What is effective in promoting a healthy lifestyle in secure psychiatric settings? A review of the evidence for an integrated programme that targets modifiable health risk behaviours
| Autor: | Arleen Rowell, Samantha Rigg, Frank Livesey, Peter McAllister, Clive Long |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Restructuring media_common.quotation_subject Psychological intervention Physical health Libertarian paternalism 030227 psychiatry Pathology and Forensic Medicine 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Originality medicine 030212 general & internal medicine Health risk Psychology PSYCHIATRIC FACILITY Psychiatry Law Practical implications Applied Psychology media_common |
| Zdroj: | Journal of Forensic Practice. 18:204-215 |
| ISSN: | 2050-8794 |
| Popis: | Purpose– The purpose of this paper is to describe healthy lifestyle initiatives in a secure psychiatric facility and the evidence base for these interventions.Design/methodology/approach– Following a detailed review of the literature on the physical health of psychiatric inpatients, a trans-diagnostic approach to behaviour change is advocated in selected areas.Findings– Lifestyle strategy proposals were produced that incorporate the principle of “libertarian paternalism” in making changes to eating and exercise behaviour; a programme of motivational and reinforcement strategies; and facility-specific environmental restructuring to include maximising the therapeutic use of green space.Practical implications– Instituting described changes needs to be accompanied by a programme of evaluation to assess intervention-specific physical health changes.Originality/value– This paper provides a synthesis of findings in key areas of behaviour change relevant to improving the physical health of psychiatric patients in secure settings. It is a co-ordinated and interlinked lifestyle strategy that has applicability to similar services. |
| Databáze: | OpenAIRE |
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