Cardiovascular And Physical Health In Severe Mental Illness

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This practical guide, written by experts in mental health nursing, is designed to support healthcare practitioners in checking the physical health of people with severe mental illness (SMI). As life expectancy is reduced by 12 to 19 years in people with SMI, this patient group should receive a physical health check at least once a year. Yet many mental health practitioners have not been trained to assess their physical health needs, and even when such training is offered it may be difficult to access it because of clinical workloads. The Health Improvement Profile (HIP) provides an efficient, effective, evidence- based physical health check tool specifically designed to be used when assessing people with SMI. It supports practitioners in identifying physical health problems and guides them towards evidence-based interventions to address common health issues affecting people with SMI, ranging from cardiovascular disease to lifestyle factors such as diet, alcohol and smoking. Contents include: Introduction What is severe mental illness? What treatments are used in severe mental illness? Systems of the body that are commonly affected in people with severe mental illness Common physical comorbidities in people with severe mental illness Cardiovascular disease in people with severe mental illness Problematic behaviours affecting health in people with severe mental illness How to use the Health Improvement Profile (physical health check tool) Changing behaviour to improve health Appendix 1: Health Improvement Profile (HIP) – Female Appendix 2: Health Improvement Profile (HIP) – Male

This accessible, practical text provides mental health practitioners with the core knowledge and skills they need to be able to care effectively for the physical health of those who have been diagnosed with mental illness. Linked closely to professional standards, and with a clear values- and evidence-base, the book aims to raise awareness of the physical health needs of individuals with mental health problems, outline the physical health assessment process and suggest health enhancing interventions for use in clinical practice. Consideration will be given to the following aspects of physical wellbeing; - cardiovascular health - diabetes - sexual health - respiratory health - cancer - wound care - substance misuse - infection control - medicine management Further chapters on legal and ethical issues explain the need to practise appropriately within the Mental Health Act and the Mental Capacity Act, while a linking theme throughout the book stresses the importance of health promotion. Backed up by case examples and with a range of reflective exercises throughout, The Physical Care of People with Mental Health Problems is a key text for students and practitioners working in mental health services. It will also be useful reading for practice nurses, district nurses, midwives and all allied health practitioners.

Exercise-Based Interventions for People with Mental Illness: A Clinical Guide to Physical Activity as Part of Treatment provides clinicians with detailed, practical strategies for developing, implementing and evaluating physical activity-based interventions for people with mental illness. The book covers exercise strategies specifically tailored for common mental illnesses, such as depression, schizophrenia, bipolar disorder, and more. Each chapter presents an overview of the basic psychopathology of each illness, a justification and rationale for using a physical activity intervention, an overview of the evidence base, and clear and concise instructions on practical implementation. In addition, the book covers the use of mobile technology to increase physical activity in people with mental illness, discusses exercise programming for inpatients, and presents behavioral and psychological approaches to maximize exercise interventions. Final sections provide practical strategies to both implement and evaluate physical activity interventions. Covers interventions for anxiety, depression, eating disorders, alcohol use disorder, and more Provides the evidence base for exercise as an effective treatment for mental illness Demonstrates how to use mobile technology to increase physical activity in people with mental illness Features practical strategies for implementation and assessment Covers treatment approaches for patients of all ages

In comparison to the general population, people with schizophrenia and related disorders have poorer physical health and increased mortality. Whilst it is recognised that serious mental illnesses such as schizophrenia carry a reduced life expectancy, it is often assumed that suicide is the main cause of this disparity. In actuality, suicide accounts for no more than a third of the early mortality associated with schizophrenia: the vast majority is due to cardiovascular factors Physical Health and Schizophrenia offers a user-friendly guide to the physical health problems associated with schizophrenia and a clear overview of strategies and interventions to tackle these issues. Spanning eight chapters this resource covers the essential topics in a practical and easy-to-read format to suit the needs of busy clinicians. It also includes an appendix designed specifically for patients and carers, with practical tips on how to be actively involved in monitoring and managing physical health problems. Part of the Oxford Psychiatry Library series, Physical Health and Schizophrenia offers readers a fully up-to-date and valuable insight into this complex issue. With helpful key points at the start of each chapter and a clear layout, this is an essential resource for busy clinicians and researchers in any mental health field as well as those working in primary care.

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.