Responding to challenges for people with psychotic illness: Updated evidence from the survey of high impact psychosis

Morgan, Vera A., Waterreus, Anna, Carr, Vaughan, Castle, David, Cohen, Martin, Harvey, Carol, Galletly, Cherrie, Mackinnon, Andrew, McGorry, Patrick, McGrath, John J., Neil, Amanda L., Saw, Suzy, Badcock, Johanna C., Foley, Debra L., Waghorn, Geoff, Coker, Sarah and Jablensky, Assen (2017) Responding to challenges for people with psychotic illness: Updated evidence from the survey of high impact psychosis. Australian and New Zealand Journal of Psychiatry, 51 2: 124-140. doi:10.1177/0004867416679738


Author Morgan, Vera A.
Waterreus, Anna
Carr, Vaughan
Castle, David
Cohen, Martin
Harvey, Carol
Galletly, Cherrie
Mackinnon, Andrew
McGorry, Patrick
McGrath, John J.
Neil, Amanda L.
Saw, Suzy
Badcock, Johanna C.
Foley, Debra L.
Waghorn, Geoff
Coker, Sarah
Jablensky, Assen
Title Responding to challenges for people with psychotic illness: Updated evidence from the survey of high impact psychosis
Journal name Australian and New Zealand Journal of Psychiatry   Check publisher's open access policy
ISSN 0004-8674
1440-1614
Publication date 2017-01-01
Year available 2016
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1177/0004867416679738
Open Access Status Not yet assessed
Volume 51
Issue 2
Start page 124
End page 140
Total pages 17
Place of publication London, United Kingdom
Publisher Sage
Collection year 2017
Language eng
Formatted abstract
Objective: The objective is to summarise recent findings from the 2010 Australian Survey of High Impact Psychosis
(SHIP) and examine their implications for future policy and planning to improve mental health, physical health and other
circumstances of people with a psychotic disorder.
Methods: Survey of High Impact Psychosis collected nationally representative data on 1825 people with psychotic illness.
Over 60 papers have been published covering key challenges reported by participants: financial problems, loneliness and social isolation, unemployment, poor physical health, uncontrolled symptoms of mental illness, and lack of stable,
suitable housing. Findings are summarised under the rubric of participant-ranked top challenges.
Results: The main income source for the majority (85%) of participants was a government benefit. Only one-third was
employed, and the most appropriate employment services for this group were under-utilised. High rates of loneliness
and social isolation impacted mental and physical health. The rate of cardiometabolic disease was well above the general
population rate, and associated risk factors were present from a very young age. Childhood abuse (30.6%), adult violent
victimisation (16.4%) and alcohol and substance abuse/dependence (lifetime rates of 50.5% and 54.5%, respectively) complicated the clinical profile. Treatment with medication was suboptimal, with physical health conditions undertreated,
a high rate of psychotropic polypharmacy and underutilisation of clozapine in chronic persistent psychotic illness. Only
38.6% received evidence-based psychosocial therapies. In the previous year, 27.4% had changed housing and 12.8% had
been homeless, on average for 155days.
Conclusion: Money, social engagement and employment are the most important challenges for people with psychotic
illness, as well as good physical and mental health. An integrated approach to recovery is needed to optimise service
delivery and augment evidence-based clinical practice with measures to improve physical health and social circumstances.
Meeting these challenges has the potential to reduce costs to government and society, as well as promote recovery.
Keyword Employment
physical health
schizophrenia
Social isolation
Victimisation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
Queensland Brain Institute Publications
School of Medicine Publications
 
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Created: Wed, 01 Mar 2017, 13:30:10 EST by Kirstie Asmussen on behalf of School of Music