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Mind and Body: Whole Person Care. Facilitated by: Karen Johl Consultant Psychiatrist, Clinical Director West. Mind and Body. The connection between physical and mental health The consequences of not considering the whole person What we can do?.

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Mind and body whole person care
Mind and Body: Whole Person Care

  • Facilitated by:

  • Karen Johl

  • Consultant Psychiatrist, Clinical Director West


Mind and body
Mind and Body

  • The connection between physical and mental health

  • The consequences of not considering the whole person

  • What we can do?



How many people with physical illness experience mental health problems

1 in 16 with physical conditions?

1 in 8

1 in 4

How many people with physical illness experience mental health problems?


How many hospital patients over the age of 65 experience mental health problems

20% with physical conditions?

40%

60%

How many hospital patients over the age of 65 experience mental health problems?


Approximately how many cases of depression in general hospital patients go undetected

A quarter with physical conditions?

Half

Three quarters

Approximately how many cases of depression in general hospital patients go undetected?


5% with physical conditions?

15%

25%

How many people who experience an acute coronary episode (angina or myocardial infarction) will experience an anxiety disorder?



Less likely people with mental health conditions?than a non-depressed person to develop diabetes

More likely

Neither more or less likely

If a person has depression, how likely are they to develop diabetes compared to the general population?


Diabetes people with mental health conditions?

High blood pressure

Heart disease

Breast cancer

Stroke

Bowel cancer

People who have schizophrenia are more likely than other citizens to develop: (select as many as apply)


Seek medical help people with mental health conditions?

Have a lower pain threshold

Adhere to treatment and health monitoring

Be alive 5 years after his diagnosis

Joe has a mental health problem and has been diagnosed with heart disease. Is he more or less likely to:


On average people with mental illness die five to ten years younger than the general population

True people with mental health conditions?

False

On average, people with mental illness die five to ten years younger than the general population.


Summary
Summary people with mental health conditions?

  • The connection between physical and mental health

  • The consequences of not considering the whole person

  • What next?


No health without mental health
No Health Without Mental Health people with mental health conditions?

  • Royal college psychiatrists paper: ALERT

  • Awareness

  • Liaison Services in all general hospitals

  • Engaging Patients & Carers in improving services

  • Re-organisation, Commissioning & Quality Standards for Liaison mental health services  

  • Training & education for all healthcare professionals

  • http://www.rcpsych.ac.uk


Initiatives and opportunities
Initiatives and opportunities people with mental health conditions?

  • Primary care annual health checks for people with mental health problems

  • First step work with long term conditions

  • Peri-natal pathways

  • Mental health care pathways

  • Liaison services: to include training and education

  • Dementia care


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