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Description of a clinical intervention among patients admitted to the medium secure forensic psychiatric services in Central Denmark Region

Published online by Cambridge University Press:  01 September 2022

C. Jentz ,
A. Sandbæk ,
A. Andersen ,
H. Kennedy  and
L. Sørensen
C. Jentz*
Affiliation:
Aarhus University Hospital Psychiatry, Department Of Forensic Psychiatry, Aarhus N, Denmark
A. Sandbæk
Affiliation:
Steno Diabetes Center Aarhus, Research And Development, Aarhus, Denmark
A. Andersen
Affiliation:
Steno Diabetes Center Aarhus, Research And Development, Aarhus, Denmark
H. Kennedy
Affiliation:
Trinity College Dublin, Department Of Psychiatry, Dublin, Ireland Central Mental Hospital, Department Of Forensic Psychiatry, Dublin, Ireland
L. Sørensen
Affiliation:
Aarhus University Hospital Psychiatry, Department Of Forensic Psychiatry, Aarhus N, Denmark
*
*Corresponding author.

Abstract

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Introduction

Patients with schizophrenia suffer from increased mortality rates equivalent to 15-20 years shorter life expectancy. Up to 60% of this excess mortality can be explained by preventable, somatic conditions like cardiovascular, metabolic, and respiratory comorbidities. As forensic psychiatric (FP) patients often experience the triple stigmatization of mental illness, substance misuse and criminal conviction, the risk of suboptimal diagnosis and treatment may be high. Although benefits from the addition of general practitioner (GP) services to non-FP wards have been shown elsewhere, this cross-sectoral approach has never been attempted in a Danish FP ward.

Objectives

One purpose of this project is to evaluate the associations between self-reported quality of life and objective measures of somatic health.

Methods

A clinical intervention in which a GP consults patients in all medium secure wards in the Central Denmark Region (N=72). The consultation includes a physical examination, medication review, and evaluation of blood samples. Data is collected from: electronic patient files and questionnaires regarding quality of life (SF-12), lifestyle, and attitude towards GP services.

Results

The population will be described in regards to socio-demographic, clinical, and forensic characteristics. Associations will be made between quality of life (SF-12), metabolic syndrome, blood markers, and heart-SCORE risk. Risk profiles for endocrinologic and coronary illness will be examined.

Conclusions

Results may guide future health interventions and will be used as a basis for adjustments to the current project.

Disclosure

No significant relationships.

Keywords

#Forensic Psychiatry#Multimorbidity#Cross Sectoral#Clinical Intervention
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S602 - S603
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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