scholarly journals Clinical Characteristics, Comorbid Medical Diagnoses, and Causes of Death of Individuals with Severe Mental Illness Who Died During Follow-up in Community Mental Health Centers: A Multicenter, Retrospective Study

2021 ◽  
Author(s):  
Dursun Hakan Delibaş ◽  
Memduha Aydın ◽  
Tülay Satı Kırkan ◽  
Elif Gülşah Oğuz ◽  
Umut Karasu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Retrospective Study ◽  
Clinical Characteristics ◽  
Causes Of Death ◽  
Health Centers ◽  
Community Mental Health Centers ◽  
Medical Diagnoses ◽  
Mental Health Centers

Metabolic Syndrome Screening in People With Severe Mental Illness: Results From Two Spanish Community Mental Health Centers

2019 ◽  
Vol 26 (2) ◽  
pp. 162-171 ◽  
Author(s):  
Sara Fernández Guijarro ◽  
Carolina Miguel García ◽  
Edith Pomarol-Clotet ◽  
Elena Nunilón Egea López ◽  
Maria Dolors Burjales Martí ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Metabolic Syndrome ◽  
Mental Illness ◽  
Community Mental Health ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Health Centers ◽  
Community Mental Health Centers ◽  
Mental Health Centers

BACKGROUND: The excess of mortality in people with severe mental illness is due to unnatural causes such as accidents or suicides and natural causes such as metabolic syndrome. The presence of modifiable risk factors like tobacco consumption increases cardiovascular and metabolic risk. AIMS: The purpose of this study was to identify the prevalence of metabolic syndrome and other cardiovascular risk factors in people with severe mental illness. This study also aimed to identify the prevalence of patients receiving treatment for any metabolic syndrome risk factor. METHOD: A cross-sectional descriptive study was performed. A total of 125 participants from two community mental health centers in Spain were recruited. RESULTS: More than half of the participants (58.4%) were active smokers. The prevalence of metabolic syndrome was 60%. A total of 16.8% received previous treatment for hypertension, 17.6% for hypertriglyceridemia, and 11.2% for diabetes. No differences were found between centers (22.7% vs. 18.7%, p = .9). CONCLUSIONS: The findings underscore the importance of monitoring the physical health of patients on antipsychotic therapy. The identification and management of cardiovascular and metabolic risks factors is an essential part of nursing care for people with severe mental illness. Mental health nurses are ideally positioned to carry out this task by performing physical health screening, health education, and lifestyle interventions.

Community mental health services in the eyes of community mental health centers staff

2017 ◽  
Vol 41 (S1) ◽  
pp. S602-S602
Author(s):  
S. Attepe Ozden ◽  
A. Icagasioglu Coban
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Social Workers ◽  
Occupational Therapists ◽  
Professional Staff ◽  
Health Centers ◽  
Community Mental Health Service ◽  
Community Mental Health Centers ◽  
Mental Health Centers

IntroductionCommunity mental health centers (CMHC) are established for providing services to individuals with serious mental illness. In these centers, individual's need of treatment and care are expected to be met with a mental illness in the community as possible. The process of community mental health service creation in Turkey is relatively new and gaining popularity in last 7–8 years. First CMHC was established in 2008. After this date CMHCs’ have been opened and the target of 2016 is reaching across 236 CMHC in Turkey.ObjectivesIn this context, this study aims to provide views of psychiatrists, nurses, social workers, psychologists and occupational therapists who work in CMHC for the services that provided to individuals in these CMHC's and learn how to define their professional roles and responsibilities in CMHC.MethodsThis paper used qualitative research design. Data was collected from 7 CMHC in Ankara through in-depth interviews with a total of 30 people consisting of psychiatrists, nurses, social workers, psychologists and occupational therapists.ResultsThe participants look positively about given services, however, financial pressure in the creation process of services, problems in employee personal rights and lack of policies and services related to mental health forced employee and reduce the quality of services provided.ConclusionsThrough understanding perspectives of the professional staff toward community-based services will help to determine current problems in CMHC for policy makers.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Care Planning for Individuals with Chronic Mental Illness and/or Substance Abuse Problems: Policy Implementation for Community Mental Health Centers

2001 ◽  
Vol 10 (2) ◽  
pp. 209-213
Author(s):  
Christy A. Rentmeester
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Policy Implementation ◽  
Health Centers ◽  
Chronic Mental Illness ◽  
Care Planning ◽  
Community Mental Health Centers ◽  
Staff Members ◽  
Mental Health Centers

In an earlier edition of Cambridge Quarterly, in the “Networking News” section (CQ Vol 9, No 4), Larry Gottlieb sought advice on ethics committee assembly and policy implementation for a community mental health center. One concern mentioned is that staff members frequently encounter ethical issues—specifically, questions about competency, informed consent, and treatment refusal—regarding the care of clients whose decisionmaking abilities are impaired by chronic mental illness and/or substance abuse. My response offers a suggestion for policy development and implementation, which may be integrated into guiding staff members of community mental health centers toward a model of care planning that is centered on clients' experiences of their treatments and on relationship-building among clients, community members, and mental health professionals.

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