S14: Hidden Care – revelations of a case note audit.

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By September 21, 2017 No Comments

Authors: Nikki Rowlands, Sharon Lawn, Sara Zabeen, Sharon Picot

Year: 2017

Event: 2017 TheMHS Conference

Subject: Wellbeing, Research & Evaluation Informing Practice, Promotion, Prevention, Early Intervention, Comorbidity

Type of resource: Conference Presentations and Papers

Abstract: It is well recognised that the physical health of people with severe mental illness is poor and that they are more likely to suffer a premature death (1, 2). Consistent with the current government policy directives Southern Adelaide Local Health Network Mental Health (SALHN MH) has identified that the promotion of physical health of people within the service is an important aspect of holistic care.

To further understand the landscape of physical health promotion within SALHN MH and to specifically know what was currently being achieved in terms of monitoring and action across the service-user spectrum, case note entries from clinicians over a year period was examined. A random sample of 100 de-identified clients from the electronic data base was used to assess the delivery of physical health care monitoring and support for the individuals receiving a service from SALHN – Mental Health.

In addition, the data was examined to find the level of physical health risks present in the service user population what actions were taken by clinicians. Data from this sample will inform better targeted planning by the clinical team to improve our delivery of physical health care support to people with severe mental illness.

Learning Objectives
Learning Objective 1: The people in the audience will gain a greater understanding of how clinicians are currently promoting mental health and strategies that can be used for promoting physical health across a service.

Learning Objective 2: This topic is relevant to all mental health services and service users as optimal physical health is important to wellbeing and good mental health.

Happell, B. Platania‐Phung, C. & Scott, D. (2014). A systematic review of nurse physical healthcare for consumers utilizing mental health services. Journal of psychiatric and mental health nursing, 21(1), pp. 11-22.
De Hert, M. Correll, C. Bobes, J. Cetkovich-Bakmas, M., Cohen, D. Asai, I., Detraux, J. Gautam, S. Möller, H. Ndetei, D. M., Newcomer, J. Uwakwe, R.& Leucht, S (2011): "Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care." World Psychiatry 10, (1) pp. 52-77.

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