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A well-being programme in severe mental illness. reducing risk for physical ill-health: A post-programme service evaluation at 2 years

Published online by Cambridge University Press:  31 August 2007

Shubulade Smith ,
David Yeomans ,
Chris J.P. Bushe ,
Cecilia Eriksson ,
Tom Harrison ,
Robert Holmes ,
Laurence Mynors-Wallis ,
Helen Oatway  and
Gary Sullivan
Shubulade Smith*
Affiliation:
PO Box 23, institute of Psychiatry, Decrespigny Park, Camberwell, London, SE5 8AF, UK
David Yeomans
Affiliation:
Leeds Mental Health Teaching NHS Trust, Clarence House, 11 Clarence Road, Horsforth, Leeds, LS18 4LB, UK
Chris J.P. Bushe
Affiliation:
Eli Lilly and Company Ltd, Basingstoke, UK, Lilly House, Priestley Road, Basingstoke, RG24 9NL, UK
Cecilia Eriksson
Affiliation:
PO Box 23, institute of Psychiatry, Decrespigny Park, Camberwell, London, SE5 8AF, UK
Tom Harrison
Affiliation:
Scarborough House, 35 Auckland Road, Sparkbrook, Birmingham, B11 1RH, UK
Robert Holmes
Affiliation:
Caludon Centre, Clifford Bridge Rd, Coventry, CV2 2TE, UK
Laurence Mynors-Wallis
Affiliation:
Alderney Hospital, Ringwood Road, Poole, BH12 4NB, UK
Helen Oatway
Affiliation:
Tees and Northeast Yorkshire Mental Health Trust, Teesbay Unit, St.Lukes Hospital, Martan Road, Middlesbrough, TS4 3AF, UK
Gary Sullivan
Affiliation:
School of Care Sciences, University of Glamorgan, Pontypridd, Wales, UK
*
∗Corresponding author. Tel.: +44 020 7848 0694; fax: +44 020 7848 0921. E-mail address: s.smith@iop.kcl.ac.uk (S. Smith).
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Abstract

introduction

Cardiovascular disease is more prevalent in patients with severe mental illness (SMI) than in the general population.

Method

Seven geographically diverse centres were assigned a nurse to monitor the physical health of SMI patients in secondary care over a 2-year period in the “Well-being Support Programme” (WSP). A physical health screen was performed and patients were given individual weight and lifestyle advice including smoking cessation to reduce cardiovascular risk.

Results

Nine hundred and sixty-six outpatients with SMI >2 years were enrolled. The completion rate at 2 years was 80%. Significant improvements were observed in levels of physical activity (p < 0.0001), smoking (p < 0.05) and diet (p < 0.0001). There were no changes in mean BMI although 42% lost weight over 2 years. Self-esteem improved significantly. Low self-esteem decreased from 43% at baseline to 15% at 2 years (p < 0.0001). At the end of the programme significant cardiovascular risk factors remained, 46% of subjects smoked, 26% had hypertension and 81% had BMI >25.

Conclusion

Physical health problems are common in SMI subjects. Many patients completed 2 years follow up suggesting that this format of programme is an acceptable option for SMI patients. Cardiovascular risk factors were significantly improved. interventions such as the Well-being Support Programme should be made widely available to people with SMI.

Keywords

Severe mental illnessCardiovascular risk factorsObesityWeight managementWell-being support programme
Type
Original article
Information
European Psychiatry , Volume 22 , Issue 7 , October 2007 , pp. 413 - 418
Copyright
Copyright © Elsevier Masson SAS 2007

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