Facilitators and barriers to integrating physical health care during treatment for substance use: A socio‐ecological analysis

2020 ◽  
Author(s):  
Briony Osborne ◽  
Peter J. Kelly ◽  
Laura D. Robinson ◽  
Rowena Ivers ◽  
Frank P. Deane ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Physical Health ◽  
Ecological Analysis ◽  
Physical Health Care ◽  
Facilitators And Barriers

scholarly journals Integrated care to address the physical health needs of people with severe mental illness: a rapid review

2016 ◽  
Vol 4 (13) ◽  
pp. 1-130 ◽  
Author(s):  
Mark Rodgers ◽  
Jane Dalton ◽  
Melissa Harden ◽  
Andrew Street ◽  
Gillian Parker ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Health ◽  
Integrated Care ◽  
Health Needs ◽  
Rapid Review ◽  
Advisory Group ◽  
Service Users ◽  
Physical Health Care ◽  
Facilitators And Barriers

BackgroundPeople with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests that this discrepancy is driven by a combination of clinical risk factors, socioeconomic factors and health system factors.Objective(s)To explore current service provision and map the recent evidence on models of integrated care addressing the physical health needs of people with severe mental illness (SMI) primarily within the mental health service setting. The research was designed as a rapid review of published evidence from 2013–15, including an update of a comprehensive 2013 review, together with further grey literature and insights from an expert advisory group.SynthesisWe conducted a narrative synthesis, using a guiding framework based on nine previously identified factors considered to be facilitators of good integrated care for people with mental health problems, supplemented by additional issues emerging from the evidence. Descriptive data were used to identify existing models, perceived facilitators and barriers to their implementation, and any areas for further research.Findings and discussionThe synthesis incorporated 45 publications describing 36 separate approaches to integrated care, along with further information from the advisory group. Most service models were multicomponent programmes incorporating two or more of the nine factors: (1) information sharing systems; (2) shared protocols; (3) joint funding/commissioning; (4) colocated services; (5) multidisciplinary teams; (6) liaison services; (7) navigators; (8) research; and (9) reduction of stigma. Few of the identified examples were described in detail and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge from the evidence. Efforts to improve the physical health care of people with SMI should empower people (staff and service users) and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication between professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.Limitations and future workThe literature identified in the rapid review was limited in volume and often lacked the depth of description necessary to acquire new insights. All members of our advisory group were based in England, so this report has limited information on the NHS contexts specific to Scotland, Wales and Northern Ireland. A conventional systematic review of this topic would not appear to be appropriate in the immediate future, although a more interpretivist approach to exploring this literature might be feasible. Wherever possible, future evaluations should involve service users and be clear about which outcomes, facilitators and barriers are likely to be context-specific and which might be generalisable.FundingThe research reported here was commissioned and funded by the Health Services and Delivery Research programme as part of a series of evidence syntheses under project number 13/05/11. For more information visitwww.nets.nihr.ac.uk/projects/hsdr/130511.

Improving the physical health of long-stay psychiatric in-patients

2004 ◽  
Vol 10 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Irene Cormac ◽  
David Martin ◽  
Michael Ferriter
Keyword(s):  
Health Care ◽  
General Population ◽  
Physical Health ◽  
Research Evidence ◽  
Psychiatric Patients ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Physical Health Care

Research evidence has shown that morbidity and mortality rates are higher in psychiatric patients than in the general population. This article describes factors that affect the physical health of psychiatric patients living in institutions and the steps that can be taken to review, monitor and improve their physical health. The physical health care of long-stay patients should reach the same standards as those expected in the general population.

Perio Millennium The journey of periodontology from then to now

2021 ◽  
Vol 13 (3) ◽  
pp. 235-240
Author(s):  
Patnaik R ◽  
Nayak A
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Cavity ◽  
Physical Health ◽  
Well Being ◽  
Periodontal Health ◽  
Healthcare Facilities ◽  
Gradual Evolution ◽  
History Of ◽  
Physical Health Care

Since the beginning of the civilisation, humans have been in a constant process of development. Along with lifestyle, healthcare developments have also been embraced in a remarkable journey through ages. With evolving lifestyle, the survival of disease-causing pathogens has also parallelly developed by sudden mutations and gradual evolution of species for their survival, demanding an improvement in healthcare facilities which include physical, mental and social well-being. The physical health care has seen an interesting journey in terms of both systemic and oral health. While we speak of health, the contribution of periodontal health is an appreciable factor determining the health of the oral cavity. Periodontal healthcare has existed, evolved and advanced with every passing day. This manuscript aimed at reviewing the history of periodontology from its earliest evidence up to the impending future of periodontology, exploring its existence from an era of prehistoric civilisation to an era which is yet to present itself.

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