The effectiveness of specialist roles in mental health comparison study

McKenna, Brian, Furness, Trentham, Wallace, Elizabeth, Happell, Brenda, Stanton, Robert, Platania-Phung, Chris, Edward, Karen-leigh, and Castle, David (2014) The effectiveness of specialist roles in mental health comparison study. BMC Psychiatry, 14 (1). 234.

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Background: People with serious mental illness (SMI) exhibit a high prevalence of cardiovascular diseases. Mental health services have a responsibility to address poor physical health in their consumers. One way of doing this is to conduct metabolic monitoring (MM) of risk factors for cardiovascular diseases. This study compares two models of MM among consumers with SMI and describes referral pathways for those at high risk of cardiovascular diseases.

Methods: A retrospective cross-sectional comparison design was used. The two models were: (1) MM integrated with case managers, and (2) MM integrated with case managers and specialist roles. Retrospective data were collected for all new episodes at two community mental health services (CMHS) over a 12-month period (September 2012 - August 2013).

Results: A total of 432 consumers with SMI across the two community mental health services were included in the analysis. At the service with the specialist roles, MM was undertaken for 78% of all new episode consumers, compared with 3% at the mental health service with case managers undertaking the role. Incomplete MM was systemic to both CMHS, although all consumers identified with high risk of cardiovascular diseases were referred to a general practitioner or other community based health services. The specialist roles enabled more varied referral options.

Conclusions: The results of this study support incorporating specialist roles over case manager only roles for more effective MM among new episode consumers with SMI.

Item ID: 62182
Item Type: Article (Research - C1)
ISSN: 1471-244X
Keywords: cardiovascular diseases, mental health, metabolic monitoring, nursing
Copyright Information: © 2014 McKenna et al.; licensee BioMed Central Ltd.
Date Deposited: 26 Apr 2020 19:12
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111005 Mental Health Nursing @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111714 Mental Health @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 50%
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