Rodgers, Mark orcid.org/0000-0002-5196-9239, Dalton, Jane Elizabeth orcid.org/0000-0001-8939-2925, Harden, Melissa et al. (3 more authors) (2018) Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness:A Mapping Review of the Recent Evidence on Barriers, Facilitators and Evaluations. International Journal of Integrated Care. 9. ISSN 1568-4156
Abstract
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 The Author(s). |
Keywords: | Integrated Care,Mental Health,severe mental illness,mapping review |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Reviews and Dissemination (York) The University of York > Research Groups (York) > Social Policy Research Unit (York) |
Funding Information: | Funder Grant number NETSCC 13/05/11 |
Depositing User: | Pure (York) |
Date Deposited: | 29 Jan 2018 17:30 |
Last Modified: | 04 Nov 2024 01:17 |
Published Version: | https://doi.org/10.5334/ijic.2605 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.5334/ijic.2605 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:126740 |