Physical health care in mental illness

Research has shown that people diagnosed with mental health problems, particularly patients with serious mental illness, are at a much-increased risk for physical diseases such as diabetes, cancer, or cardiovascular conditions.

Unfortunately, people with severe mental illness die, on average, 15-20 years earlier than the general population.

Despite requiring additional care, physical health conditions in this group are generally underdiagnosed and not managed effectively. Screening and monitoring are also neglected.

In addition, mental health patients frequently lack support in addressing lifestyle-related risk factors and they experience access disparities to health care (see Nursing, Midwifery and AHPs [5]; Corscadden L et al [1]).

In this module we introduce the different dimensions of health and discuss how mental and physical health interact. Subsequently, the origins of poor physical health in people with psychiatric conditions are summarised.

We then discuss the components of integrated care for assessing, protecting, and improving the physical health of persons suffering from mental illness. Finally, we look at practical techniques for nurses aiming to support patients in making healthier lifestyles choices.