Gibson Lauren, Clinton-McHarg Tara, Wilczynska Magdalena, Latter Joanna, Bartlem Kate, Henderson Corinne, Wiggers John, Wilson Andrew, Searles Andrew, Bowman Jenny
School of Psychological Sciences, College of Engineering, Science & Environment, University of Newcastle, Callaghan, NSW, Australia.
The Australian Prevention Partnership Centre (TAPPC), Sax Institute, Ultimo, NSW, Australia.
Prev Med Rep. 2021 Jul 15;23:101495. doi: 10.1016/j.pmedr.2021.101495. eCollection 2021 Sep.
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases and higher rates of tobacco smoking, poor nutrition, harmful alcohol consumption, physical inactivity and poor sleep behaviours. Community managed organisations (CMOs) may play a valuable role in providing preventive care to people with mental health conditions (consumers) to address these health behaviours. This paper reports the findings of a cross-sectional survey undertaken between November 2018 and February 2019 with leaders of CMOs (n = 76) that support people with mental health conditions in the state of New South Wales, Australia to: 1) measure the provision of preventive care (screening, support, and connections to specialist services) for five health behaviours; 2) identify the presence of key organisational features (e.g., data collection, staff training); and 3) explore if these organisational features were associated with the provision of preventive care. Preventive care provision to a majority of consumers (50% or more) was least frequently reported for tobacco smoking and most frequently reported for physical activity. Staff training and guidelines regarding the provision of preventive care were associated with the provision of such care. The results demonstrate that CMOs are already engaged in providing preventive care to some extent, with certain behaviours and preventive care elements addressed more frequently than others. Further research with additional CMO stakeholders, including staff and consumers, is needed to gain a deeper understanding of factors that may underlie CMOs capacity to routinely provide preventive care.
与普通人群相比，患有精神疾病的人的预期寿命缩短了约10年，这主要是由于慢性身体疾病以及吸烟率较高、营养状况差、有害饮酒、缺乏身体活动和睡眠行为不佳等因素。社区管理组织（CMOs）在为患有精神疾病的人（消费者）提供预防性护理以解决这些健康行为方面可能发挥重要作用。本文报告了2018年11月至2019年2月期间对澳大利亚新南威尔士州支持精神疾病患者的社区管理组织领导人（n = 76）进行的横断面调查结果，目的是：1）衡量针对五种健康行为提供的预防性护理（筛查、支持和与专科服务的联系）；2）确定关键组织特征（如数据收集、员工培训）的存在情况；3）探讨这些组织特征是否与预防性护理的提供相关。对于大多数消费者（50%或更多），吸烟方面的预防性护理提供情况报告最少，而身体活动方面的报告最多。员工培训以及关于提供预防性护理的指导方针与这种护理的提供相关。结果表明，社区管理组织已经在一定程度上参与提供预防性护理，某些行为和预防性护理要素的涉及频率高于其他要素。需要对包括员工和消费者在内的更多社区管理组织利益相关者进行进一步研究，以更深入地了解可能构成社区管理组织常规提供预防性护理能力基础的因素。
