Preventive care practices to address health behaviours among people living with mental health conditions: A survey of Community Managed Organisations

• Main Authors: Lauren Gibson, Tara Clinton-McHarg, Magdalena Wilczynska, Joanna Latter, Kate Bartlem, Corinne Henderson, John Wiggers, Andrew Wilson, Andrew Searles, Jenny Bowman
• Format: Article
• Language: English
• Published: Elsevier 2021-09-01
• Series: Preventive Medicine Reports
• Subjects: Community mental health services; Physical health; Health risk behavior; Chronic disease; Community organisation; Preventive care
• Online Access: http://www.sciencedirect.com/science/article/pii/S2211335521001856

People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases and higher rates of tobacco smoking, poor nutrition, harmful alcohol consumption, physical inactivity and poor sleep behaviours. Community managed organisations (CMOs) may play a valuable role in providing preventive care to people with mental health conditions (consumers) to address these health behaviours. This paper reports the findings of a cross-sectional survey undertaken between November 2018 and February 2019 with leaders of CMOs (n = 76) that support people with mental health conditions in the state of New South Wales, Australia to: 1) measure the provision of preventive care (screening, support, and connections to specialist services) for five health behaviours; 2) identify the presence of key organisational features (e.g., data collection, staff training); and 3) explore if these organisational features were associated with the provision of preventive care. Preventive care provision to a majority of consumers (50% or more) was least frequently reported for tobacco smoking and most frequently reported for physical activity. Staff training and guidelines regarding the provision of preventive care were associated with the provision of such care. The results demonstrate that CMOs are already engaged in providing preventive care to some extent, with certain behaviours and preventive care elements addressed more frequently than others. Further research with additional CMO stakeholders, including staff and consumers, is needed to gain a deeper understanding of factors that may underlie CMOs capacity to routinely provide preventive care.