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The effectiveness of specialist roles in mental health metabolic monitoring : a retrospective cross-sectional comparison study

journal contribution
posted on 06.12.2017, 00:00 by B McKenna, T Furness, E Wallace, Brenda HappellBrenda Happell, Robert StantonRobert Stanton, Chris Platania-PhungChris Platania-Phung, KL Edward, D Castle
Background: People with serious mental illness (SMI) exhibit a high prevalence of cardiovascular diseases. Mental health services have a responsibility to address poor physical health in their consumers. One way of doing this is to conduct metabolic monitoring (MM) of risk factors for cardiovascular diseases. This study compares two models of MM among consumers with SMI and describes referral pathways for those at high risk of cardiovascular diseases. Methods: A retrospective cross-sectional comparison design was used. The two models were: (1) MM integrated with case managers, and (2) MM integrated with case managers and specialist roles. Retrospective data were collected for all new episodes at two community mental health services (CMHS) over a 12-month period(September 2012 – August 2013). Results: A total of 432 consumers with SMI across the two community mental health services were included in the analysis. At the service with the specialist roles, MM was undertaken for 78% of all new episode consumers, compared with 3% at the mental health service with case managers undertaking the role. Incomplete MM was systemic to both CMHS, although all consumers identified with high risk of cardiovascular diseases were referred to a general practitioner or other community based health services. The specialist roles enabled more varied referral options. Conclusions: The results of this study support incorporating specialist roles over case manager only roles for moreeffective MM among new episode consumers with SMI.

History

Volume

14

Start Page

234

End Page

239

Number of Pages

6

eISSN

1471-244X

ISSN

1471-244X

Publisher

BioMed Central

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Australian Catholic University; NorthWestern Mental Health (Melbourne, Vic.); School of Nursing and Midwifery (2013- ); St. Vincent's Private Hospital (Melbourne, Victoria); TBA Research Institute; University of Melbourne;

Era Eligible

Yes

Journal

BMC psychiatry.

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