Losing to Gain: The Effects of a Healthy Lifestyle Intervention on the Physical and Psychosocial Well-being of Clients in a Community-based Mental Health Setting

Mechling, Brandy; Arms, Tamatha

doi:10.1007/s10597-019-00371-2

Cited by 8 publications

(13 citation statements)

References 20 publications

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“…The inclusion of additional process outcomes (e.g., staff-reported provision of preventive care; HCC records) will enhance reporting. Providing such preventive care has the potential to improve both physical and mental health outcomes for this population group, with evidence that positive changes to risk behaviours can lead to improved mental health and mental wellbeing [ 56 , 57 , 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial

Fehily

McKeon

Stettaford

et al. 2022

IJERPH

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Preventive care to address chronic disease risk behaviours is infrequently provided by community mental health services. In this cluster-randomised controlled trial, 12 community mental health services in 3 Local Health Districts in New South Wales, Australia, will be randomised to either an intervention group (implementing a new model of providing preventive care) or a control group (usual care). The model of care comprises three components: (1) a dedicated ‘healthy choices’ consultation offered by a ‘healthy choices’ clinician; (2) embedding information regarding risk factors into clients’ care plans; and (3) the continuation of preventive care by mental health clinicians in ongoing consultations. Evidence-based implementation strategies will support the model implementation, which will be tailored by being co-developed with service managers and clinicians. The primary outcomes are client-reported receipt of: (1) an assessment of chronic disease risks (tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol use and physical inactivity); (2) brief advice regarding relevant risk behaviours; and (3) referral to at least one behaviour change support. Resources to develop and implement the intervention will be captured to enable an assessment of cost effectiveness and affordability. The findings will inform the development of future service delivery initiatives to achieve guideline- and policy-concordant preventive care delivery.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial

Fehily

McKeon

Stettaford

et al. 2022

IJERPH

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“…The MHN is a consumer advocate. MHNs assess and then seek to improve the physical health of those with complex mental health conditions across in‐patient, community mental health, and primary health settings ( n = 15). The MHN is a physical health therapist as exemplified in Mechling and Arms (2019). MHNs perform medication‐based roles that include limited prescribing; administering medications; promoting medication compliance; and reacting to iatrogenic outcomes of the medications ( n = 13) as exemplified in Morrison, Stomski, and Meehan (2018).…”

Section: Role and Identity Constructionsmentioning

confidence: 99%

Making the case for clinical mental health nurses to break their silence on the healing they create: A critical discussion

Hurley

Lakeman

2021

Int J Mental Health Nurs

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This discursive paper aims to clarify what roles mental health nurses identify as being within their scope of practice in clinical settings. It also aims to highlight any consumer benefits arising from these roles. Role theory and its relationship with identity are critically discussed as a framework to explain how contemporary mental health nursing roles are poorly understood and undervalued within mental health services. In order to meet the aims of the paper literature written in the last five years by clinical mental health nurses reporting their roles, and outcomes of those roles were searched. This literature was then considered through the lens of social constructionism that premises truths are accessed and then constructed though relationship based language. Six core mental health nursing roles were identified across international settings. The MHN is a psychotherapist. The MHN is a consumer advocate. The MHN is a physical health therapist. The MHN is a psycho‐pharmacological therapist. The MHN is a relationship focussed therapist and finally the MHN is an aggression management therapist. While European and American nurses reported consumer benefit emerging from these roles those from Australia and the United Kingdom did not. The roles reported on were largely instrumental ones that offered little clarity towards the identity of our profession, nor its worth to consumers or funders of services. Mental health nurses will only have their true breadth of clinical capabilities recognized where there is a consistent construction emerging from clinicians in clinical settings on the efficacy of their clinical work.

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“…Of the 21 identified studies, nine were of higher evidence levels (6 RCTs [30][31][32][33][34][35] , three quasiexperimental trials [36][37][38] ), and the remaining 12 studies were of a lower evidence level (all single-group pre-post evaluations [39][40][41][42][43][44][45][46][47][48][49][50] ).…”

Section: Overall Summary Of the Evidence Basementioning

confidence: 99%

“…30 Six interventions were provided in an individual format [32][33][34]36,37,39 , eight in a group format 30,35,[40][41][42]46,47,49 , six involved both individual and group sessions 31,[43][44][45]48,50 , and one was not clear. 38 Intervention length ranged from six weeks 45 to 12 months 33,34,37 , with the number of sessions ranging from 6 45 to 50. 33,37 The duration of intervention was unclear for six studies 31,36,43,[56][57][58] , and the number of sessions was unclear for seven studies.…”

Section: Overall Summary Of Interventionsmentioning

confidence: 99%

“…Nine studies focusing on weight loss were found: four of higher evidence levels (2 RCTs 33,34 , two quasi-experimental trials 37,38 ), and five lower evidence level studies (pre-post trials). [46][47][48][49][50] One of the pre-post studies was undertaken with a priority population (85% culturally and linguistically diverse consumers).…”

Section: Weight Loss Interventionsmentioning

confidence: 99%

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Initiatives to improve physical health for people in community-based mental health programs

Bartlem¹,

Fehily²,

Wynne³

et al. 2020

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This Evidence Check commissioned by NSW Ministry of Health aimed to evaluate delivery of physical health interventions for people living with a mental illness, delivered though community mental health programs. The review found that sufficient evidence exists to support a number of interventions, with further evaluation; and identified and describes key characteristics for effectiveness such as duration of the intervention and mode of delivery (e.g. face-to-face or telephone, group or individual). The supported interventions and/or actions included: multi-strategy lifestyle behaviour change interventions; care delivery models including peer-led self-management and staff delivered interventions; integration of new physical health care models or initiatives; referral to other services (e.g. telephone Quitline); assessing barriers and enablers prior to implementation; and the involvement of peer workers and consumers in design and delivery.

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Losing to Gain: The Effects of a Healthy Lifestyle Intervention on the Physical and Psychosocial Well-being of Clients in a Community-based Mental Health Setting

Cited by 8 publications

References 20 publications

The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial

The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial

Making the case for clinical mental health nurses to break their silence on the healing they create: A critical discussion

Initiatives to improve physical health for people in community-based mental health programs

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