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Development and rapid evaluation of services to support the physical health of people using psychiatric inpatient units during the COVID-19 pandemic: study protocol

People diagnosed with a serious mental illness have worse physical health and lower life expectancy than the general population. Integration of mental and physical health services is seen as one service development that could better support this. This protocol describes the evaluation of the provisi...

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Published in:Implementation science communications 2021-02, Vol.2 (1), p.12-9, Article 12
Main Authors: Williams, Julie, Fairbairn, Elli, McGrath, Ray, Clark, Amy, Healey, Andy, Bakolis, Ioannis, Gaughran, Fiona, Sadler, Euan, Khadjesari, Zarnie, Sevdalis, Nick
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creator Williams, Julie
Fairbairn, Elli
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Clark, Amy
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Khadjesari, Zarnie
Sevdalis, Nick
description People diagnosed with a serious mental illness have worse physical health and lower life expectancy than the general population. Integration of mental and physical health services is seen as one service development that could better support this. This protocol describes the evaluation of the provision of a Virtual Physical Health Clinic (VPHC) and Consultant Connect (CC) services to one UK-based mental health Trust. Prospective, formative, pragmatic evaluation using both quantitative and qualitative techniques and driven by implementation science theoretical frameworks. The VPHC and CC are described along with the methodology being used to rapidly evaluate their implementation, effectiveness and potential economic impact in order to inform future roll out. We will assess the implementation process through quantitative data on uptake and reach and through self-reported data to be collected from interviews and the use of validated implementation outcome assessment measures. We will assess implementation strategies using the Expert Recommendations for Implementing Change (ERIC) strategies as a framework. We will assess the health economic impact of both services using established health economic methods including cost comparison scenarios and health service utilisation analyses. Supporting the physical health management of people in psychiatric inpatient units is important in improving the physical health of this population. Integration of mental and physical health can help this to happen effectively. This initiative provides one of the first service evaluation protocols of its kind to be reported in the UK at the time of the COVID-19 pandemic.
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subjects Coronaviruses
Cost-effectiveness
COVID-19
Effectiveness
Health services
Hospitals
Implementation
Integration
Medical research
Mental disorders
Mental health care
Mortality
Pandemics
Patients
Physical health
Schizophrenia
Serious mental illness
Study Protocol
Trusts
title Development and rapid evaluation of services to support the physical health of people using psychiatric inpatient units during the COVID-19 pandemic: study protocol
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