Somatic health care in a psychiatric setting

262 p.ill.,SCIENTIFIC REPORT .10 -- 1 GENERAL INTRODUCTION 10 -- 1.1 AIM OF THE STUDY 10 -- 1.2 SCOPE OF THE STUDY 11 -- 1.3 REPORT OUTLINE 14 -- 2 PREVALENCE OF SOMATIC DISORDERS IN PERSONS WITH SEVERE MENTAL ILLNESS .15 -- 2.1 OVERVIEW OF THE EXISTING INTERNATIONAL LITERATURE 15 -- 2.2 SITUATION IN BELGIUM .23 -- 2.3 DISCUSSION 31 -- 3 ORGANISATION OF SOMATIC HEALTH CARE FOR PERSONS WITH SEVERE MENTAL ILLNESS IN BELGIUM 33 -- 3.1 AIM AND METHODS 34 -- 3.2 GLOBAL DESCRIPTION OF THE FOUR SETTINGS 35 -- 3.3 BELGIAN LEGISLATION APPLICABLE TO SOMATIC HEALTH CARE FOR PERSONS WITH SMI 38 -- 3.4 ORGANISATION OF SOMATIC HEALTH CARE FOR PERSONS WITH SMI .39 -- 3.5 FINANCING AND COST OF SOMATIC HEALTH CARE OF PERSONS WITH SMI .41 -- 3.6 SUMMARY OF CHARACTERISTICS OF THE FOUR SETTINGS .46 -- 4 LITERATURE ON BARRIERS AND FACILITATORS OF SOMATIC HEALTH CARE 48 -- 4.1 METHODS .50 -- 4.2 LITERATURE REVIEW 50 -- 4.3 RESULT OF REVIEWS 51 -- 5 THE SOMATIC CARE OF PERSONS WITH SMI: QUALITATIVE RESEARCH ON THE HEALTHCARE PROFESSIONALS’ PERSPECTIVES .76 -- 5.1 METHOD 77 -- 5.2 FINDINGS .79 -- 6 THE SOMATIC CARE OF PERSONS WITH SMI: QUALITATIVE RESEARCH ON THE PATIENTS’ PERSPECTIVES 111 -- 6.1 METHOD .112 -- 6.2 FINDINGS 113 -- 6.3 DISCUSSION QUALITATIVE RESEARCH PART ON HEALTHCARE PROFESSIONALS’ AND PATIENTS’ PERSPECTIVES 129 -- 7 GUIDELINES ON SOMATIC HEALTH CARE FOR PERSONS WITH SMI 131 -- 7.1 METHODS 131 -- 7.2 SEARCH FOR DOCUMENTS 131 -- 7.3 QUALITY APPRAISAL .131 -- 7.4 RESULTS OF GUIDANCE BY COUNTRY 133 -- 7.5 SUMMARY OF CONTENT OF INCLUDED GUIDELINES 138 -- 7.6 APPRAISAL OF THE GUIDELINES AND EXAMPLE OF A PATIENT TRAJECTORY 161 -- 8 DISCUSSION 171 -- 8.1 THE PREVALENCE OF SOMATIC PROBLEMS IN PERSONS WITH A SEVERE MENTAL ILLNESS 171 -- 8.2 BARRIERS AND FACILITATORS OF SOMATIC HEALTH CARE 172 -- 8.3 THE GUIDELINES PRESENT SUFFICIENT EVIDENCE 178 -- 8.4 LIMITATIONS OF THE PROJECT .178 -- APPENDICES 17