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Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review

Author

Listed:
  • Michael Strunz

    (Psychologische Hochschule Berlin, 10179 Berlin, Germany)

  • Naomi Pua’nani Jiménez

    (Psychologische Hochschule Berlin, 10179 Berlin, Germany)

  • Lisa Gregorius

    (Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Center for Diabetes Research, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany)

  • Walter Hewer

    (Klinikum Christophsbad, 73035 Göppingen, Germany)

  • Johannes Pollmanns

    (Kassenärztliche Vereinigung Nordrhein, 40182 Duesseldorf, Germany)

  • Kerstin Viehmann

    (Institute for Health Services Research and Health Economics, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany)

  • Frank Jacobi

    (Psychologische Hochschule Berlin, 10179 Berlin, Germany)

Abstract

Background: The main contributor to excess mortality in severe mental illness (SMI) is poor physical health. Causes include unfavorable health behaviors among people with SMI, stigmatization phenomena, as well as limited access to and utilization of physical health care. Patient centered interventions to promote the utilization of and access to existing physical health care facilities may be a pragmatic and cost-effective approach to improve health equity in this vulnerable and often neglected patient population. Objective/Methods: In this study, we systematically reviewed the international literature on such studies (sources: literature databases, trial-registries, grey literature). Empirical studies (quantitative, qualitative, and mixed methods) of interventions to improve the utilization of and access to medical health care for people with a SMI, were included. Results: We identified 38 studies, described in 51 study publications, and summarized them in terms of type, theoretical rationale, outcome measures, and study author’s interpretation of the intervention success. Conclusions: Useful interventions to promote the utilization of physical health care for people with a SMI exist, but still appear to be rare, or at least not supplemented by evaluation studies. The present review provides a map of the evidence and may serve as a starting point for further quantitative effectiveness evaluations of this promising type of behavioral intervention.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:126-:d:1011379
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    References listed on IDEAS

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