Improving the physical health of people with severe mental illness: boundaries of care provision

Ehrlich, Carolyn, Kendall, Elizabeth, Frey, Nicolette, Kisely, Steve, Crowe, Elizabeth and Crompton, David (2014) Improving the physical health of people with severe mental illness: boundaries of care provision. International Journal of Mental Health Nursing, 23 3: 243-251. doi:10.1111/inm.12050


Author Ehrlich, Carolyn
Kendall, Elizabeth
Frey, Nicolette
Kisely, Steve
Crowe, Elizabeth
Crompton, David
Title Improving the physical health of people with severe mental illness: boundaries of care provision
Journal name International Journal of Mental Health Nursing   Check publisher's open access policy
ISSN 1447-0349
1445-8330
Publication date 2014-06-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/inm.12050
Volume 23
Issue 3
Start page 243
End page 251
Total pages 9
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell
Language eng
Abstract There is compelling evidence that the physical health of people with severe mental illness is poor. Health-promotion guidelines have been recommended as a mechanism for improving the physical health of this population. However, there are significant barriers to the adoption of evidence-based guidelines in practice. The purpose of this research was to apply existing implementation theories to examine the capability of the health system to integrate physical health promotion into mental health service delivery. Data were collected within a regional city in Queensland, Australia. Fifty participants were interviewed. The core theme that emerged from the data was that of 'care boundaries' that influenced the likelihood of guidelines being implemented. Boundaries existed around the illness, care provision processes, sectors, the health-care system, and society. These multilevel boundaries, combined with participants' ways of responding to them, impacted on capability (i.e. the ability to integrate physical health promotion into existing practices). Participants who were able to identify strategies to mediate these boundaries were better positioned to engage with physical health-promotion practice. Thus, the implementation of evidence-based guidelines depended heavily on the capability of the workforce to develop and adopt boundary-mediating strategies.
Keyword General theory of implementation
Guideline
Health promotion
Physical health
Severe mental illness
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 10 times in Scopus Article | Citations
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