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Lifestyle Factors and the Physical Health of Patients on Depot Antipsychotics in the Haywards Heath Catchment Area, Linwood ATS (Phase1, 2022)

Published online by Cambridge University Press:  07 July 2023

Mihaela Bucur ,
Naoko McCabe ,
Emily Ross-Skinner  and
Hannah Kazmierow
Mihaela Bucur*
Affiliation:
Sussex Partnership NHS Foundation Trust, Haywards Heath, United Kingdom
Naoko McCabe
Affiliation:
Sussex Partnership NHS Foundation Trust, Haywards Heath, United Kingdom
Emily Ross-Skinner
Affiliation:
Sussex Partnership NHS Foundation Trust, Haywards Heath, United Kingdom
Hannah Kazmierow
Affiliation:
Sussex Partnership NHS Foundation Trust, Haywards Heath, United Kingdom
*
*Corresponding author.
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Abstract

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Aims/Context

Patients with severe mental illness have reduced life expectancy, representing one of the most significant health disparities. Although the cause is multifactorial, cardiovascular disease & other comorbid chronic conditions play an essential role. Individuals with mental illness often face considerable barriers to accomplishing their health and well-being goals. As a result, there is a growing interest nationally and internationally and research evidence for the role of lifestyle interventions in managing mental health conditions. NICE guidelines now reflect this, recognizing the impact of physical health comorbidity and recommending monitoring of metabolic status and cardiovascular risk (using the Q-RISK3 tool) in the management of schizophrenia & bipolar. AIMS: -Phase 1: to identify & analyse lifestyle parameters contributing to patient’' health & leading to excessive disease burden and the QRISK3 calculations for patients in the Haywards Health catchment area on depot antipsychotics. -Phase 2: make recommendations focused on lifestyle factors interventions in addition to standard care-Phase 3: to re-assess following the recommendations from phase 2.

Methods

Phase 1 Steps:

  • • Identifying all patients on depot antipsychotics living in the defined catchment area.

  • • Data Collection from the electronic clinical record: diagnoses, gender, physical activity, alcohol intake, smoking, lipids, employment, BMI, blood pressure, QRISK3.

  • • Analyse results.

  • • Make Phase 1 Recommendations

Phase 2: Implement phase 1 recommendations

Phase 3: Use the electronic records to conduct a second analysis assessing the offer of intervention to patients, reassessing the lifestyle parameters and QRISK3 calculation

Results

Phase 1 Results: All patients identified (6) had a detailed overview of the lifestyle parameters assessed. None of the patients had the QRISK®3 calculation in phase 1.

Conclusion

A series of recommendations were made at the end of Phase 1 in view of initial results.

  • • Disseminate results locally, including in primary care

  • • Ascertain up-to-date information regarding physical health and lifestyle parameters in the OPC reviews; include in the letters to GP updates on the category of lifestyle parameters included in this project.

  • • Discussion with patients on the impact of lifestyle factors in the OPC reviews

  • • Signpost patients to resources they can use to support implementing positive lifestyle choices

  • • QRISK®3 measurement

  • • 1:1 psychoeducational session focusing on improving lifestyle choices.

  • • Engage patients to engage in co-producing psychoeducational sessions aimed at improving lifestyle choices.

Phase 2: implement phase 1 recommendations (October 2022-September 2023)

Phase 3: re-assess in October 2023

Type
Quality Improvement
Information
BJPsych Open , Volume 9 , Supplement S1: Abstracts from the RCPsych International Congress 2023, 10–13 July , July 2023 , pp. S81
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Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NC
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. This does not need to be placed under each abstract, just each page is fine.
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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