title: Implementing a physical health strategy in a mental health service.
abstract: OBJECTIVE
  The aim of this paper is to describe a comprehensive metabolic monitoring strategy within an Australian public mental health service.
  
  
  METHODS
  Patient physical health was identified as a high priority within the mental health service. A survey of staff attitudes informed the development of metabolic monitoring guidelines and provision of education for clinicians and patients. An audit was subsequently performed to ascertain rates and results of metabolic monitoring, and focus groups helped to understand patient perspectives.
  
  
  RESULTS
  Despite significant barriers to the implementation of routine metabolic monitoring from both staff and patient perspectives, our programme delivered on around 60% coverage of routine monitoring of blood glucose and lipids and 54% on weight measurement. Compliance with measurement of waist circumference was much less (7%).
  
  
  CONCLUSIONS
  To ensure adherence to metabolic monitoring programmes within mental health services, a comprehensive and multifaceted approach is required with ongoing education of both staff and patients.
authors.affiliation: St. Vincent’s Hospital, The University of Melbourne, 46 Nicholson Street, Fitzroy, VIC 3065, Australia.
authors.forename: Bridget
authors.initials: B
authors.lastname: Organ
authors.forename: Emma
authors.initials: E
authors.lastname: Nicholson
authors.forename: David
authors.initials: D
authors.lastname: Castle
mesh_terms: D000886:Anthropometry; D001315:Australia; D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D001835:Body Weight / Q000502:physiology; D006285:Health Planning; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008055:Lipids / Q000097:blood; D008605:Mental Health Services / Q000458:organization & administration*; D024821:Metabolic Syndrome / Q000517:prevention & control; D008660:Metabolism / Q000502:physiology; D008991:Monitoring, Physiologic; D010353:Patient Education as Topic; D010809:Physical Fitness; D012559:Schizophrenia / Q000150:complications; D016896:Treatment Outcome; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D008055:Lipids