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Eur Psychiatry. 2007 Oct;22(7):413-8. Epub 2007 Aug 31.

A well-being programme in severe mental illness. Reducing risk for physical ill-health: a post-programme service evaluation at 2 years.

Author information

1
PO Box 23, Institute of Psychiatry, Decrespigny Park, Camberwell, London, SE5 8AF, UK. s.smith@iop.kcl.ac.uk

Abstract

INTRODUCTION:

Cardiovascular disease is more prevalent in patients with severe mental illness (SMI) than in the general population.

METHOD:

Seven geographically diverse centres were assigned a nurse to monitor the physical health of SMI patients in secondary care over a 2-year period in the "Well-being Support Programme" (WSP). A physical health screen was performed and patients were given individual weight and lifestyle advice including smoking cessation to reduce cardiovascular risk.

RESULTS:

Nine hundred and sixty-six outpatients with SMI >2 years were enrolled. The completion rate at 2 years was 80%. Significant improvements were observed in levels of physical activity (p<0.0001), smoking (p<0.05) and diet (p<0.0001). There were no changes in mean BMI although 42% lost weight over 2 years. Self-esteem improved significantly. Low self-esteem decreased from 43% at baseline to 15% at 2 years (p<0.0001). At the end of the programme significant cardiovascular risk factors remained, 46% of subjects smoked, 26% had hypertension and 81% had BMI >25.

CONCLUSION:

Physical health problems are common in SMI subjects. Many patients completed 2 years follow up suggesting that this format of programme is an acceptable option for SMI patients. Cardiovascular risk factors were significantly improved. Interventions such as the Well-being Support Programme should be made widely available to people with SMI.

PMID:
17765483
DOI:
10.1016/j.eurpsy.2007.07.002
[Indexed for MEDLINE]

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