Centre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield S1 1WB, UK.
Division of Psychology & Mental Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester M13 9PL, UK.
Psychiatry Res. 2023 Dec;330:115602. doi: 10.1016/j.psychres.2023.115602. Epub 2023 Nov 13.
While physical activity (PA) is recommended in the treatment of severe mental illness (SMI), there are no standardized processes for implementing PA in mental healthcare, and the extent to which PA programs have been implemented is unknown. Therefore, we sought to describe usual care in terms of the provision of PA in the National Health Service (NHS) mental health trusts in England for people with SMI.
We invited all NHS Mental Health Trusts across England to participate in a bespoke survey.
Fifty-two mental health trusts (96.2%) responded, of which 47 (87%) offered some form of physical activity provision. The provision across these 47 trusts comprised 93 different types of PA programs. The programs that were identified showed vast differences in the types of physical activity offered, the settings in which they were provided, and the providers.
Although existing mental healthcare services are demonstrating good practice in some areas, the findings of this survey underline the pressing need for more standardization of PA programs that are delivered to people with SMI, better allocation of resources, staff training, improved monitoring of the delivery of these programs, and better PA support for patients as they transition to community care.
虽然体力活动（PA）被推荐用于严重精神疾病（SMI）的治疗，但在精神卫生保健中实施 PA 没有标准化的流程，而且 PA 项目的实施程度尚不清楚。因此，我们试图描述英格兰国民保健制度（NHS）精神卫生信托机构中 SMI 患者的 PA 提供情况。
我们邀请了英格兰所有的 NHS 精神卫生信托机构参与一项专门的调查。
52 家精神卫生信托机构（96.2%）做出了回应，其中 47 家（87%）提供了某种形式的体力活动。这 47 家信托机构提供了 93 种不同类型的 PA 项目。这些项目在提供的体育活动类型、提供场所和提供方方面存在很大差异。
尽管现有的精神卫生保健服务在某些方面表现出了良好的实践，但这项调查的结果强调了迫切需要对提供给 SMI 患者的 PA 项目进行更标准化的管理，更好地分配资源、培训员工、改进对这些项目的交付情况的监测，以及为患者在过渡到社区护理时提供更好的 PA 支持。
