Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study
Abstract Background People with severe mental illness experience physical health significantly worse than the general population. Physical health monitoring is shared between primary care and secondary mental healthcare services, though there is debate whether mental health teams should provide more...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-020-01316-5 |
| _version_ | 1811329257950937088 |
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| author | Joseph Butler Simone de Cassan Phil Turner Belinda Lennox Gail Hayward Margaret Glogowska |
| author_facet | Joseph Butler Simone de Cassan Phil Turner Belinda Lennox Gail Hayward Margaret Glogowska |
| author_sort | Joseph Butler |
| collection | DOAJ |
| description | Abstract Background People with severe mental illness experience physical health significantly worse than the general population. Physical health monitoring is shared between primary care and secondary mental healthcare services, though there is debate whether mental health teams should provide more physical healthcare. The views of mental health clinicians and patients with mental illness towards physical healthcare provision are unclear. Aims To explore the attitudes of Community Mental Health Team (CMHT) clinicians and patients experiencing severe mental illness towards physical healthcare and its provision. Design and setting Qualitative study in a CMHT setting. Methods Interviews were carried out with CMHT clinicians and patients with severe mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. Results There were 14 patients and 15 clinicians recruited. Patients varied in their awareness of the association between physical and mental health, but were engaged in physical health monitoring. Clinicians were aware of the importance of physical healthcare but reported barriers to provision, including lack of training, resource constraints and uncertainty in their role. There was no consensus in either group regarding how physical healthcare should be provided, with diverse attitudes expressed for why CMHTs should and shouldn’t provide more physical healthcare. Conclusions Increasing physical healthcare provision from mental health teams requires healthcare-related barriers be addressed, but it remains unclear whether CMHT clinicians or patients believe this to be a solution. |
| first_indexed | 2024-04-13T15:40:38Z |
| format | Article |
| id | doaj.art-35e014b722474663b2a47e72c826b886 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-13T15:40:38Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-35e014b722474663b2a47e72c826b8862022-12-22T02:41:09ZengBMCBMC Family Practice1471-22962020-11-012111810.1186/s12875-020-01316-5Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview studyJoseph Butler0Simone de Cassan1Phil Turner2Belinda Lennox3Gail Hayward4Margaret Glogowska5Foundation Year 3 Physical Health Care, Department of Psychiatry, University of OxfordOxford Health NHS Foundation TrustNIHR Community Healthcare MIC, Nuffield Department of Primary Care Health Sciences, University of OxfordOxford Health NHS Foundation TrustNIHR Community Healthcare MIC, Nuffield Department of Primary Care Health Sciences, University of OxfordNuffield Department of Primary Care Health Sciences, University of OxfordAbstract Background People with severe mental illness experience physical health significantly worse than the general population. Physical health monitoring is shared between primary care and secondary mental healthcare services, though there is debate whether mental health teams should provide more physical healthcare. The views of mental health clinicians and patients with mental illness towards physical healthcare provision are unclear. Aims To explore the attitudes of Community Mental Health Team (CMHT) clinicians and patients experiencing severe mental illness towards physical healthcare and its provision. Design and setting Qualitative study in a CMHT setting. Methods Interviews were carried out with CMHT clinicians and patients with severe mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. Results There were 14 patients and 15 clinicians recruited. Patients varied in their awareness of the association between physical and mental health, but were engaged in physical health monitoring. Clinicians were aware of the importance of physical healthcare but reported barriers to provision, including lack of training, resource constraints and uncertainty in their role. There was no consensus in either group regarding how physical healthcare should be provided, with diverse attitudes expressed for why CMHTs should and shouldn’t provide more physical healthcare. Conclusions Increasing physical healthcare provision from mental health teams requires healthcare-related barriers be addressed, but it remains unclear whether CMHT clinicians or patients believe this to be a solution.https://doi.org/10.1186/s12875-020-01316-5Mental healthQualitative researchHealth promotion and prevention |
| spellingShingle | Joseph Butler Simone de Cassan Phil Turner Belinda Lennox Gail Hayward Margaret Glogowska Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study BMC Family Practice Mental health Qualitative research Health promotion and prevention |
| title | Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study |
| title_full | Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study |
| title_fullStr | Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study |
| title_full_unstemmed | Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study |
| title_short | Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study |
| title_sort | attitudes to physical healthcare in severe mental illness a patient and mental health clinician qualitative interview study |
| topic | Mental health Qualitative research Health promotion and prevention |
| url | https://doi.org/10.1186/s12875-020-01316-5 |
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