PMID- 25196125
OWN - NLM
STAT- MEDLINE
DCOM- 20150512
LR  - 20211021
IS  - 1471-244X (Electronic)
IS  - 1471-244X (Linking)
VI  - 14
DP  - 2014 Sep 2
TI  - The effectiveness of specialist roles in mental health metabolic monitoring: a 
      retrospective cross-sectional comparison study.
PG  - 234
LID - 10.1186/s12888-014-0234-7 [doi]
LID - 234
AB  - 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.
FAU - McKenna, Brian
AU  - McKenna B
FAU - Furness, Trentham
AU  - Furness T
FAU - Wallace, Elizabeth
AU  - Wallace E
FAU - Happell, Brenda
AU  - Happell B
FAU - Stanton, Robert
AU  - Stanton R
FAU - Platania-Phung, Chris
AU  - Platania-Phung C
FAU - Edward, Karen-leigh
AU  - Edward KL
FAU - Castle, David
AU  - Castle D
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20140902
PL  - England
TA  - BMC Psychiatry
JT  - BMC psychiatry
JID - 100968559
RN  - 0 (Lipoproteins, LDL)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cardiovascular Diseases/*diagnosis/psychology
MH  - Case Management/organization & administration
MH  - Community Mental Health Services/organization & administration
MH  - Cross-Sectional Studies
MH  - Early Diagnosis
MH  - Exercise/physiology
MH  - Female
MH  - Humans
MH  - Lipoproteins, LDL/metabolism
MH  - Male
MH  - Mental Disorders/*complications/psychology/therapy
MH  - Mental Health
MH  - Middle Aged
MH  - Patient Care Team/organization & administration
MH  - Professional Role
MH  - Referral and Consultation
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Waist Circumference
MH  - Young Adult
PMC - PMC4156616
EDAT- 2014/09/10 06:00
MHDA- 2015/05/13 06:00
PMCR- 2014/09/02
CRDT- 2014/09/09 06:00
PHST- 2014/03/05 00:00 [received]
PHST- 2014/08/07 00:00 [accepted]
PHST- 2014/09/09 06:00 [entrez]
PHST- 2014/09/10 06:00 [pubmed]
PHST- 2015/05/13 06:00 [medline]
PHST- 2014/09/02 00:00 [pmc-release]
AID - s12888-014-0234-7 [pii]
AID - 234 [pii]
AID - 10.1186/s12888-014-0234-7 [doi]
PST - epublish
SO  - BMC Psychiatry. 2014 Sep 2;14:234. doi: 10.1186/s12888-014-0234-7.