A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study
BackgroundThe metabolic syndrome (MetS) is a collection of risk factors for cardiovascular disease and type-2 diabetes, that includes central obesity, hypertension, hyperglycaemia and dyslipidaemia. An audit indicated inadequate MetS screening in an Australian psychiatric recovery service.Objectives...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1344453/full |
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| author | Kelvin CY. Leung Kelvin CY. Leung Kelvin CY. Leung Bianca Bakr Cindy Chung Mayuri Parmar James Elhindi Vlasios Brakoulias Vlasios Brakoulias |
| author_facet | Kelvin CY. Leung Kelvin CY. Leung Kelvin CY. Leung Bianca Bakr Cindy Chung Mayuri Parmar James Elhindi Vlasios Brakoulias Vlasios Brakoulias |
| author_sort | Kelvin CY. Leung |
| collection | DOAJ |
| description | BackgroundThe metabolic syndrome (MetS) is a collection of risk factors for cardiovascular disease and type-2 diabetes, that includes central obesity, hypertension, hyperglycaemia and dyslipidaemia. An audit indicated inadequate MetS screening in an Australian psychiatric recovery service.ObjectivesWe aimed to improve MetS screening, identification and intervention by offering streamlined lifestyle education, clinical reviews and discharge planning. This pilot program prioritized holistic, culturally-sensitive, patient-centric, and trauma-informed approaches to enhance metabolic health outcomes.MethodsA Metabolic Clinic was piloted in two psychiatric rehabilitation cottages (n=35), which involved disciplines of dietetics, exercise physiology, diversional therapy, occupational therapy, peer workforce, social work, clinical psychology, pharmacy, nursing and medical. Another cottage (n=15) was assigned as the comparison and received standard care. A 12-week, 3-times-per-week lifestyle and behavioral program, called MetFit, was devised and offered to those identified at screening for the treatment cottages. Outcome measures were feasibility measures, the five metabolic parameters (waist circumference, blood pressure, fasting serum triglycerides, high-density lipoprotein, and glucose), functional measures, and a meal questionnaire.ResultsThe treatment cottages had qualitative advantages in screening and identifying MetS. Of four enrolled consumers in MetFit, an improvement of triglycerides (p=0.08), squats (p=0.02), and push-ups (p=0.07) was observed. Major challenges of enrolment included an overall lack of acknowledgment of its importance, poor motivation of consumers and resources limitation.ConclusionsThe one-stop provision of groups, peer support and inpatient pathway with multidisciplinary team-integration was generally accepted by consumers and the MDT and has iteratively demonstrated the urgent need for consumer-centered physical care and a cultural shift to foster collaboration within a psychiatric service. |
| first_indexed | 2024-03-07T23:34:02Z |
| format | Article |
| id | doaj.art-f0638a6a01b549b99732898391c63aa3 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-07T23:34:02Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-f0638a6a01b549b99732898391c63aa32024-02-20T11:11:59ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-02-011510.3389/fpsyt.2024.13444531344453A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot studyKelvin CY. Leung0Kelvin CY. Leung1Kelvin CY. Leung2Bianca Bakr3Cindy Chung4Mayuri Parmar5James Elhindi6Vlasios Brakoulias7Vlasios Brakoulias8Recovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, AustraliaResearch and Education Network, WSLHD, Sydney, NSW, AustraliaFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaRecovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, AustraliaRecovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, AustraliaRecovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, AustraliaFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaSchool of Medicine and Translational Health Research Institute, Western Sydney University, Sydney, NSW, AustraliaBackgroundThe metabolic syndrome (MetS) is a collection of risk factors for cardiovascular disease and type-2 diabetes, that includes central obesity, hypertension, hyperglycaemia and dyslipidaemia. An audit indicated inadequate MetS screening in an Australian psychiatric recovery service.ObjectivesWe aimed to improve MetS screening, identification and intervention by offering streamlined lifestyle education, clinical reviews and discharge planning. This pilot program prioritized holistic, culturally-sensitive, patient-centric, and trauma-informed approaches to enhance metabolic health outcomes.MethodsA Metabolic Clinic was piloted in two psychiatric rehabilitation cottages (n=35), which involved disciplines of dietetics, exercise physiology, diversional therapy, occupational therapy, peer workforce, social work, clinical psychology, pharmacy, nursing and medical. Another cottage (n=15) was assigned as the comparison and received standard care. A 12-week, 3-times-per-week lifestyle and behavioral program, called MetFit, was devised and offered to those identified at screening for the treatment cottages. Outcome measures were feasibility measures, the five metabolic parameters (waist circumference, blood pressure, fasting serum triglycerides, high-density lipoprotein, and glucose), functional measures, and a meal questionnaire.ResultsThe treatment cottages had qualitative advantages in screening and identifying MetS. Of four enrolled consumers in MetFit, an improvement of triglycerides (p=0.08), squats (p=0.02), and push-ups (p=0.07) was observed. Major challenges of enrolment included an overall lack of acknowledgment of its importance, poor motivation of consumers and resources limitation.ConclusionsThe one-stop provision of groups, peer support and inpatient pathway with multidisciplinary team-integration was generally accepted by consumers and the MDT and has iteratively demonstrated the urgent need for consumer-centered physical care and a cultural shift to foster collaboration within a psychiatric service.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1344453/fullmetabolic syndromemental health consumersstreamlined approachmultidisciplinary teaminpatient program |
| spellingShingle | Kelvin CY. Leung Kelvin CY. Leung Kelvin CY. Leung Bianca Bakr Cindy Chung Mayuri Parmar James Elhindi Vlasios Brakoulias Vlasios Brakoulias A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study Frontiers in Psychiatry metabolic syndrome mental health consumers streamlined approach multidisciplinary team inpatient program |
| title | A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study |
| title_full | A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study |
| title_fullStr | A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study |
| title_full_unstemmed | A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study |
| title_short | A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study |
| title_sort | streamlined multidisciplinary metabolic clinic in psychiatric recovery service a pilot study |
| topic | metabolic syndrome mental health consumers streamlined approach multidisciplinary team inpatient program |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1344453/full |
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