Bridging the gap: What have we done and what more can we do to reduce the burden of avoidable death in people with psychotic illness?

Suetani, S., Rosenbaum, S., Scott, J. G., Curtis, J. and Ward, P .B. (2016) Bridging the gap: What have we done and what more can we do to reduce the burden of avoidable death in people with psychotic illness?. Epidemiology and Psychiatric Sciences, 25 3: 1-6. doi:10.1017/S2045796015001043


Author Suetani, S.
Rosenbaum, S.
Scott, J. G.
Curtis, J.
Ward, P .B.
Title Bridging the gap: What have we done and what more can we do to reduce the burden of avoidable death in people with psychotic illness?
Journal name Epidemiology and Psychiatric Sciences   Check publisher's open access policy
ISSN 2045-7979
2045-7960
Publication date 2016-01-15
Year available 2016
Sub-type Article (original research)
DOI 10.1017/S2045796015001043
Open Access Status DOI
Volume 25
Issue 3
Start page 1
End page 6
Total pages 6
Place of publication Rome, Italy
Publisher Cambridge University Press
Collection year 2017
Language eng
Formatted abstract
Despite overwhelming evidence demonstrating a persisting gap in life expectancy between those with psychotic illness and the general population, there has been no widespread implementation of interventions to improve the physical wellbeing of people with psychotic illness. This article explores opportunities to ‘Bridge the Gap’ in life expectancy. We describe an Australian evidence-based intervention that has substantially improved the physical health of young people recently commenced on antipsychotic medication. Further epidemiological research, accompanied by cultural change within mental health services, is an essential precursor to the implementation of effective and sustainable lifestyle interventions. There are other relatively neglected areas of physical wellbeing for people with psychotic illness, such as screening and diagnosis of malignancies, which need more research and clinical attention. While there has been progress with intervention development and evaluation, translation of evidence-based short-term intervention studies into feasible and sustainable system-wide changes within routine mental health service settings remains a challenge. Developing an implementation framework to support such change is an urgent priority so as to bridge the persisting premature mortality in people living with psychotic illness.
Keyword Epidemiology
Oncology
Primary care
Psychosis
Risk factors
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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