ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019
Understanding Engagement with a Physical Health Service: A Qualitative Study of Patients with Severe Mental Illness.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings.Frontiers in health services · 2025Pooled it
- Examining Access to Primary Care for People With Opioid Use Disorder in Ontario, Canada: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Facilitating Personal Recovery in the Community: a Qualitative Evaluation of a Peer Support Group for Adults with Severe Mental Health Challenges in Rural Australia.Community mental health journal · 2026Article
- Designing Health Care Policy and Systems to Reach and Retain Those with Severe Mental Illness in HIV Prevention and Care Efforts: Insights from Ten US States.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Stage at diagnosis and breast cancer-specific mortality in breast cancer patients treated with antidepressants, anxiolytics, and antipsychotics: a population-based cohort study from Northern Ireland.Breast cancer research and treatment · 2025Article
- Strengthening the delivery of integrated care for individuals experiencing serious mental illness within mental health settings: a qualitative description of health provider perspectives.BMC psychiatry · 2025Article
- Breaking Barriers Transforming Primary Care to Serve the Physical Health Needs of Individuals With SMI in the NHS.International journal of mental health nursing · 2025Review
- Physiotherapy Within Inpatient Mental Health Wards: Involvement, Diagnoses, and Lifestyle Characteristics.Healthcare (Basel, Switzerland) · 2025Article
- Remote Monitoring and Virtual Appointments for the Assessment and Management of Depression via the Co-HIVE Model of Care: A Qualitative Descriptive Study of Patient Experiences.Healthcare (Basel, Switzerland) · 2024Article
- Shortcomings of services for persons with severe and persistent mental health challenges: a qualitative study of service users and family carers.Frontiers in psychiatry · 2024Article
- "It's Not Important"-The Social Constructing of Poor Physical Health as 'Normal' among People with Schizophrenia: Integrated Findings from an Ethnographic Study.International journal of environmental research and public health · 2023Article
- It's not in my head: a qualitative analysis of experiences of discrimination in people with mental health and substance use conditions seeking physical healthcare.Frontiers in psychiatry · 2023Article
- A critical review of research into mental health consumers' perspectives on their physical health: Is there an absence of consumers in the design, conduct, analysis and reporting of this research?Frontiers in public health · 2022Review
- Psychological impact of the COVID-19 pandemic on individuals with serious mental disorders: A systematic review of the literature.World journal of psychiatry · 2021Article
- Flexible assertive community treatment teams can change complex and fragmented service systems: experiences of service providers.International journal of mental health systems · 2021Article
- Potentially preventable hospitalisations for physical health conditions in community mental health service users: a population-wide linkage study.Epidemiology and psychiatric sciences · 2021Article
- Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives.Frontiers in psychiatry · 2021Article
- Navigating the Pathway to Care in Adults With Cerebral Palsy.Frontiers in neurology · 2021Review
- A Smartphone-Based Technique to Detect Dynamic User Preferences for Tailoring Behavioral Interventions: Observational Utility Study of Ecological Daily Needs Assessment.JMIR mHealth and uHealth · 2020Article
- Barriers and facilitators of inpatients and healthcare professionals prior to the implementation of a Multidisciplinary Lifestyle-Focused Approach in the Treatment of Inpatients With Mental Illness (MULTI+): The MULTI+ Study II.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIndividuals with severe mental illness (SMI) are disproportionally affected by medical comorbidities, resulting in poor physical health and premature death. Despite this, care for chronic medical conditions is suboptimal, and there is limited research that explores this phenomenon from the patient's perspective. The aim of this study was to identify barriers and facilitators of engagement with a physical health service experienced by individuals with SMI.
methodsAdults with SMI were recruited from a large psychiatric hospital and offered referral to a physical health service focused on the prevention and treatment of obesity and diabetes. Interviews were conducted at referral, 3, and 6 months. Data from 56 interviews of 24 participants were analyzed using the framework method to identify factors influencing engagement.
resultsBarriers to engagement were identified at individual, medical program, and health system levels. Factors influencing the individual experience included difficulty in care coordination, affective symptomatology, and ability to bond with providers. Factors at the program level included difficulty adjusting to the clinic environment and the inability to achieve treatment goals. Factors at the system level included challenges in attending multiple appointments in a fragmented health system, lack of social support, and financial constraints.
conclusionsThis qualitative study suggests that traditional models of medical care for chronic conditions pose challenges for many individuals with SMI and contribute to health disparities. Adaptation of medical care to populations with SMI and close collaboration between medical and mental health services are necessary to improve medical care and, subsequently, health outcomes.
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