scholarly journals Improving the physical health of people prescribed antipsychotic medication in secondary care mental health provider services. AQuA’s approach to providing health improvement support in North West England

2014 ◽  
Vol 14 (6) ◽  
Author(s):  
Julie Cullen ◽  
Paul Greenwood
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Antipsychotic Medication ◽  
Secondary Care ◽  
Mental Health Provider ◽  
Health Improvement ◽  
Health Provider ◽  
North West

scholarly journals Physical health monitoring of patients prescribed depot antipsychotic medication in north west Edinburgh community mental health team

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S336-S337
Author(s):  
Douglas Murdie ◽  
Jakub Wojtowicz ◽  
Alexandra Thompson ◽  
Anne MacLeod ◽  
Adam Mallis ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Antipsychotic Medication ◽  
Health Monitoring ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
North West ◽  
Depot Antipsychotic ◽  
Major Mental Disorder

AimsTo monitor the quality of physical health monitoring of patients prescribed depot antipsychotic medication in the North West Edinburgh Community Mental Health Team (CMHT). We also evaluated the completeness of prescriptions and Mental Health Act (Scotland) (Act) 2003 paperwork where relevant.BackgroundAntipsychotic medications are medicines for treating conditions such as Schizophrenia, but some may be associated with an increased risk of Metabolic Syndrome. Moreover, evidence indicates that patients with major mental disorder have a reduced life expectancy in comparison to those without such diagnoses. These two factors illustrate the importance of the physical health of this patient cohort being monitored on a regular basis. This project will evaluate how a local CMHT is performing, with the possibility of enacting service improvements if required.MethodThe records of the 60 patients prescribed depot antipsychotic medication administered by this CMHT were reviewed. A check-list was created consisting of 14 categories analysing the quality of physical health monitoring, as well as compliance with prescription standards and, where relevant, Mental Health Act (Scotland) (Act) 2003 paperwork. We compared patient records against our checklist for the calendar year of 2019. The Scottish Intercollegiate Guidelines Network (SIGN) 131 (Management of Schizophrenia) section 5.2 was used as the gold standard for physical health monitoring against which the data we collected was compared.ResultWe identified a wide range of flaws with the current system and implementation of monitoring, and difficulty in locating the required information. There was no consistent monitoring of physical observations on electronic record, nor an accepted alternative way in which this was documented. Furthermore, blood tests were not consistently obtained either by the service or GP practices in a reproducible manner. This led to discussions within the CMHT regarding creation of a new pathway for the monitoring of this patient cohort using a Quality Improvement model, with the ultimate goal to establish a regular physical health clinic.ConclusionThere is significant evidence that patients with major mental disorder do not access healthcare as consistently as those without, leading to a disparity in life expectancy. In light of the fact that antipsychotic medications can be associated with Metabolic Syndrome, we have an even greater responsibility to tackle this marked health inequality by appropriately monitoring our patients. This was not done well in this particular CMHT, but this project will lead to improvements in the service and ultimately patient care.

scholarly journals Suicide and the Air Force Mental Health Provider: Frequency and Impact

2006 ◽  
Vol 171 (9) ◽  
pp. 844-848
Author(s):  
Randon S. Welton ◽  
Lisa R. Blackman
Keyword(s):  
Mental Health ◽  
Air Force ◽  
Mental Health Provider ◽  
Health Provider

Integrating Behavioral and Physical Health Services and Organizational Merger

2013 ◽  
Vol 14 (2) ◽  
pp. 84-88
Author(s):  
Thomas J. Blakely ◽  
Gregory M. Dziadosz
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Services ◽  
Physical Health ◽  
Delivery System ◽  
Health Provider ◽  
Health Delivery ◽  
Mental Health Agencies ◽  
Health Agencies ◽  
Health Delivery System

This article describes the process of the merger of two mental health agencies with a primary care physical health provider to establish within the merged structure an integrated behavioral and physical health delivery system. The purpose of this article is to share our experience with those administrators and staff of agencies planning an integration initiative of behavioral and physical health services.

Community Mental Health Provider Reluctance to Provide Pharmacotherapy May Be a Barrier to Addressing Perinatal Depression: A Preliminary Study

2012 ◽  
Vol 84 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Nancy Byatt ◽  
Kathleen Biebel ◽  
Gifty Debordes-Jackson ◽  
Rebecca S. Lundquist ◽  
Tiffany A. Moore Simas ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Perinatal Depression ◽  
Mental Health Provider ◽  
Health Provider ◽  
Preliminary Study
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