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Organization of Community Mental Health Services for Persons with a Severe Mental Illness and Comorbid Somatic Conditions: A Systematic Review on Somatic Outcomes and Health Related Quality of Life

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  • Nicolaas Martens

    (Collaborative Antwerp Psychiatric Research Institute (CAPRI), Antwerp University, B-2000 Antwerp, Belgium
    Multiversum Mental Health Services, B-2530 Boechout, Belgium
    Department of Health and Welfare, Karel De Grote University College, B-2018 Antwerp, Belgium)

  • Marianne Destoop

    (Collaborative Antwerp Psychiatric Research Institute (CAPRI), Antwerp University, B-2000 Antwerp, Belgium
    Multiversum Mental Health Services, B-2530 Boechout, Belgium)

  • Geert Dom

    (Collaborative Antwerp Psychiatric Research Institute (CAPRI), Antwerp University, B-2000 Antwerp, Belgium
    Multiversum Mental Health Services, B-2530 Boechout, Belgium)

Abstract

It is well established that persons with a severe mental illness (SMI) have a greater risk of physical comorbid conditions and premature mortality. Most studies in the field of community mental health care (CMHC) have only focused on improving cardiovascular health in people with a SMI using lifestyle approaches. Studies using organizational modifications are rather scarce. This systematic review aimed to synthesize and describe possible organizational strategies to improve physical health for persons with a SMI in CMHC. The primary outcome was Health-related Quality of Life (HR-QOL). Results suggested modest effects on quality of life and were inconsistent throughout all the included studies. Despite these findings, it appears that a more integrated approach had a positive effect on health outcomes, patient satisfaction and HR-QOL. The complexity of the processes involved in community care delivery makes it difficult to compare different models and organizational approaches. Mental health nurses were identified as possible key professionals in care organization, but no clear description of their role was found. This review could provide new insights into contributing factors for integrated care. Future research targeting the identification of the nurses’ role and facilitating factors in integrated care, in order to improve treatment and follow-up of somatic comorbidities, is recommended.

Suggested Citation

  • Nicolaas Martens & Marianne Destoop & Geert Dom, 2021. "Organization of Community Mental Health Services for Persons with a Severe Mental Illness and Comorbid Somatic Conditions: A Systematic Review on Somatic Outcomes and Health Related Quality of Life," IJERPH, MDPI, vol. 18(2), pages 1-19, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:462-:d:477174
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    References listed on IDEAS

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    1. Daniel Bressington & Ashish Badnapurkar & Sachiko Inoue & Hin Yeung Ma & Wai Tong Chien & Deborah Nelson & Richard Gray, 2018. "Physical Health Care for People with Severe Mental Illness: the Attitudes, Practices, and Training Needs of Nurses in Three Asian Countries," IJERPH, MDPI, vol. 15(2), pages 1-14, February.
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    Cited by:

    1. Michael Strunz & Naomi Pua’nani Jiménez & Lisa Gregorius & Walter Hewer & Johannes Pollmanns & Kerstin Viehmann & Frank Jacobi, 2022. "Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-17, December.
    2. Nicolaas Martens & Marianne Destoop & Geert Dom, 2022. "Physical Healthcare, Health-Related Quality of Life and Global Functioning of Persons with a Severe Mental Illness in Belgian Long-Term Mental Health Assertive Outreach Teams: A Cross-Sectional Self-R," IJERPH, MDPI, vol. 19(9), pages 1-16, May.
    3. Nicolaas Martens & Eline De Haeck & Evelyn Van De Vondel & Marianne Destoop & Kirsten Catthoor & Geert Dom & Kris Van Den Broeck, 2023. "Physical Healthcare for People with a Severe Mental Illness in Belgium by Long-Term Community Mental Health Outreach Teams: A Qualitative Descriptive Study on Physicians’, Community Mental Health Work," IJERPH, MDPI, vol. 20(1), pages 1-12, January.

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