Better Health Choices: Feasability and preliminary effectiveness of a peer delivered healthy lifestyle intervention in a community mental health setting

Kelly, Peter J.; Baker, Amanda; Fagan, Naomi L.; Turner, Alyna; Deane, Frank P.; McKetin, Rebecca; Callister, Robin; Collins, Clare E.; Ingram, Isabella; Wolstencroft, Keren; Townsend, Camilla J.; Osborne, Briony; Zimmermann, Adam

doi:10.1016/j.addbeh.2019.106249

Cited by 19 publications

(38 citation statements)

References 24 publications

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“…Even when fiscal resources are scarce, low‐cost interventions have demonstrated effectiveness for improving healthy lifestyle behaviours (e.g. dietary choices, increased physical activity and smoking cessation) [37]. Clients also appreciated efforts to provide more specific coordination, such as referral pathways for specialist appointments and staff liaising with health‐care services on their behalf.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to integrating physical health care during treatment for substance use: A socio‐ecological analysis

Osborne

Kelly

Robinson

et al. 2020

Drug and Alcohol Review

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Introduction and Aims Clinical practice guidelines recommend physical health be addressed when treating substance use disorders. Yet, the integration of alcohol and other drug (AOD) treatment and physical health care is seldom actualised. This is particularly the case in the non‐government sector. Using the socio‐ecological model as a framework, this study aimed to examine the facilitators and barriers to integrating physical health in non‐government AOD services. Design and Methods Interviews were conducted with residential and outpatient AOD services across New South Wales, Australia. Qualitative data were collected from service users (n = 20) and clinicians (n = 13). Interview data were transcribed then systematically coded and analysed using iterative categorisation. Results Most staff recognised physical health care as a fundamental component of treatment for substance use even when there were personal, professional and structural barriers for doing so. Service users reported a diverse range of health and social benefits when physical health care was incorporated in to AOD treatment. An exception to this was some negative experiences with health‐care providers that were not identified by staff. Discussion and Conclusions Findings highlight the importance of developing resources to enhance the health literacy and capacity of non‐government AOD services to address the physical health of clients. Given some clients reported negative experiences with health‐care providers that were not identified by staff, services should seek regular feedback from clients regarding their experiences with external providers. The effectiveness of existing and new physical health initiatives within non‐government organisation AOD services needs more formal evaluation.

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Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to integrating physical health care during treatment for substance use: A socio‐ecological analysis

Osborne

Kelly

Robinson

et al. 2020

Drug and Alcohol Review

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“…In the 18 controlled studies, no participants were blinded to treatment group assignment, and outcome assessors were blinded in only six studies (33%; Baker et al 2006;Forbes et al 2012;Mills et al 2012;Forsyth et al 2017;Shawyer et al 2017;Kelly et al 2020). The lack of blinding across the controlled studies suggests a high risk of bias may have occurred as a result of participants' expectations, such as influencing selfreport outcomes, as well as observer bias from outcome assessors.…”

Section: Quality Of Evidencementioning

confidence: 99%

“…increase healthy eating, reduce substance use etc. ; Kelly et al 2020). Finally, the DHA (2010) evaluated the impact of the Support for Day to Day Living in the Community (D2DL) program, which included structured social activities, cultural and recreational events, daily skills training, links to vocational training and housing and income support.…”

Section: Lifestyle Programsmentioning

confidence: 99%

Effect of community mental health care programs in Australia: a systematic review

O’Donnell

Savaglio

Vicary³

et al. 2020

Aust. J. Prim. Health

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Although numerous studies have examined the effects of community-based mental health care programs in Australia, no synthesis of this literature exists. This systematic review of peer-reviewed and grey literature described the types of community-based mental health care programs delivered and evaluated in Australia in the past 20 years, and evaluated their impact in improving outcomes for those with a serious mental illness (SMI). Articles were included if they evaluated the extent to which the programs delivered in Australia improved individual outcomes, including hospitalisations, psychiatric symptoms, substance misuse or psychosocial outcomes, for individuals with an SMI. Forty studies were included. Community-based mental health care programs were categorised into three types: case management (n=23), therapeutic (n=11) and lifestyle (n=6). Therapeutic programs were most effective in reducing psychiatric symptoms. Case management approaches yielded significant improvements in psychosocial outcomes. Lifestyle programs were inconclusive in improving individual outcomes. This review provides support for the implementation of community-based mental health care programs that are informed by both therapeutic and case management principles. A multidisciplinary team that can facilitate the provision of therapeutic and psychosocial support may be most beneficial for those with an SMI within the Australian community.

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“…Os programas integram terapia comportamental, dieta adequada e exercícios, levando a um estado geral de bemestar. Eles exigem o compromisso de manter a abstinência e a participação ativa na terapia (29) .…”

Section: Serviços Residenciaisunclassified

Mental health, substance use disorder, and opioid uses disorder: updates and strategies for treatment

Owens¹,

Smalling

Fitzpatrick

2021

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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Objective: to describe the main strategies to deal with gaps in the identification, treatment and training regarding substance use disorder (SUD), and opioid uses disorder (OUD). Method: this is a narrative review, based on recent articles and publications on mental health and substance use recognized internationally. Results: a prevalence of co-occurring substance use and mental health/psychiatric disorders continue to rise and are considered complex problems, with multifaceted treatment challenges including medical conditions, disabilities, homelessness, medication noncompliance, and high relapse rates. The treatment for SUD and OUD are complex. The co-occurrence of these two disorders require a multifaceted approach for the diagnosis and treatment. Conclusion: the prevalence of SUD, OUD and their co-occurrence continue to rise and nurses and other health professionals should be prepared to diagnose, treat and/or refer users to assure their adequate care and long term recovery.

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Better Health Choices: Feasability and preliminary effectiveness of a peer delivered healthy lifestyle intervention in a community mental health setting

Cited by 19 publications

References 24 publications

Facilitators and barriers to integrating physical health care during treatment for substance use: A socio‐ecological analysis

Facilitators and barriers to integrating physical health care during treatment for substance use: A socio‐ecological analysis

Effect of community mental health care programs in Australia: a systematic review

Mental health, substance use disorder, and opioid uses disorder: updates and strategies for treatment

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