Skip to main content
×
×
Home

Falling between the cracks. Invited commentary on … Service innovation: the first year of lifestyle clinics for psychiatric outpatients

  • Fiona Gaughran (a1)
Summary

Hamilton's paper describes a thorough and pragmatic approach to the introduction of physical health checks in people registered with mental health services. This is a moral and political priority, but translating this into day-to-day practice in already stretched community mental health teams requires leadership and vision. Pivotal in Hamilton's success was the establishment of good channels of communication between the mental and physical healthcare teams. Hearing about good practice and positive experiences in other teams should help in the widespread introduction of reliable systems to improve physical health in mental health service users.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Falling between the cracks. Invited commentary on … Service innovation: the first year of lifestyle clinics for psychiatric outpatients
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Falling between the cracks. Invited commentary on … Service innovation: the first year of lifestyle clinics for psychiatric outpatients
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Falling between the cracks. Invited commentary on … Service innovation: the first year of lifestyle clinics for psychiatric outpatients
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
1 Marder, SR, Essock, SM, Miller, AL, Buchanan, RW, Casey, DE, Davis, JM, et al. Physical health monitoring of patients with schizophrenia. Am J Psychiatry 2004; 161: 1334–49.
2 Brown, S, Barraclough, B, Inskip, H. Causes of the excess mortality of schizophrenia. Br J Psychiatry 2000; 177: 212–7.
3 Hamilton, R, Harrison, M, Naji, S, Robertson, C. Service innovation: the first year of lifestyle clinics for psychiatric out-patients. Psychiatr Bull 2009; 33: 445448.
4 Brugha, TS, Wing, JK, Smith, BL. Physical health of the long-term mentally ill in the community. Is there unmet need? Br J Psychiatry 1989; 155: 777–81.
5 Koran, LM, Sox, HC, Marton, KI, Moltzen, S, Sox, CH, Kraemer, HC, et al. Medical evaluation of psychiatric patients. 1. Results in a state of mental health system. Arch Gen Psychiatry 1989; 46: 733–40.
6 National Institute for Clinical Excellence. Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care. NICE, 2002.
7 Department of Health. National Service Framework for Mental Health. Department of Health, 1999.
8 Department of Health. Public Health White Paper. Choosing Health: Making Healthier Choices Easier. Department of Health, 2004.
9 Department of Health. Standards for Better Health. Department of Health, 2004.
10 Disability Rights Commission. Equal Treatment: Closing the Gap. Disability Rights Commission, 2006.
11 Nasrallah, HA, Meyer, JM, Goff, DC, McEvoy, JP, Davis, SM, Stroup, TS, et al. Low rates of treatment for hypertension, dyslipidemia and diabetes in schizophrenia: data from the CATIE schizophrenia trial sample at baseline. Schizophr Res 2006; 86: 1522.
12 Kreyenbuhl, J, Medoff, DR, Seliger, SL, Dixon, LB. Use of medications to reduce cardiovascular risk among individuals with psychotic disorders and Type 2 diabetes. Schizophr Res 2008; 101: 256–65.
13 Lambert, TJ, Velakoulis, D, Pantelis, C. Medical comorbidity in schizophrenia. Med J Aust 2003; 178 (suppl): S6770.
14 Kotter, JP. Leading change: why transformation efforts fail? Harv Bus Rev 1995; March–April: 110.
15 Barnes, TR, Paton, C, Hancock, E, Cavanagh, MR, Taylor, D, Lelliott, P. UK Prescribing Observatory for Mental Health. Screening for the metabolic syndrome in community psychiatric patients prescribed antipsychotics: a quality improvement programme. Acta Psychiatr Scand 2008; 118: 2633.
16 Department of Health. Chief Nursing Officer's Review of Mental Health Nursing. Department of Health, 2006.
17 Goff, DC, Sullivan, LM, McEvoy, JP, Meyer, JM, Nasrallah, HA, Daumit, GL, et al. A comparison of ten-year cardiac risk estimates in schizophrenia patients from the CATIE study and matched controls. Schizophr Res 2005; 80: 4553.
18 Batki, SL, Meszaros, ZS, Strutynski, K, Dimmock, JA, Leontieva, L, Ploutz-Snyder, R, et al. Medical comorbidity in patients with schizophrenia and alcohol dependence. Schizophr Res 2009; 107: 139–46.
19 Isaac, M, Isaac, M, Holloway, F. Is cannabis an anti-antipsychotic? the experience in psychiatric intensive care. Hum Psychopharmacol 2005; 20: 207–10.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 4 *
Loading metrics...

Abstract views

Total abstract views: 20 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 20th July 2018. This data will be updated every 24 hours.

Falling between the cracks. Invited commentary on … Service innovation: the first year of lifestyle clinics for psychiatric outpatients

  • Fiona Gaughran (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *