Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study

<strong>Background</strong> 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...

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Main Authors: Butler, J, de Cassan, S, Turner, P, Lennox, B, Hayward, G, Glogowska, M
Format: Journal article
Language:English
Published: BioMed Central 2020
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author Butler, J
de Cassan, S
Turner, P
Lennox, B
Hayward, G
Glogowska, M
author_facet Butler, J
de Cassan, S
Turner, P
Lennox, B
Hayward, G
Glogowska, M
author_sort Butler, J
collection OXFORD
description <strong>Background</strong> 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. <br> <strong>Aims</strong> To explore the attitudes of Community Mental Health Team (CMHT) clinicians and patients experiencing severe mental illness towards physical healthcare and its provision. <br> <strong>Design and setting</strong> Qualitative study in a CMHT setting. <br> <strong>Methods</strong> 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. <br> <strong>Results</strong> 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. <br> <strong>Conclusions</strong> 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.
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spelling oxford-uuid:35b2cc8e-d5e1-43f6-8770-6c9aa08ddd132022-03-26T13:33:31ZAttitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:35b2cc8e-d5e1-43f6-8770-6c9aa08ddd13EnglishSymplectic ElementsBioMed Central2020Butler, Jde Cassan, STurner, PLennox, BHayward, GGlogowska, M<strong>Background</strong> 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. <br> <strong>Aims</strong> To explore the attitudes of Community Mental Health Team (CMHT) clinicians and patients experiencing severe mental illness towards physical healthcare and its provision. <br> <strong>Design and setting</strong> Qualitative study in a CMHT setting. <br> <strong>Methods</strong> 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. <br> <strong>Results</strong> 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. <br> <strong>Conclusions</strong> 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.
spellingShingle Butler, J
de Cassan, S
Turner, P
Lennox, B
Hayward, G
Glogowska, M
Attitudes to physical healthcare in severe mental illness; a patient and mental health clinician qualitative interview study
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
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