A well-being programme in severe mental illness. Reducing risk for physical ill-health: a post-programme service evaluation at 2 years.
Abstract
INTRODUCTION: Cardiovascular disease is more prevalent in patients with severe mental illness (SMI) than in the general population. METHOD: Seven geographically diverse centres were assigned a nurse to monitor the physical health of SMI patients in secondary care over a 2-year period in the "Well-being Support Programme" (WSP). A physical health screen was performed and patients were given individual weight and lifestyle advice including smoking cessation to reduce cardiovascular risk. RESULTS: Nine hundred and sixty-six outpatients with SMI >2 years were enrolled. The completion rate at 2 years was 80%. Significant improvements were observed in levels of physical activity (p<0.0001), smoking (p<0.05) and diet (p<0.0001). There were no changes in mean BMI although 42% lost weight over 2 years. Self-esteem improved significantly. Low self-esteem decreased from 43% at baseline to 15% at 2 years (p<0.0001). At the end of the programme significant cardiovascular risk factors remained, 46% of subjects smoked, 26% had hypertension and 81% had BMI >25. CONCLUSION: Physical health problems are common in SMI subjects. Many patients completed 2 years follow up suggesting that this format of programme is an acceptable option for SMI patients. Cardiovascular risk factors were significantly improved. Interventions such as the Well-being Support Programme should be made widely available to people with SMI.
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Physical health risk assessments and assertive intervention by primary and secondary medical services have been proposed and have resulted in improvements.
“Physical health risk assessments and assertive intervention by primary and secondary medical services have been proposed and have resulted in improvements [20], [43].”
From Life Expectancy at Birth for People with Serious Mental Illness and Other Major Disorders from a Secondary Mental Health Care Case Register in London (2011) · cites this paper as [43]
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- Authors
- Smith, S., Yeomans, D., Bushe, C. J. P., Eriksson, C., Harrison, T., Holmes, R., Mynors-Wallis, L., Oatway, H., & Sullivan, G.
- Affiliations
- King's College London (GB)
- Eli Lilly (United Kingdom) (GB)
- University of Glamorgan (GB)
- Corresponding author
- Smith, Shubulade
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2007-08-31
- Volume
- 22
- Issue
- 7
- Pages
- 413-418
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W2056543027
- Cited by
- 95
- References
- 32
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 7 · 2013: 12 · 2012: 15
- FWCI
- 4.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- severe mental illness, cardiovascular risk, physical health, nurse-led intervention, physical activity, smoking cessation, diet, weight loss, self-esteem, hypertension, body mass index, lifestyle advice
- MeSH terms
- Smoking Prevention, Adult, Mental Disorders, Cardiovascular Diseases, Female, Health Promotion, Health Status, Humans, Life Style, Male, Middle Aged, Motor Activity, Obesity, Risk Factors, Self Concept, Severity of Illness Index, Smoking, Time Factors, Smoking Cessation, Program Development, Risk Reduction Behavior
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