Practical recommendations for improvement of the physical health care of patients with severe mental illness

• Published in: Acta psychiatrica Scandinavica Vol. 131; no. 5; pp. 387 - 396
• Main Authors: van Hasselt, F. M., Oud, M. J. T., Loonen, A. J. M.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01.05.2015
• Subjects: Cardiovascular Diseases - prevention & control; Cardiovascular Diseases - psychology; Caregivers; Communication Barriers; Community mental health services; Consensus; Delphi Technique; general practice; General Practitioners; Group health insurance; Health care policy; health promotion; Health Status Disparities; Humans; Illnesses; Interdisciplinary Communication; Mental disorders; Mental Disorders - diagnosis; Mental Disorders - physiopathology; Needs Assessment; Netherlands; patient participation; Policy Making; Psychiatric Status Rating Scales; Psychiatry; Qualitative Research; Quality Improvement; Netherlands; health promotion; qualitative research; Community mental health services; general practice; patient participation
• ISSN: 0001-690X; 1600-0447
• DOI: 10.1111/acps.12372

Objective Health care for the physical health of patients with severe mental illness (SMI) needs to be improved. Therefore, we aimed to develop policy recommendations to improve this physical health care in the Netherlands based on consensus (general agreement) between the major stakeholders. Method A modified Delphi was used to explore barriers and subsequently establish policy recommendations with all key stakeholders. Consensus was sought between patients with SMI, their family carers, general practitioners, and mental healthcare professionals – all experts in the everyday practice of health care. Results Consensus was reached on policy recommendations regarding (i) improvements in collaboration between healthcare professionals, (ii) the need for professional education on the specific medical risks of patients with SMI, and (iii) the distinguished responsibilities of general practitioners on the one hand and mental healthcare professionals on the other hand in taking care of patients' physical health. Conclusion This article provides a range of policy recommendations that could lead to considerable improvements in the physical health of SMI patients.