Food insecurity in adults with severe mental illness living in Northern England: Peer research interview findings
Open accessAbstract
Food insecurity means that a person does not have access to sufficient nutritious food for normal growth and health. Food insecurity can lead to many health problems such as obesity, heart disease, diabetes, and other long term health conditions. People living with a severe mental illness are more likely to experience food insecurity than people without mental illness. Peer‐led in‐depth interviews were conducted with adults with severe mental illness from Northern England, during which their experiences of food insecurity and strategies to tackle food insecurity were discussed. Interviews took place between March and December 2022, with interviews being transcribed and analysed using deductive and inductive thematic analysis. Thirteen interviews were conducted, finding that food insecurity in adults with severe mental illness was often a long‐standing issue. Unemployment, the cost‐of‐living crisis and fuel poverty impacted on experiences of food insecurity. Difficulties accessing food banks such as transport, stigma, and the limited selection of available food was also discussed. Strategies to tackle food insecurity centred on making food banks more accessible and improving the quality of available food. Future research should aim to eradicate food insecurity for adults with severe mental illness, as limited research and action focuses on this population group over and above ‘mental illness’ or ‘poor mental health’. Removing barriers to accessing food such as lack of transport, and providing food which is of adequate nutritional quality, should be prioritised, as well as tackling the stigma and accessibility issues surrounding food banks use.
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Earlier NIHR-funded research found instances where service users had to choose between taking their medication on an empty stomach or forgoing it due to inability to secure food.
“Earlier research, funded by the National Institute for Health and Care Research (NIHR) Research for Patient Benefit programme, uncovered instances where service users had to choose between taking their medication on an empty stomach or forgoing it altogether due to their inability to secure food [3].”
From A Mixed-Methods Study Exploring How Food Insecurity Screening can be Embedded in Routine Mental Health Care for Adults With Severe Mental Illness (2026) · cites this paper as [3]
In adults with severe mental illness, food insecurity is particularly concerning due to potential adverse impacts on mental and physical health, medication adherence, and treatment efficacy.
“In adults with Severe Mental Illness (SMI), FI is particularly concerning due to the potential for adverse impacts on both mental and physical health, as well as on medication adherence and treatment efficacy [3].”
From A Mixed-Methods Study Exploring How Food Insecurity Screening can be Embedded in Routine Mental Health Care for Adults With Severe Mental Illness (2026) · cites this paper as [3]
Peer-led qualitative research found that food insecurity in adults with severe mental illness was often long-standing and persistent, shaped by unemployment, rising living costs, and fuel poverty.
“Peer‐led qualitative research with adults living with SMI found that FI was often a long‐standing and persistent issue, shaped by unemployment, rising living costs, and fuel poverty [3].”
From A Mixed-Methods Study Exploring How Food Insecurity Screening can be Embedded in Routine Mental Health Care for Adults With Severe Mental Illness (2026) · cites this paper as [3]
The small number of peer support worker interviews limits generalisability.
“First, the small number of PSW's interviews limits generalisability; however, these accounts provide in‐depth insights consistent with broader literature [3, 5].”
From A Mixed-Methods Study Exploring How Food Insecurity Screening can be Embedded in Routine Mental Health Care for Adults With Severe Mental Illness (2026) · cites this paper as [3]
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
McKinlay, A. R., Fancourt, D., & Burton, A. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02367-8 · Cited by 125 · see citing works
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Tuschick, E., Giles, E., & Smith, J. (2026) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.70257
“…research, funded by the National Institute for Health and Care Research (NIHR) Research for Patient Benefit programme, uncovered instances where service users had to choose between taking their medication on an empty stomach or forgoing it altogether due to their inability to secure food [3].”
InfluentialSelf-citation
- Authors
- Giles, E. L., Eskandari, F., McGeechan, G., Scott, S., Lake, A. A., Teasdale, S., Ekers, D., Augustine, A., Le Savauge, N., Lynch, C., Moore, H., & Smith, J.
- Affiliations
- Teesside University (GB)
- Newcastle University (GB)
- UNSW Sydney (AU)
- Tees, Esk and Wear Valleys NHS Foundation Trust (GB)
- Centre for Mental Health (GB)
- Centre for Mental Health London UK
- Corresponding author
- Giles, Emma L.
- ORCID
- Venue
- International Journal of Mental Health Nursing
- Publisher
- Wiley
- Published
- 2023-12-07
- Volume
- 33
- Issue
- 3
- Pages
- 671-682
- ISSN
- 1445-8330 (ISSN-L)
- 1447-0349
- OpenAlex
- W4389453018
- Cited by
- 13
- References
- 2
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Mental Health Nursing (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TeesRep (Teesside University) (publishedVersion, cc-by)
- Teesside University Research Portal (Teesside University) (publishedVersion, cc-by)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- National Institute for Health and Care Research
- Topics
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Life Sciences › Agricultural and Biological Sciences › General Agricultural and Biological Sciences › Food Security and Socioeconomic Dynamics
- Keywords
- food insecurity, severe mental illness, adults with mental illness, food banks, access barriers, stigma, unemployment, cost-of-living crisis, fuel poverty, transport barriers, nutritional value, Northern England
- MeSH terms
- Food Insecurity, Adult, Mental Disorders, England, Female, Humans, Interviews as Topic, Male, Middle Aged
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