Specialist ‘general practice’ health services that are delivered within existing mainstream settings and based on a mix of intensive and regular solution-focussed therapy which is carefully and deliberately building on existing strategies to keep on top of things and tackling the whole range/interlocking of complex needs: psychological medical (including dentistry and optometry dermatology physiotherapy and chiropody) domestic (life-skills coaching/mentoring – hygiene and daily rhythms goal-setting/progression around household standards such as decor and furnishing/equipping//hoarding) and social (advicework and befriending and budgeting and tenancy and political and environment engagement and encouraging normal social support networks). British Journal of Psychiatry 2011 199:187-193 Advanced dental disease in people with severe mental illness: systematic review and meta-analysis. Kisely S, Quek L-H, Pais J, Lalloo R, Johnson NW and Lawrence D. We believe policy-makers should also consider providing free, accessible dental care for people with severe mental illness. Patients with mental illness who are treated in the community should be given advice on diet, smoking and brushing technique. When patients are admitted to hospital, their care plans should include a basic assessment of oral hygiene – including factors known to cause oral ill-health such as medication, tobacco and drug use. We believe that oral health should be part of the standard assessment for all patients with severe mental illness. ![]() In a UK survey, the vast majority of psychiatric patients reported that clinical staff had never asked them about any dental problems. This mirrors findings in other areas such as cardiovascular disease, where the health of the general population has improved – but not that of people with severe mental illness. Our analysis shows that, although the oral health of the general population has improved in much of the world, psychiatric patients remain at a disadvantage. ![]() Lead researcher Professor Steve Kisely, of the University of Queensland, said: Some medications such as antidepressants and mood stabilisers can also reduce the flow of saliva and cause dry mouth (xerostomia), which increases plaque formation. They may be reluctant to see a dentist because of they are scared of treatment, or worried about the cost. People with severe mental illness may not be able to prioritise their oral health, or be unable to clean their teeth properly because of poor housing or homelessness. ![]() The researchers believe a combination of factors are to blame. They also had an average of 6 more decayed, filled or missing teeth than people without a psychiatric illness. The researchers found that the psychiatric patients were 3.4 times more likely to have lost all their teeth. ![]() All the psychiatric patients in the studies (2,784) had been diagnosed with severe mental illness, such as schizophrenia, dementia, bipolar disorder or other affective disorders. Researchers from the University of Queensland, Australia, analysed 14 studies into the oral health of people with severe mental illness published over the last 20 years. The research, published in the September issue of the British Journal of Psychiatry, shows that psychiatric patients have not shared in recent improvements in dental health. People with severe mental illnesses like schizophrenia or bipolar disorder are over three times more likely to lose their teeth because of poor oral health than the general population.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |