What are we doing?

This programme’s main aim is to develop a culturally appropriate, practical and effective intervention that will achieve better physical and mental health in people with SMI, by improving lifestyle choices and reducing substance use. In doing this, we hope to drive down the risk of developing health problems such as cancer, heart disease and diabetes and therefore reduce the excess mortality rate in this population.

There are three parts to the Programme.

Firstly, in a study named PUMP, we are following up people from their first presentation with psychosis to assess their physical and mental health after one year, to see in particular, how this relates to people’s lifestyle choices in terms of diet, exercise and substance use. We also hope to be able to identify people most at risk of subsequently developing cardiovascular risk factors when they first present with psychosis, so that we can try to stop these risk factors developing in the first place.

Secondly, we have devised a health promotion intervention (HPI) to work with people with psychosis to help them choose healthier lifestyles. We have now published an IMPACT Manual, an IMPACT Reference Guide and an IMPACT Service Users Handbook.

Finally, we are working with other NHS Trusts across the country on a randomized controlled trial of the HPI. We want to see whether training and supervising care coordinators in using IMPACT with their patients will result in better quality of life and fewer cardiovascular risk factors for the patients. We are also assessing whether the HPI is cost-effective.

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