Results: 57

For: physical interventions

Physical health monitoring in serious mental illness is a priority in psychiatry, but where is the evidence that it works?

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It is widely acknowledged that individuals with serious mental illnesses (SMI) such as schizophrenia, bipolar disorder and severe depression have increased rates of mortality, due to poor physical health. As well as reducing quality of life and function and decreasing life expectancy, physical illness can worsen these mental illnesses. The reasons for this include lifestyle [read the full story…]

Systematic review reveals conflicting evidence for relationship between diet and depression

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The question of what role nutrition plays in mental health has been the sauce (ahem) of research interest in recent times. As covered previously by oursElves in relation to dementia, the majority of this research has looked at individual nutrients like Omega-3 fish oil and other minerals, with the broader area of diet receiving less [read the full story…]

Do interventions proven to improve cardiovascular disease outcomes work for individuals with severe mental illness?

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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…]

Behavioural weight-loss interventions can be effective for people with serious mental illness, says new RCT

Food on the brain

People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story…]

“Inactivity costs the NHS an estimated £1.06 billion…” according to report

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Introduction This guidance has been prepared for commissioners and all staff providing lifestyle advice in primary care, including community health and allied health professionals, such as physiotherapists. It aims to raise awareness of the issues caused by inactivity, not just for individuals, but for the health service and economy as a whole, and provides a [read the full story…]

Short term exercise programme improves muscle strength and agility in adolescents with Down syndrome

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The benefits of exercise for a healthy lifestyle are now well understood. However, there are issues relating to the physiology of people with Down syndrome which might suggest limitations to the extent to which they can engage in cardiovascular or resistance exercises. we also know that many people with Down syndrome are overweight or obese. [read the full story…]

Physical interventions governance audit identifies value of multi disciplinary overview

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The use of physical interventions for people with learning disabilities must be within a locally agreed policy framework and as a last resort. Commissioners of services need to be assured that their use is appropriate and that good quality monitoring is taking place. The researchers in this study looked at the work of good practice [read the full story…]

Short term exercise programme reduces anxiety states in people with learning disabilities

Healthy

A state of high anxiety can have an impact on daily living. For people with learning disabilities, anxiety can be common and persistent anxiety can significantly affect people’s quality of life. There is a literature on effects of exercise on reducing anxiety, but the researchers in this study point out that there has been little [read the full story…]

Systematic adoption of positive behavioural support across a service system was associated with reductions in physical interventions

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We have posted previously about the use of physical interventions in services for people with learning disabilities and challenging behavioiur, with BILD estimating their use in around half of all people with learning disabilities and challenging behaviour. (BILD link). The researchers in this organisational case study were interested in whether the adoption of organisation-wide positive [read the full story…]

Clozapine use in women with borderline personality disorder and mild learning disability reduced rates of self injury and use of restraint

Medication

Clozapine is an atypical antipsychotic medication used to treat the symptoms of schizophrenia, most usually used as a treatment of last resort where people have not responded to other anti-psychotic treatments. It has a number of severe side effects including and can also cause the excessive production of saliva and weight gain.. The researchers in [read the full story…]