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May 2017 - Page 3 of 5 - Psychosis Research Unit
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May 2017

Cardiometabolic health in young people with psychosis

Shiers D & Curtis J Full Article Summary The International Early Psychosis Association formally launched Healthy Active Lives (HeAL) on Nov 19, 2014 in Tokyo. This international consensus declaration is a call to arms for health professionals and service providers to pay far greater attention to the cardiovascular and metabolic health of people experiencing psychosis for the first time, right from the onset of treatment. HeAL is an international statement with a focus on prevention of the 20 year life expectancy gap for people with severe mental illness that was highlighted in The Lancet Psychiatry's recent demand for activism for poor physical health...

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Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study.

Crawford MJ, Jayakumar S , Lemmey SJ, Zalewska K, Patel M, Cooper SJ, Shiers D (2014) Full Article Abstract BACKGROUND: In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population. AIMS: To examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Method Retrospective audit of records of people with schizophrenia or schizoaffective disorder aged ⩾18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey. RESULTS: Body mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was...

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Interventions to improve the experience of caring for people with severe mental illness: A systematic review and meta-analysis

Udechuku A,  Mayo-Wilson E,  Harrison B,  Young N,  Woodhams P,  Shiers D,  Kuipers E,  Kendall T Full Article  Abstract BACKGROUND: Informal caregiving is an integral part of the care of people with severe mental illness, but the support needs of those providing such care are not often met. AIMS: To determine whether interventions provided to people caring for those with severe mental illness improve the experience of caring and reduce caregiver burden. METHOD: We conducted a systematic review and meta-analyses of randomised controlled trials (RCTs) of interventions delivered by health and social care services to informal carers (i.e. family or friends who provide support to someone with severe mental illness). RESULTS: Twenty-one RCTs with 1589 carers were included in the review. There was evidence suggesting that the carers' experience of care was improved at...

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Promoting physical health for people with schizophrenia by reducing disparities in medical and dental care

Moore S, Shiers D, Daly B, Mitchell AJ, Gaughran F Full Article Abstract OBJECTIVE: Acquiring a diagnosis of schizophrenia reduces life expectancy for many reasons including poverty, difficulties in communication, side-effects of medication and access to care. This mortality gap is driven by natural deaths; cardiovascular disease is a major cause, but outcomes for people with severe mental illness are worse for many physical health conditions, including cancer, fractures and complications of surgery. We set out to examine the literature on disparities in medical and dental care experienced by people with schizophrenia and suggest possible approaches to improving health. METHOD: This narrative review used a targeted literature search to identify the literature on physical health disparities in schizophrenia. RESULTS: There is evidence of inequitable access to and/or uptake of physical...

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Don’t just screen intervene; a quality improvement initiative to improve physical health screening of young people experiencing severe mental illness

Greenwood P & Shiers D Full Article Abstract Purpose – The purpose of this paper is to improve the quality of monitoring of risk factors that predict the likelihood of people with severe mental illness (SMI) developing cardiovascular disease (CVD), diabetes and obesity, major contributors to poor physical health and risk of premature mortality. Design/methodology/approach – The first phase of the AQuA “Don’t just screen-intervene” initiative supported five specialised community-based Early Intervention for Psychosis services in North West England to assess the effectiveness of monitoring of cardiometabolic risk in their patients using standards derived from the Lester Positive Cardiometabolic Health Resource, a nationally acknowledged framework for people with psychosis receiving antipsychotic medication. The initial findings formed the basis for a quality improvement programme which ran from November 2012...

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