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EPA-0301 – Improving Somatic Health of Outpatients With Severe Mental Illness

Published online by Cambridge University Press:  15 April 2020

F. Van Hasselt ,
M. Oud ,
P. Krabbe ,
M. Postma  and
A. Loonen
F. Van Hasselt
Affiliation:
Pharmacotherapy and Pharmaceutical Care, University of Groningen, Groningen, Netherlands
M. Oud
Affiliation:
Department of General Practice, University Medical Center Groningen, Groningen, Netherlands
P. Krabbe
Affiliation:
Dept. of Epidemiology, University of Groningen, Groningen, Netherlands
M. Postma
Affiliation:
Pharmacoepidemiology and Pharmacoeconomics, University of Groningen, Groningen, Netherlands
A. Loonen
Affiliation:
Pharmacotherapy and Pharmaceutical Care, University of Groningen, Groningen, Netherlands

Abstract

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Introduction:

Patients with severe mental illness (SMI) experience a 13- to 30-year reduction in life-expectancy. The majority of these deaths can be attributed to somatic health problems. The risk on somatic health problems is partly increased due to a reduced ability to request care and a health care organisation that is unable to fulfil the needs of these patients. Our previous work shows that a health-check-intervention can bypass the inability to request help of patients with SMI by detecting somatic healthproblems that were not detected previously[1].

Objectives:

To develop policy-recommendations to improve the health care organisation for the physical health of outpatients with SMI.

Aims:

We aim to present a selection of policy-recommendations based on consensus between patients, family carers, general practitioners(GP) and mental health care staff

Methods:

We used a three-round Delphi method. The first round consisted of an inventory of potential policy-recommendations, in the two consecutive rounds consensus was sought on a selection of recommendations.

Results:

The policy recommendations described improvement in collaboration among health care professionals; the need to educate involved professionals regarding the specific medical risks associated with patients with SMI; and defining the differences between GPs and mental health care professionals regarding their responsibilities to provide adequate care for the physical health of SMI patients.

Conclusions:

Currently there are multiple barriers to optimal health care which can be overcome by implementing the suggested policy recommendations.

Type
EPW22 - Epidemiology and Social Psychiatry 2
Information
European Psychiatry , Volume 29 , Issue S1: Abstracts of the 22nd European Congress of Psychiatry , 2014 , pp. 1
Copyright
Copyright © European Psychiatric Association 2014

References

van Hasselt, F.M., et al.Gaps in health care for the somatic health of outpatients with SMI Int. J Ment. HealthNursing 2013Jun; 22(3):249255Google Scholar
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