Abstract
Excess mortality in persons with severe mental disorders (SMD) is a major public health challenge that warrants action. The number and scope of truly tested interventions in this area remain limited, and strategies for implementation and scaling up of programmes with a strong evidence base are scarce. Furthermore, the majority of available interventions focus on a single or an otherwise limited number of risk factors. Here we present a multilevel model highlighting risk factors for excess mortality in persons with SMD at the individual, health system and socio-environmental levels. Informed by that model, we describe a comprehensive framework that may be useful for designing, implementing and evaluating interventions and programmes to reduce excess mortality in persons with SMD. This framework includes individual-focused, health system-focused, and community level and policy-focused interventions. Incorporating lessons learned from the multilevel model of risk and the comprehensive intervention framework, we identify priorities for clinical practice, policy and research agendas.
Original language | English (US) |
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Pages (from-to) | 30-40 |
Number of pages | 11 |
Journal | World Psychiatry |
Volume | 16 |
Issue number | 1 |
DOIs | |
State | Published - Feb 1 2017 |
Keywords
- Excess mortality
- bipolar disorder
- community level and policy-focused interventions
- depression
- health system-focused interventions
- individual-focused interventions
- physical health
- risk factors
- schizophrenia
- severe mental disorders
ASJC Scopus subject areas
- Phychiatric Mental Health
- Psychiatry and Mental health