The Psychiatrist (2009) 33: 445-448. doi: 10.1192/pb.bp.107.019265
© 2009 The Royal College of Psychiatrists
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Service innovation: the first year of lifestyle clinics for psychiatric out-patients{dagger}

Ross Hamilton, Consultant Psychiatrist

NHSGrampian, Royal Cornhill Hospital, Aberdeen AB25 2ZH, email: r.hamilton{at}abdn.ac.uk

Mark Harrison, Senior House Officer

General Adult Psychiatry, NHS Grampian, Royal Cornhill Hospital

Simon Naji, Reader

Faculty of Health and Social Care, The Robert Gordon University, Aberdeen

Carol Robertson, Consultant Psychiatrist

NHS Grampian, Royal Cornhill Hospital, Aberdeen

Declaration of interest

None.

{dagger} See invited commentary, pp. 448–450, this issue.

AIMS AND METHOD

We sought to develop and introduce annual physical health checks and offer lifestyle advice for out-patients diagnosed with schizophrenia or bipolar disorder in two semi-rural areas in the north-east of Scotland. The results for the first year of the clinics are presented.

RESULTS

Seventy-eight patients were invited to the clinics in the first year. Attendance rates varied from 76% in one centre to 38% in the other; 75 individual significant physical health problems were identified and highlighted to the patient and their general practitioner.

CLINICAL IMPLICATIONS

The high attendance rate in one half of the catchment area demonstrates the potential for physical health screening for this vulnerable group of patients. The identification of significant levels of previously undiagnosed physical morbidity offers opportunity for intervention. Several innovative lifestyle interventions arose from the project and have been maintained.


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Falling between the cracks. Invited commentary on . . . Service innovation: the first year of lifestyle clinics for psychiatric outpatients
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The Psychiatrist 2009 33: 448-450. [Abstract] [Full Text]  



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F. Gaughran
Falling between the cracks. Invited commentary on . . . Service innovation: the first year of lifestyle clinics for psychiatric outpatients
The Psychiatrist, December 1, 2009; 33(12): 448 - 450.
[Abstract] [Full Text] [PDF]