Last month, the Department of Health published the ‘Closing the Gap’ report, which highlighted the importance of better integration of physical and mental health care at every level. The report specifically flagged up the need for frontline services to respond better to people who self-harm, and cited statistics that emphasise the cyclical nature of the [read the full story…]
This document is aimed at clinical commissioning groups, health care planners, hospital senior managers, and clinical teams in primary and secondary care. It is an amalgamation of good practice examples where diabetes services have improved, with bed occupancy and costs being reduced. There is a specific focus on elderly, diabetic patients, and other similarly vulnerable [read the full story…]
Background In 2010, Emerson and Baines in a search of the literature on healthcare issues for people with learning disabilities identified at least one study where increased rates had been reported. In 2011, we reported on a US study which found in one cohort, significantly higher prevalence of diabetes in adults with ‘cognitive limitations’ when [read the full story…]
The link between depression and diabetes mellitus (DM) is well established. Around 20% of patients with DM meet diagnostic criteria for depression. The National Institute for Health and Care Excellence (NICE) issued guidance impressing the importance of diagnosing and treating depression in long-term conditions such as DM (NICE, 2009). However, depression in the presence of [read the full story…]
The lines between physical health and mental health are blurred in lots of ways, and one example is the fact that people with chronic physical conditions are also more likely to suffer from depression. As well as adding to their burden of illness, there’s also some evidence that those patients with comorbid depression have worse [read the full story…]
Many have suggested a two-way relationship between periodontitis and diabetes mellitus. Poor glycaemic control is associated with an increase risk of periodontal disease and in 2010 a Cochrane review (Simpson et al) estimated a 0.4% reduction of HbA1c associated with periodontal treatment. At that time Simpson et al noted that there were only a small [read the full story…]
Atypical (second-generation) antipsychotics are used to treat a variety of psychiatric conditions. Although they have fewer side effects than first-generation antipsychotics, weight gain and other metabolic problems (such as high blood pressure and diabetes) remain common side effects of taking atypical antipsychotic medication (Mind, 2012). The Mental Elf has previously blogged about a Canadian report [read the full story…]
Individuals with severe mental illness (SMI) have shortened life expectancies compared to the general population. This is partly down to higher rates of chronic physical illness. Cardiovascular disease (CVD) is the leading cause of death among patients using mental health services. It is assumed that interventions used to reduce CVD are similarly effective in patients with [read the full story…]
In the UK alone it’s estimated over two million adults have type 2 diabetes. That clearly warrants some serious research into its prevention and treatment, including the valuable role of exercise. We also know the effects of diabetes are not confined to physical problems, linked as it is to reduced quality of life as well [read the full story…]
The Healthy Active Lives (HeAL) international consensus statement aims to reverse the trend of people with severe mental illness dying early by tackling risks for future physical illnesses pro-actively and much earlier. The statement is being launched today by the Royal College of Psychiatrists, at a special event focusing on achieving parity between mental and [read the full story…]
