CYNLLUN CODI CALON/UPLIFTING HEART PROJECT- physical health screening for enduring mental illness

The link between poor physical health and an enduring mental illness diagnosis and high mortality rates is well documented, this project is an innovative way of providing a service which is exclusively devoted to improving the physical health of this client group. This service has existed in Gwynedd, North Wales for 10 years and has a designated Specialist nurse to carry out the screenings.

The consultation takes place at various venues, GP practices, CMHT, Resource centres and clients` homes.

Following screenings the nurse checks all results and ensures the clients access all the necessary services post screenings.

The GP, Psychiatrist and  Care Managers receive all the results to reduce duplication and provide a seamless service and  the client, carer receive the necessary support required post screening, and are given all the necessary information.

Screening involves and includes-

Proactively screening for Diabetes, coronary heart disease

Target modifiable risk factors, smoking, obesity

Monitor and support both clients and carers to make the necessary changes

Improved links between primary care and secondary mental health services

Reduced stigmatisation

G.P educational sessions to all primary care staff about the physical health needs and includes service user involvement in the training

Works closely with CMHT`s, Early intervention for psychosis team in order to target newly diagnosed clients, re lifestyle, diet, medication advice, smoking cessation etc.

Clients are made aware of and referred to smoking cessation, Dietitians, Exercise by Invitation schemes. Allotment, Food co-ops, Green Gym. Strong links have developed between the Diabetes, Respiratory, Cardiac nurses.

An information leaflet has been devised which accompanies the invitation letter explaining the rationale for screening.
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