Oral Health in Adults with Serious Mental Illness: Needs for and Perspectives on Care

McKibbin, Christine L.; Kitchen–Andren, Katherine A.; Lee, Aaron A.; Wykes, Thomas L.; Bourassa, Katelynn A.

doi:10.1007/s10597-014-9758-z

Cited by 33 publications

(58 citation statements)

References 26 publications

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“…This includes a reluctance to talk to patients about the relationship between mental health and oral health (Berry & Davidson ; McKibbin et al . ). Few dentists appear adequately prepared in providing care to patients living with mental illness (Friedlander & Marder ; Griffiths et al .…”

Section: Discussionmentioning

confidence: 97%

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Enhancing oral health for better mental health: Exploring the views of mental health professionals

Scrine

Durey

Slack‐Smith

2017

Int J Mental Health Nurs

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The association between oral health, self‐esteem and quality of life is well established yet there is limited research on the impact of addressing the poor oral health of people living with mental health disorders. Greater consideration is warranted on how enhancing oral health in the course of mental healthcare might reduce the burden of a person's ill health. The role of mental health professionals is important in this regard yet uncertainty persists about the role these providers can and should play in promoting oral health care for people with mental health disorders. This qualitative study explored the issue of oral health and mental health with community based mental health professionals in Perth, Western Australia. It examined their views on the oral health status and experiences of their clients, and the different and alternative ways to improve access to care, knowledge and preventative regimens. Findings indicated participants’ ambivalence, reluctance and lack of training in raising oral health issues, despite its acknowledged importance, indicating a siloed approach to care. Findings offer an opportunity to reflect on whether a more integrated approach to oral health care for people with mental health disorders would improve health outcomes.

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Section: Discussionmentioning

confidence: 97%

“…; McKibbin et al . ). This study explored the issue of oral health with mental health professionals including nurses working in the Perth metropolitan area, Western Australia and the different ways in which access to care, knowledge and preventative regimens might be enhanced for adults with mental health disorders.…”

Section: Introductionmentioning

confidence: 97%

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Scrine

Durey

Slack‐Smith

2017

Int J Mental Health Nurs

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“…In the present study, both patients and caregivers stated that patients paid little attention to their oral and dental health. In a qualitative study from the United States that included 25 individuals with severe mental illness, it was found that patients' ignorance, lack of recognition of dental problems, and financial limitations were the most important barriers to oral and dental health . Psychiatric nurses can create standard checklists to identify patients' oral and dental health problems, and can collaborate with caregivers to support patients.…”

Section: Discussionmentioning

confidence: 99%

“…In a qualitative study from the United States that included 25 individuals with severe mental illness, it was found that patients' ignorance, lack of recognition of dental problems, and financial limitations were the most important barriers to oral and dental health. 23 Caregivers play an important role in preserving and maintaining the physical health of individuals with severe mental illness. 25 In the present study, caregivers wanted to support their patients in maintaining and improving their physical healthcare.…”

Section: Discussionmentioning

confidence: 99%

Perception of physical health by patients with severe mental illness and their family caregivers: A qualitative study

Ince

Günüşen

Serçe

2019

Perspect Psychiatr Care

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Purpose The aim of this study is to determine the perceptions of both individuals with severe mental illness and their family caregivers regarding the physical health status of patients. Design and methods A descriptive qualitative design was implemented, and 11 individuals with severe mental illness and 12 caregivers were analysed. Findings Two main themes emerged as a result of the content analysis: a “physical health‐related barriers” theme and a “need for better physical health” theme. Practice implications Patients and their family caregivers experience a number of barriers and difficulties related to maintaining and improving physical health. Psychiatric nurses should recognize these barriers and assist in empowering both patients and their family caregivers to overcome them.

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“…Oral health literacy was limited with the absence of pain the primary concern (McKibbin et al . ), and interacting social, practical and affective barriers, including shame, hindered access to dental services (Persson et al . , Ford et al .…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility

Cheah

Pandey

Daglish

et al. 2017

Health Soc Care Community

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Social factors, health behaviours and the direct effects of substances contribute to the poor oral health and restricted access to dental services experienced by people who are dependent on drugs and/or alcohol. Admission for inpatient withdrawal management provides an opportunity for intervention to promote oral health but to be effective it must be acceptable to patients. To support intervention design, we examined patients' views about oral health, practices and treatment access, and appropriateness of health-promoting intervention in this context. Given paucity of knowledge in the area we employed a qualitative approach, data were collected in semi-structured interviews with inpatients of a public specialist alcohol and drug unit in Australia in September 2014. Analysis employed the framework approach. All 14 participants wanted 'good teeth' but few diligently attended to oral healthcare; most sought assistance only in emergencies. Participants' knowledge of services was limited and practical and affective barriers hindered access. With none recalling attention to oral health during admission, support was strong for incorporation of oral health in inpatient assessments. Participants wanted information about the impact of substances on oral health and oral hygiene practices provided in various formats, and facilitated referral to non-judgemental, affordable treatment. Patients regarded promotion of oral health in the inpatient context as important, relevant and acceptable. Support should respect the different knowledge, practices and motivations for oral health and recovery, of patients. Addressing practical and affective barriers to dental services will require collaboration between drug and alcohol and dental services, and this should be the focus of further research.

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Oral Health in Adults with Serious Mental Illness: Needs for and Perspectives on Care

Cited by 33 publications

References 26 publications

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Perception of physical health by patients with severe mental illness and their family caregivers: A qualitative study

A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility

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