The perceptions of mental health clinicians integrating exercise as an adjunct to routine treatment of depression and anxiety.

Autor:	Garvey, Loretta, Benson, Amanda Clare, Benger, Debra, Short, Tamsin, Banyard, Harry, Edward, Karen‐Leigh
Předmět:	ANXIETY treatment MENTAL health personnel THERAPEUTICS OCCUPATIONAL roles COMPUTER software HEALTH services accessibility PROFESSIONS ATTITUDES of medical personnel RESEARCH methodology MENTAL health INTERVIEWING COMMUNITY health services QUALITATIVE research RISK assessment PSYCHOSOCIAL factors MENTAL depression MEDICAL referrals HEALTH JUDGMENT sampling STATISTICAL sampling THEMATIC analysis EXERCISE therapy COMORBIDITY MENTAL health services PERSONNEL management VIDEO recording PATIENT safety
Zdroj:	International Journal of Mental Health Nursing; Apr2023, Vol. 32 Issue 2, p502-512, 11p
Abstrakt:	Individuals with depressive symptoms often experience changes in physical activity and lifestyle factors. Despite the benefits of exercise, mental health clinicians often do not refer for or prescribe exercise as part of traditionally accepted models of care for consumers with depression and anxiety. The aims were to investigate: (i) mental health clinicians' understanding of the relationship between exercise and mental health, (ii) if and how exercise is used by mental health clinicians in treatment for depression and anxiety, and (iii) the barriers to prescription of exercise. A descriptive qualitative method was used, and data were collected via individual semi‐structured interviews. Ten mental health clinicians with varying backgrounds participated in this study. The data driven inductive analysis of participants views identified three themes: (i) knowing and not knowing, (ii) consumer comorbidities – the risk and benefit dilemma, and (iii) protecting vulnerable consumers. Enhancing clinicians' knowledge of the beneficial role of exercise in treatment for consumers' experiencing depression and anxiety is an important step. Mental health services can support integration of exercise by implementing policies and training for staff to support exercise prescription, and the role and referral of exercise and physical activity specialists, as part of routine care to improve clinical outcomes for consumers. Additional considerations should be given to fiscal support to access exercise as an adjunct therapy. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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