Denying the effects of psychiatric drugs on health is indeed a scandal.

School of Health and Human Sciences, Southern Cross University, Lismore School of Psychiatry, University of New South Wales, Sydney, New South Wales School of Medicine and Dentistry, James Cook University, Cairns, Queensland School of Nursing and Midwifery, University of Tasmania, Hobart, Tasmania, Australia School of Nursing, Dublin City University, Dublin, Ireland Department of Health and Social Sciences, Lincoln University, Lincoln, UK.
International journal of mental health nursing (Impact Factor: 2.01). 06/2012; 21(4):394-5. DOI: 10.1111/j.1447-0349.2012.00851.x
Source: PubMed
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    ABSTRACT: ACCESSIBLE SUMMARY: The poor physical health of people with serious mental illness presents a long-term public health issue that mental healthcare services, and their most representative group (nurses), can help address. For purposes of long-term planning in increasing the role of nurses in physical healthcare within mental healthcare services a systematic review was conducted of services and programmes where nurses conduct physical healthcare (such as physical health checks and health education). The most common types of physical healthcare represented in the literature were health education, screening, lifestyle programme delivery and co-ordination of care. Although evaluation of the programmes reviewed were all at a preliminary stage, they consistently demonstrated health benefits for consumers. ABSTRACT: People with serious mental illness have higher rates of physical illness and are more likely to experience premature death than the general population. Nurse-led strategies to improve physical healthcare in mental healthcare services could potentially reduce these inequalities. However the extent of nurse involvement in physical healthcare (such as physical risk screening, health education and care co-ordination) in mental health settings is not known. A systematic review was conducted on nurse-led physical healthcare reported for consumers with serious mental illness (SMI) in mental health services, and their benefits. Electronic literature bases (CINAHL, Proquest, PsychINFO and Web of Science) were systematically searched, in conjunction with a manual search of literature reviews on physical healthcare in mental health services. Articles were included if they: (a) were published in the last 10 years; (b) were English language; (c) involved physical healthcare of adult consumers receiving mental healthcare services; and (d) reported nurse involvement in physical healthcare. Forty articles were included in the review. The distribution of types of care were: health education (47%), screening and/or monitoring (33.3%), care co-ordination and management (33.3%), lifestyle programme delivery (30.5%), follow-up actions to screening results (25%) and registers and data administration (5.5%). Overall, the evaluation of nurse-based physical healthcare is in early stages. Thus far, they appear to have positive implications for consumers with SMI.
    Journal of Psychiatric and Mental Health Nursing 02/2013; · 0.80 Impact Factor
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    ABSTRACT: Aims and objectivesTo identify nurse perceptions on the potential value of general and specific nursing approaches to improving physical health outcomes of people with serious mental illness. Background People diagnosed with serious mental illnesses experience heightened rates of physical illnesses and can be supported better via healthcare system prevention and management. Nurses working in mental health are a critical part of a system-wide approach to improving physical health care, but there is little known on their views on specific approaches within Australia (e.g. screening for risks, stigma reduction). DesignA national, cross-sectional and nonrandom survey study delivered online. Methods Members of the Australian College of Mental Health Nurses (n = 643), representing nurses employed in mental healthcare services across Australia (71·6% from public mental health services). Participants were asked to rate the potential of nine nurse-based strategies for improving physical health (options: ‘yes’, ‘no’, ‘not sure’) and the potential value of 10 nursing and general strategies for improving physical health (rating from ‘negative value’ to ‘significant value’). ResultsThere was a high endorsement of all nine nurse-based strategies for physical health (e.g. lifestyle programmes, screening, linking services), although there was less support for reducing antipsychotics or advocating for fewer side effects. Participants mainly viewed all strategies as of moderate to significant value, with the most promising value attached to colocation of primary and mental care services, lifestyle programmes and improving primary care services (reduce stigma, train GPs). Conclusions Australian nurses working in mental health services view a range of nurse-based strategies for improving physical healthcare services and standards as important. Relevance to clinical practiceNurses collectively need to work with consumers, health agencies and the general public to further define how to organise and implement physical health integration strategies, towards more comprehensive health care of people with serious mental illness.
    Journal of Clinical Nursing 04/2014; 23(7-8). · 1.23 Impact Factor
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    ABSTRACT: People with serious mental illness have increased rates of physical ill-health and reduced contact with primary care services. In Australia, the Mental Health Nurse Incentive Program (MHNIP) was developed to facilitate access to mental health services. However, as a primary care service, the contribution to physical health care is worthy of consideration. Thirty-eight nurses who were part of the MHNIP participated in a national survey of nurses working in mental health about physical health care. The survey invited nurses to report their views on the physical health of consumers and the regularity of physical health care they provide. Physical health-care provision in collaboration with general practitioners (GPs) and other health-care professionals was reported as common. The findings suggest that the MHNIP provides integrated care, where nurses and GPs work in collaboration, allowing enough time to discuss physical health or share physical health activities. Consumers of this service appeared to have good access to physical and mental health services, and nurses had access to primary care professionals to discuss consumers' physical health and develop their clinical skills in the physical domain. The MHNIP has an important role in addressing physical health concerns, in addition to the mental health issues of people accessing this service.
    International journal of mental health nursing 12/2012; · 2.01 Impact Factor


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May 20, 2014