Care coordinator views and experiences of physical health monitoring in clients with severe mental illness: A qualitative study

Gronholm, Petra C.; Onagbesan, Oluwadamilola; Gardner-Sood, Poonam

doi:10.1177/0020764017723939

Cited by 4 publications

(11 citation statements)

References 29 publications

(60 reference statements)

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“…Given the diversity of perspectives on physical health issues in severe mental health (e.g. Gronholm, Onagbesan, & Gardner-Sood, 2017), the inclusion of the patient and healthcare professional perspectives (e.g. Lester, Tritter, & Sorohan, 2005) would have strengthened the study, enabled the triangulation of findings and more nuanced and broader clinical implications.…”

Section: Limitationsmentioning

confidence: 99%

Physical health problems in people with psychosis: The issue for informal carers

Onwumere

Howes

Shiers

et al. 2018

Int J Soc Psychiatry

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Section: Limitationsmentioning

confidence: 99%

Physical health problems in people with psychosis: The issue for informal carers

Onwumere

Howes

Shiers

et al. 2018

Int J Soc Psychiatry

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“…Along with the difficulty in navigating the intranet system, caseloads exceeded prescribed limits, according to the care coordinators, and meeting durations were cut short due to the more number of clients to see [ 19 ]. Lack of resources for monitoring was also reported by the community mental health team clinicians and psychiatrists [ 4 , 13 , 18 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Lack of resources for monitoring was also reported by the community mental health team clinicians and psychiatrists [ 4 , 13 , 18 , 25 ]. As a result, the amount of work that could be accomplished during meetings was hampered and physical health monitoring and interventions were frequently pushed aside in favour of other priorities [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…Clients’ definitions of health, which often differed from those of healthcare professionals, were also impacted by psychotic symptoms, according to care coordinators. This discrepancy may act as a deterrent to physical health interventions [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…Low motivation had become a way of life for patients, reducing their willingness to increase physical activity and adopt good living habits [ 15 , 19 ]. Individuals linked their mental health to their desire and capacity to care for their physical health; the better their mental health, the more chance to engage in care behaviour [ 23 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

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Perspectives of patients and healthcare professionals on metabolic monitoring of adult prescribed second-generation antipsychotics for severe mental illness: A meta-synthesis

et al. 2023

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Objectives We conducted a meta-synthesis of qualitative studies to synthesize the views of psychiatric patients on second-generation antipsychotics (SGAs) and the healthcare providers about the metabolic monitoring of adult-prescribed SGAs. Methods A systematic search was conducted in four databases through SCOPUS, PubMed, EMBASE, and CINAHL to identify qualitative studies of patients’ and healthcare professionals’ perspectives on the metabolic monitoring of SGAs. Initially, titles and abstracts were screened to exclude articles that were not relevant followed by full-text reading. Study quality was assessed by using Critical Appraisal Skills Program (CASP) criteria. Themes were synthesized and presented as per the Interpretive data synthesis process (Evans D, 2002). Results A total of 15 studies met the inclusion criteria and were analyzed in meta-synthesis. Four themes were identified: 1. Barriers to metabolic monitoring; 2. Patient related concerns to metabolic monitoring; 3. Support system by mental health services to promote metabolic monitoring; and 4. Integrating physical health with mental health services. From the participants’ perspectives, barriers to metabolic monitoring were accessibility of services, lack of education and awareness, time/resource constraints, financial hardship, lack of interest on metabolic monitoring, patient capacity and motivation to maintain physical health and role confusion and impact on communication. Education and training on monitoring practices as well as integrated mental health services for metabolic monitoring to promote quality and safe use of SGAs are the most likely approaches to promote adherence to best practices and minimize treatment-related metabolic syndrome in this highly vulnerable cohort. Conclusion This meta-synthesis highlights key barriers from the perspectives of patients and healthcare professionals regarding the metabolic monitoring of SGAs. These barriers and suggested remedial strategies are important to pilot in the clinical setting and to assess the impact of the implementation of such strategies as a component of pharmacovigilance to promote the quality use of SGAs as well as to prevent and/or manage SGAs-induced metabolic syndrome in severe and complex mental health disorders.

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Interface Between Physical and Mental Health

Brennan

Sakellari²

2022

Advanced Practice in Mental Health Nursing

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Care coordinator views and experiences of physical health monitoring in clients with severe mental illness: A qualitative study

Abstract: Background: Excess mortality amongst people with severe mental illness (SMI) is

Cited by 4 publications

References 29 publications

Physical health problems in people with psychosis: The issue for informal carers

Physical health problems in people with psychosis: The issue for informal carers

Perspectives of patients and healthcare professionals on metabolic monitoring of adult prescribed second-generation antipsychotics for severe mental illness: A meta-synthesis

Interface Between Physical and Mental Health

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