Using mixed methods to explore diabetes care in a medium-secure setting in England: A case study.
diabetes
forensic
secure setting
severe mental illness
Journal
Health science reports
ISSN: 2398-8835
Titre abrégé: Health Sci Rep
Pays: United States
ID NLM: 101728855
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
24
06
2021
revised:
10
10
2021
accepted:
14
10
2021
entrez:
23
12
2021
pubmed:
24
12
2021
medline:
24
12
2021
Statut:
epublish
Résumé
Diabetes is highly prevalent among individuals with serious mental illness. Managing diabetes in forensic mental health settings presents unique challenges which are under-reported and poorly understood. This study aimed to explore diabetes care in a medium-secure setting and identify key areas for improvement. A single case study design used a retrospective chart review. Qualitative interviews and a focus group were analyzed using thematic analysis. Prevalence of diabetes was over twice that of the general population and highest in female service users. Evidence suggests limited understanding and lack of diabetes education for staff and service users, and difficulties in accessing external diabetes recourses. Constraints inherent to forensic mental health settings contribute to difficulties in accessing external resources and adequate diabetes education. Secure mental health services should adopt a collaborative approach to diabetes care and provide appropriate specialist training to both staff and service users.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Diabetes is highly prevalent among individuals with serious mental illness. Managing diabetes in forensic mental health settings presents unique challenges which are under-reported and poorly understood. This study aimed to explore diabetes care in a medium-secure setting and identify key areas for improvement.
METHODS
METHODS
A single case study design used a retrospective chart review. Qualitative interviews and a focus group were analyzed using thematic analysis.
RESULTS
RESULTS
Prevalence of diabetes was over twice that of the general population and highest in female service users. Evidence suggests limited understanding and lack of diabetes education for staff and service users, and difficulties in accessing external diabetes recourses.
CONCLUSION
CONCLUSIONS
Constraints inherent to forensic mental health settings contribute to difficulties in accessing external resources and adequate diabetes education. Secure mental health services should adopt a collaborative approach to diabetes care and provide appropriate specialist training to both staff and service users.
Identifiants
pubmed: 34938902
doi: 10.1002/hsr2.462
pii: HSR2462
pmc: PMC8671897
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e462Informations de copyright
© 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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