Journal article

Promoting physical health in youth mental health services: ensuring routine monitoring of weight and metabolic indices in a first episode psychosis clinic

Sarah Hetrick, Mario Alvarez-Jimenez, Alexandra Parker, Frank Hughes, Michaela Willet, Katherine Morley, Richard Fraser, Patrick McGorry, Andrew Thompson

Australasian Psychiatry | SAGE PUBLICATIONS LTD | Published : 2010

Abstract

OBJECTIVE: Clinicians are increasingly being asked to implement guideline recommendations into their practice, but are given little practical guidance on this complex task. In this paper we outline a promising theory-driven approach we took to implementing guideline recommendations about routine monitoring of weight gain and metabolic disturbance in our first-episode psychosis clinic. While there is significant psychological and physical morbidity associated with weight gain and metabolic disturbance, routine monitoring was not being undertaken according to guideline recommendations. We examined the factors that make it difficult to undertake routine monitoring by interviewing psychiatrists...

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