Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level

Anti-Psychotic Medication and the Pattern of Cardiovascular Risk Factors: A Population Based Study (The Ayrshire Diabetes Follow-Up Cohort (ADOC) Study)

“…This study also confirmed that the screening for cardiovascular risk factors in patients on antipsychotic medication is unstructured and poorly undertaken [19]. Some of the possible barriers to screening in practice include uncertainty as to whether such physical health screening was the responsibility of the psychiatric team rather than a primary care clinician [20], a lack of confidence in the interpretation of abnormal screening results [21] and limited access to basic infrastructure such as IT equipment [22].…”

“…Other possible explanations for the relatively low level of screening is that clinicians may target patients for the assessment of metabolic side effects rather than routinely screen all patients prescribed antipsychotic medication. The quality of guidelines for screening and monitoring of cardiometabolic risk in people with schizophrenia and other mental health illnesses are often not of sufficient quality to fully inform clinicians in screening and monitoring practices [19]. It has also been suggested that patients with psychiatric diagnoses often seem to receive inferior quality of care [19] and that physical co-morbidity is often unrecognized and inadequately treated in those with mental health illnesses [23].…”

“…The quality of guidelines for screening and monitoring of cardiometabolic risk in people with schizophrenia and other mental health illnesses are often not of sufficient quality to fully inform clinicians in screening and monitoring practices [19]. It has also been suggested that patients with psychiatric diagnoses often seem to receive inferior quality of care [19] and that physical co-morbidity is often unrecognized and inadequately treated in those with mental health illnesses [23]. A lack of knowledge about the additive burden of cardiometabolic complications in individuals with mental health problems is another possible explanation for poor monitoring practices.…”

Patterns of psychiatric diagnoses in inpatient and outpatient psychiatric settings in Saudi Arabia

“…Compared with the general population, people with serious mental illnesses (SMI) exhibit higher rates of undiagnosed and untreated medical illnesses and higher morbidity and mortality from physical illnesses, primarily because of modifiable lifestyle risk factors 8 . The poor psychiatric and medical health outcomes in people with SMI may primarily be attributed to disparities in access to, utilization of, and provision of health care [9][10][11][12] .…”

Oral Health Is a Challenging Problem for Patients with Schizophrenia: A Narrative Review

“…In response to the increase in chronic diseases, the very high rate of treatment non-observance and the need for more patient autonomy, the partner patient concept is gradually emerging as a healthcare approach (35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54). The experiential knowledge of patients in psychiatry was used to establish the charter of citizenship, which opens up prospects in terms of healthcare system reorganization (55,56).…”