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Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis

AIMS AND METHODS: To examine whether national initiatives have led to improvements in the physical health of people with psychosis. Secondary analysis of a national audit of services for people with psychosis. Proportions of patients in ‘good health’ according to seven measures, and one composite me...

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Autores principales: Williams, Ryan, Natkulasingam, Sagana, Tooke, Beatrice, Webster, Ella, Quirk, Alan, Gupta, Veenu, French, Paul, Smith, Jo, Crawford, Mike J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9347478/
https://www.ncbi.nlm.nih.gov/pubmed/33949302
http://dx.doi.org/10.1192/bjb.2021.38
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author Williams, Ryan
Natkulasingam, Sagana
Tooke, Beatrice
Webster, Ella
Quirk, Alan
Gupta, Veenu
French, Paul
Smith, Jo
Crawford, Mike J.
author_facet Williams, Ryan
Natkulasingam, Sagana
Tooke, Beatrice
Webster, Ella
Quirk, Alan
Gupta, Veenu
French, Paul
Smith, Jo
Crawford, Mike J.
author_sort Williams, Ryan
collection PubMed
description AIMS AND METHODS: To examine whether national initiatives have led to improvements in the physical health of people with psychosis. Secondary analysis of a national audit of services for people with psychosis. Proportions of patients in ‘good health’ according to seven measures, and one composite measure derived from national standards, were compared between multiple rounds of data collection. RESULTS: The proportion of patients in overall ‘good health’ under the care of ‘Early Intervention in Psychosis’ teams increased from 2014–2019, particularly for measures of smoking, alcohol and substance use. There was no overall change in the proportion of patients in overall ‘good health’ under the care of ‘Community Mental Health Teams’ from 2011–2017. However, there were improvements in alcohol use, blood glucose and lipid levels. CLINICAL IMPLICATIONS: There have been modest improvements in the health of people with psychosis over the last nine years. Continuing efforts are required to translate these improvements into reductions in premature mortality.
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spelling pubmed-93474782022-08-15 Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis Williams, Ryan Natkulasingam, Sagana Tooke, Beatrice Webster, Ella Quirk, Alan Gupta, Veenu French, Paul Smith, Jo Crawford, Mike J. BJPsych Bull Original Papers AIMS AND METHODS: To examine whether national initiatives have led to improvements in the physical health of people with psychosis. Secondary analysis of a national audit of services for people with psychosis. Proportions of patients in ‘good health’ according to seven measures, and one composite measure derived from national standards, were compared between multiple rounds of data collection. RESULTS: The proportion of patients in overall ‘good health’ under the care of ‘Early Intervention in Psychosis’ teams increased from 2014–2019, particularly for measures of smoking, alcohol and substance use. There was no overall change in the proportion of patients in overall ‘good health’ under the care of ‘Community Mental Health Teams’ from 2011–2017. However, there were improvements in alcohol use, blood glucose and lipid levels. CLINICAL IMPLICATIONS: There have been modest improvements in the health of people with psychosis over the last nine years. Continuing efforts are required to translate these improvements into reductions in premature mortality. Cambridge University Press 2022-06 /pmc/articles/PMC9347478/ /pubmed/33949302 http://dx.doi.org/10.1192/bjb.2021.38 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Williams, Ryan
Natkulasingam, Sagana
Tooke, Beatrice
Webster, Ella
Quirk, Alan
Gupta, Veenu
French, Paul
Smith, Jo
Crawford, Mike J.
Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis
title Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis
title_full Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis
title_fullStr Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis
title_full_unstemmed Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis
title_short Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis
title_sort examining the effects of national initiatives to improve the physical health of people with psychosis in england: secondary analysis of data from the national clinical audit of psychosis
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9347478/
https://www.ncbi.nlm.nih.gov/pubmed/33949302
http://dx.doi.org/10.1192/bjb.2021.38
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