wow-inequalities/02-data/intermediate/wos_sample/a0815b6d8ad9c3f5bc8187f435f6c907-sachar-amrit-and-br/info.yaml

141 lines
4.8 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'ContextIn 2019, NHS England and Diabetes UK convened an Expert Working
Group (EWG) in order to develop a Model and recommendations to guide
commissioning and provision of mental health care in diabetes pathways
and diabetes care in mental health pathways. The recommendations are
based on a combination of evidence, national guidance, case studies and
expert opinion from across the UK and form other long term conditions.
The case for integrationThere is good the evidence around the high
prevalence of co-morbidity between diabetes and mental illness of all
severities and, the poorer diabetes and mental health outcomes for
patients when this co-morbidity exists. Detecting and managing the
mental health co-morbidity improves these outcomes, but the evidence
suggests that detection of mental illness is poor in the context of
diabetes care in community and acute care settings and that when it is
detected, the access to appropriate mental health resource is variable
and generally inadequate. The Model of integrated care for diabetesThe
EWG developed a one-page Model with five core principles and five
operational work-streams to support the delivery of integration, with
examples of local case studies for local implementation. The five core
principals are: Care for all-describing how care for all PWD needs to
explore what matters to them and that emotional wellbeing is supported
at diagnosis and beyond; Support and information-describing how HCPs
should appropriately signpost to mental health support and the need for
structured education programmes to include mental healthcare
information; Needs identified-describing how PWD should have their
mental health needs identified and acted on; Integrated care-describing
how people with mental illness and diabetes should have their diabetes
considered within their mental health care; Specialist care-describing
how PWD should be able to access specialist diabetes mental health
professionals. The five cross cutting work-streams for operationalising
the principles are: Implementing training and upskilling of HCPs;
Embedding mental health screening and assessment into diabetes pathways;
Ensuring access to clear, integrated local pathways; Ensuring addressing
health inequalities is incorporated at every stage of service
development; Improving access to specialist mental health services
through commissioning. Discussion and conclusionsThe Model can be
implemented in part or completely, at an individual level, all the way
up to system level. It can be adapted across the life span and the UK,
and having learnt from other long term conditions, there is a lot of
transferability across all long term conditions There is an opportunity
for ICBs to consider economies of scale across multiple long term
conditions for which there will be a significant overlap of patients
within the local population. Any local implementation should be in
co-production with experts by experience and third sector providers.'
affiliation: 'Sachar, A (Corresponding Author), Imperial Coll Healthcare NHS Trust,
Charing Cross \& Hammersmith Hosp, Liaison Psychiat Serv, London, England.
Sachar, A (Corresponding Author), West London NHS Trust, London, England.
Sachar, Amrit, Imperial Coll Healthcare NHS Trust, Charing Cross \& Hammersmith
Hosp, Liaison Psychiat Serv, London, England.
Sachar, Amrit, West London NHS Trust, London, England.
Ng, Sze May, Southport \& Ormskirk NHS Trust, Paediat Dept, Southport, England.
Ng, Sze May, Univ Liverpool, Dept Womens \& Childrens Hlth, Liverpool, England.'
author: Sachar, Amrit and Breslin, Niki and Ng, Sze May
author-email: amrit.sachar@nhs.net
author_list:
- family: Sachar
given: Amrit
- family: Breslin
given: Niki
- family: Ng
given: Sze May
da: '2023-09-28'
doi: 10.1111/dme.15029
earlyaccessdate: JAN 2023
eissn: 1464-5491
files: []
issn: 0742-3071
journal: DIABETIC MEDICINE
keywords: 'commissioning; diabetes pathway; integration; mental health; mental
illness; psychological; self care'
keywords-plus: 'IMPROVE GLYCEMIC CONTROL; PSYCHOLOGICAL INTERVENTIONS;
PSYCHIATRIC-DISORDERS; RISK; PEOPLE; ADULTS; METAANALYSIS; DEPRESSION;
OUTCOMES; ILLNESS'
language: English
month: APR
number: '4'
number-of-cited-references: '55'
orcid-numbers: Ng, Sze/0000-0002-3449-0541
papis_id: 90eac81200ca20cbfa1d66e4d50d5f25
ref: Sachar2023integratedcare
researcherid-numbers: Ng, Sze/E-2646-2012
times-cited: '1'
title: 'An integrated care model for mental health in diabetes: Recommendations for
local implementation by the Diabetes and Mental Health Expert Working Group in England'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000913167500001
usage-count-last-180-days: '3'
usage-count-since-2013: '3'
volume: '40'
web-of-science-categories: Endocrinology \& Metabolism
year: '2023'