Bradford VTS Online Resources:

Clinical Knowledge

Mental Health

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path: MENTAL HEALTH

 

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Severe Mental Illness (SMI) & Mortality

Did you know...

Did you know that patients with SMI die 15-20 years EARLIER than their peers in the general population.   Mainly due to CVD problems.   Hence ,the annual health check is important in this vulnerable group.   Don’t just screen – intervene!  Do something about these if present…

  • Alcohol and illicit/non-prescribed drug use
  • Obesity management & Obesity prevention
  • Physical inactivity – brief advice, referral to exercise programmes and activities.social prescribing.
  • Hypertension
  • Type 2 diabetes – prevention and treatment
  • Lipid modification
  • Current smokers: facilitate smoking cessation through pharmacotherapies,
    intensive behavioural support, and methods such as carbon monoxide
    monitoring
And follow them up!   See how they are getting on.

Figures

Compared to the general population, people aged under-75 in contact with mental health services in England have death rates that are :

  • 5 times higher for liver disease
  • 5 times higher for respiratory disease
  • 3 times higher for cardiovascular disease
  • 2 times higher for cancer
Suicide is also an important cause of death in the SMI population. Suicide risk in people with SMI is high following acute psychotic episodes and psychiatric hospitalisation. 

Examples of SMI

  • schizophrenia  – more common in men than women.  In men, it is more common between the ages 16 -24, whereas in women it is similar across all ages
  • bipolar disorder – more common in women than men.  In  men is more common between the ages 35 -44, whereas in women the most common ages of first recording are between 25 and 34
  • Other psychosis – more common in men than women. In men is most common between the ages 16 -24, whereas in women the most common ages of first recording are over 75 years old

Important features in the history

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Important features in the Examination

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