Ensuring That People With Severe Mental Illness Have Their Physical Health Needs Met

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Jerina Spicer

“HOW I WOULD ENSURE THAT COMMUNITY MENTAL HEALTH TEAMS AND PRIMARY CARE SERVICES EFFECTIVELY ADDRESSED THE PHYSICAL HEALTHCARE NEEDS OF PATIENTS WITH SEVERE AND ENDURING MENTAL HEALTH NEEDS.”

SOME FACTS ABOUT SMI AND PHYSICAL HEALTH People with SMI have physical health needs that are poorly understood  Due to their mental health problems, people with SMI often don’t seek help for their physical health problems and can be neglected, with the likelihood, therefore, of a reduction in both their quality of life and life expectancy 

Jerina Spicer

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PRIMARY CARE SERVICES GPs  Accident & Emergency  Dentist  Opticians  Pharmacists PCTs must make sure there are enough services for people within the area and that these services are accessible. They must also make sure that all other health services are provided. 

Jerina Spicer

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COMMUNITY MENTAL HEALTH SERVICES AOT  Rehab clinical and non  Continuing care Clinical staff  HTT   CMHTs must ensure that they give lifestyle advice on diet, exercise, smoking and alcohol ; provide information to carers and patients on availability of services and support patients to access primary care services. 

Jerina Spicer

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MY ROLE AS A PHYSICAL HEALTH NURSE ADVISER WOULD INCLUDE Raising awareness  Educating  Supporting  Liaison and partnership working  User involvement  Developing clear protocols 

Jerina Spicer

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RAISING AWARENESS   Of specific physical health needs of SMI patients amongst practice staff through appropriate education and support  Of services available and how to access them  Of options available and what support there is 

Jerina Spicer

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EDUCATION GP practices education (Onsite support to practices)- specific sessions, monthly  CMHT staff (training to accommodate both nonnursing and nursing staff) – linked to developed protocols  Face to face meetings with staff  providing expertise, guidance and direction  Patients  Carers Taking into account gender, cultural and ethnic needs when providing information and leaflets. 

Jerina Spicer

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SUPPORTING

Jerina Spicer

CMHT staff with  Setting up and running healthy living/wellbeing groups in the community  Involving carers in their relatives care  Working closely with PCT staff And  Attending some patient reviews/CPAs  Discussing specific cases with individual staff  Acting as a sounding board for both PCT and CMHT

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LIAISING AND PARTNERSHIP WORKING Linking hospital care to the care of patients within the community  Ensuring continuity of care implemented in either setting  Ensuring that GP practices receive all relevant documentation with regards changes in patient’s care/treatment/medication  Ensuring that CMHT staff receive all relevant documentation from GPs with regards physical health 

Jerina Spicer 30/07/08

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ONGOING REVIEW Performance review  Auditing  Feedback from carers and patients  Feedback from staff  Feedback to all 

Jerina Spicer

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CONCLUSIONS Effective communication  Partnership working  User and carer involvement  Education  Direct involvement 

Jerina Spicer

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QUESTIONS

Jerina Spicer

?? Thank you

Jerina Spicer MA, PG Dip, RN(MH), Dip Ed 2009

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