title: Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses.
abstract: Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were self-reported health competencies, medical conditions, and health service utilization. Compared to non-institutionalized U.S. adults, markedly higher proportions screened positive for obesity (60%), hypertension (32%), diabetes (14%), smoking (44%), nicotine dependence (62%), alcohol abuse (17%), drug abuse (11%), and coronary heart disease (10%). A lower proportion screened positive for hyperlipidemia (7%). Multivariable random regression analysis found significant pre- to post-screening increases in participants' self-rated abilities for health practices, competence for health maintenance, and health locus of control. Screening identified 82 instances of undiagnosed diabetes, hypertension or hyperlipidemia, and 76 instances where these disorders were treated but uncontrolled. These results are discussed in the context of how this global public health approach holds promise for furthering the goal of integrating health and mental health care.
authors: University of Illinois at Chicago, Department of Psychiatry, Chicago, Illinois, United States of America.
authors: Judith A
authors: JA
authors: Cook
authors: University of Illinois at Chicago, Department of Psychiatry, Chicago, Illinois, United States of America.
authors: Lisa A
authors: LA
authors: Razzano
authors: Rutgers University and Collaborative Support Programs of New Jersey, Freehold, New Jersey, United States of America.
authors: Margaret A
authors: MA
authors: Swarbrick
authors: University of Illinois at Chicago, Department of Psychiatry, Chicago, Illinois, United States of America.
authors: Jessica A
authors: JA
authors: Jonikas
authors: University of Illinois at Chicago, Department of Psychiatry, Chicago, Illinois, United States of America.
authors: Chantelle
authors: C
authors: Yost
authors: University of Illinois at Chicago, Department of Psychiatry, Chicago, Illinois, United States of America.
authors: Larisa
authors: L
authors: Burke
authors: University of Illinois at Chicago, Department of Psychiatry, Chicago, Illinois, United States of America.
authors: Pamela J
authors: PJ
authors: Steigman
authors: Georgia Regents University, Department of Psychiatry, Augusta, Georgia, United States of America.
authors: Alberto
authors: A
authors: Santos
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012306:Risk; D012307:Risk Factors; D020377:Self Efficacy; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology