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dc.contributor.authorLawrence, David
dc.contributor.authorKisely, Stephen
dc.date.accessioned2017-05-03T13:25:37Z
dc.date.available2017-05-03T13:25:37Z
dc.date.issued2010
dc.date.modified2011-11-01T06:57:29Z
dc.identifier.issn0269-8811
dc.identifier.doi10.1177/1359786810382058
dc.identifier.urihttp://hdl.handle.net/10072/37021
dc.description.abstractThere are many factors that contribute to the poor physical health of people with severe mental illness (SMI), including lifestyle factors and medication side effects. However, there is increasing evidence that disparities in healthcare provision contribute to poor physical health outcomes. These inequalities have been attributed to a combination of factors including systemic issues, such as the separation of mental health services from other medical services, healthcare provider issues including the pervasive stigma associated with mental illness, and consequences of mental illness and side effects of its treatment. A number of solutions have been proposed. To tackle systemic barriers to healthcare provision integrated care models could be employed including co-location of physical and mental health services or the use of case managers or other staff to undertake a co-ordination or liaison role between services. The health care sector could be targeted for programmes aimed at reducing the stigma of mental illness. The cognitive deficits and other consequences of SMI could be addressed through the provision of healthcare skills training to people with SMI or by the use of peer supporters. Population health and health promotion approaches could be developed and targeted at this population, by integrating health promotion activities across domains of interest. To date there have only been small-scale trials to evaluate these ideas suggesting that a range of models may have benefit. More work is needed to build the evidence base in this area.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent181461 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherSage Publications
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefromSupp. 61
dc.relation.ispartofpagetoSupp. 68
dc.relation.ispartofissue4
dc.relation.ispartofjournalJournal of Psychopharmacology
dc.relation.ispartofvolume24
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchMental health services
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode420313
dc.subject.fieldofresearchcode52
dc.titleInequalities in healthcare provision for people with severe mental illness
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2010
gro.hasfulltextFull Text
gro.griffith.authorKisely, Steve R.


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