1 Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
2 Health Service & Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Int J Soc Psychiatry. 2017 Nov;63(7):580-588. doi: 10.1177/0020764017723939. Epub 2017 Aug 4.
Excess mortality among people with severe mental illness (SMI) is largely attributed to co-morbid physical illness. Improving the physical health of this population is critically important; however, physical health monitoring among people with SMI is often inadequate.
This study aimed to facilitate an enhanced understanding of barriers to successfully attend to clients' physical health in mental health settings, through exploring care coordinators' views and experiences regarding their ability to monitor physical health in clients with SMI (specifically, psychosis).
Semi-structured interviews were conducted with seven care coordinators from a South East London (UK) community mental health team. Data were analysed using thematic analysis principles.
Three themes were identified in these data, capturing (1) how care coordinators viewed the professional roles of other clinical staff and themselves, (2) views on barriers to the provision of physical healthcare and (3) factors that motivated care coordinators to attend to clients' physical health.
Our findings can inform efforts to implement physical healthcare interventions within mental health settings. Such insights are timely, as academic literature and guidelines regarding clinical practice increasingly promote the value of integrated provision of mental and physical healthcare.
患有严重精神疾病（SMI）的人群死亡率过高，主要归因于合并的躯体疾病。改善这一人群的身体健康状况至关重要；然而，精神疾病患者的身体健康监测往往不足。
本研究旨在通过探索护理协调员对监测患有 SMI（特别是精神病）的患者身体健康能力的看法和经验，来增进对精神卫生环境中成功解决患者身体健康问题的障碍的理解。
对来自英国伦敦东南部社区心理健康团队的七名护理协调员进行了半结构化访谈。使用主题分析原则对数据进行分析。
这些数据中确定了三个主题，捕捉了（1）护理协调员如何看待其他临床工作人员和自己的专业角色，（2）对提供躯体保健的障碍的看法，以及（3）促使护理协调员关注患者身体健康的因素。
我们的研究结果可以为在精神卫生环境中实施躯体保健干预措施提供信息。这些见解是及时的，因为学术文献和临床实践指南越来越提倡精神和躯体保健综合提供的价值。
