubmed/35410025
http://dx.doi.org/10.3390/ijerph19074344
_version_ 1784685042548604928
author Mishu, Masuma Pervin
Faisal, Mehreen Riaz
Macnamara, Alexandra
Sabbah, Wael
Peckham, Emily
Newbronner, Liz
Gilbody, Simon
Gega, Lina
author_facet Mishu, Masuma Pervin
Faisal, Mehreen Riaz
Macnamara, Alexandra
Sabbah, Wael
Peckham, Emily
Newbronner, Liz
Gilbody, Simon
Gega, Lina
author_sort Mishu, Masuma Pervin
collection PubMed
description People with severe mental illness suffer from a high burden of oral diseases, which can negatively impact their physical and mental well-being. Despite the high burden, they are less likely to engage in oral health care including accessing dental services. We aimed to identify both the service users’ and service providers’ perspective on the barriers and facilitators for maintaining oral health and dental service use in people with severe mental illness. Qualitative exploration was undertaken using dyadic or one-to-one in-depth interviews with service users in the UK with a diagnosis of schizophrenia, schizoaffective disorder or bipolar disorder. Service providers, including mental health and dental health professionals, and informal carers (people identified as family or friend who are not paid carers) were also interviewed. Thematic analysis of the data revealed three main cross-cutting themes at the personal, inter-personal and systems level: amelioration of the problem, using a tailored approach and provision of comprehensive support. The main barriers identified were impact of mental ill-health, lack of patient involvement and tailored approach, and accessibility and availability of dental services including lack of integration of services. The main facilitators identified were service providers’ effective communication skills and further support through the involvement of carers. The findings suggest that the integration of dental and mental health services to provide tailored support for overall health and well-being, including the oral health of the patient, can better support people with severe mental illness regarding their oral health needs.
format Online
Article
Text
id pubmed-8998854
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89988542022-04-12 A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers Mishu, Masuma Pervin Faisal, Mehreen Riaz Macnamara, Alexandra Sabbah, Wael Peckham, Emily Newbronner, Liz Gilbody, Simon Gega, Lina Int J Environ Res Public Health Article People with severe mental illness suffer from a high burden of oral diseases, which can negatively impact their physical and mental well-being. Despite the high burden, they are less likely to engage in oral health care including accessing dental services. We aimed to identify both the service users’ and service providers’ perspective on the barriers and facilitators for maintaining oral health and dental service use in people with severe mental illness. Qualitative exploration was undertaken using dyadic or one-to-one in-depth interviews with service users in the UK with a diagnosis of schizophrenia, schizoaffective disorder or bipolar disorder. Service providers, including mental health and dental health professionals, and informal carers (people identified as family or friend who are not paid carers) were also interviewed. Thematic analysis of the data revealed three main cross-cutting themes at the personal, inter-personal and systems level: amelioration of the problem, using a tailored approach and provision of comprehensive support. The main barriers identified were impact of mental ill-health, lack of patient involvement and tailored approach, and accessibility and availability of dental services including lack of integration of services. The main facilitators identified were service providers’ effective communication skills and further support through the involvement of carers. The findings suggest that the integration of dental and mental health services to provide tailored support for overall health and well-being, including the oral health of the patient, can better support people with severe mental illness regarding their oral health needs. MDPI 2022-04-05 /pmc/articles/PMC8998854/ /pubmed/35410025 http://dx.doi.org/10.3390/ijerph19074344 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mishu, Masuma Pervin
Faisal, Mehreen Riaz
Macnamara, Alexandra
Sabbah, Wael
Peckham, Emily
Newbronner, Liz
Gilbody, Simon
Gega, Lina
A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers
title A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers
title_full A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers
title_fullStr A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers
title_full_unstemmed A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers
title_short A Qualitative Study Exploring the Barriers and Facilitators for Maintaining Oral Health and Using Dental Service in People with Severe Mental Illness: Perspectives from Service Users and Service Providers
title_sort qualitative study exploring the barriers and facilitators for maintaining oral health and using dental service in people with severe mental illness: perspectives from service users and service providers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998854/
https://www.ncbi.nlm.nih.gov/pubmed/35410025
http://dx.doi.org/10.3390/ijerph19074344
work_keys_str_mv AT mishumasumapervin aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT faisalmehreenriaz aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT macnamaraalexandra aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT sabbahwael aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT peckhamemily aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT newbronnerliz aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT gilbodysimon aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT gegalina aqualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT mishumasumapervin qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT faisalmehreenriaz qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT macnamaraalexandra qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT sabbahwael qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT peckhamemily qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT newbronnerliz qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT gilbodysimon qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders
AT gegalina qualitativestudyexploringthebarriersandfacilitatorsformaintainingoralhealthandusingdentalserviceinpeoplewithseverementalillnessperspectivesfromserviceusersandserviceproviders