Development and rapid evaluation of services to support the physical health of people using psychiatric inpatient units during the COVID-19 pandemic: study protocol

Julie Williams¹, Elli Fairbairn^{2

3}, Ray McGrath^{2

3}, Amy Clark⁴, Andy Healey⁴, Ioannis Bakolis^{5

6}, Fiona Gaughran^{7

8}, Euan Sadler⁹, Zarnie Khadjesari¹⁰, Nick Sevdalis⁵; IMPHS group

Collaborators, Affiliations

Collaborators

IMPHS group:
Kate Lillywhite, Isabel McMullen, Prashanth Reddy, Gavin Shields

Affiliations

¹ Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. julie.williams@kcl.ac.uk.
² South London and Maudsley NHS Foundation Trust, London, UK.
³ King's Health Partners Mind and Body Programme, Ground Floor, Counting House, Guy's Hospital St Thomas St, London, UK.
⁴ Kings Health Economics, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁵ Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁶ Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁷ Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁸ National Psychosis Service, South London and Maudsley NHS Foundation Trust, London, UK.
⁹ Department of Nursing, Midwifery and Health, School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
¹⁰ Behavioural and Implementation Science (BIS) research group, School of Health Sciences, University of East Anglia, Norwich Research Park, Norwich, UK.

PMID: 33536083
PMCID: PMC7856607
DOI: 10.1186/s43058-021-00113-0

Development and rapid evaluation of services to support the physical health of people using psychiatric inpatient units during the COVID-19 pandemic: study protocol

Julie Williams et al. Implement Sci Commun. 2021.

. 2021 Feb 3;2(1):12.

doi: 10.1186/s43058-021-00113-0.

Authors

Collaborators

IMPHS group:
Kate Lillywhite, Isabel McMullen, Prashanth Reddy, Gavin Shields

Affiliations

¹ Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. julie.williams@kcl.ac.uk.
² South London and Maudsley NHS Foundation Trust, London, UK.
³ King's Health Partners Mind and Body Programme, Ground Floor, Counting House, Guy's Hospital St Thomas St, London, UK.
⁴ Kings Health Economics, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁵ Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁶ Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁷ Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
⁸ National Psychosis Service, South London and Maudsley NHS Foundation Trust, London, UK.
⁹ Department of Nursing, Midwifery and Health, School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
¹⁰ Behavioural and Implementation Science (BIS) research group, School of Health Sciences, University of East Anglia, Norwich Research Park, Norwich, UK.

PMID: 33536083
PMCID: PMC7856607
DOI: 10.1186/s43058-021-00113-0

Abstract

Background: People diagnosed with a serious mental illness have worse physical health and lower life expectancy than the general population. Integration of mental and physical health services is seen as one service development that could better support this. This protocol describes the evaluation of the provision of a Virtual Physical Health Clinic (VPHC) and Consultant Connect (CC) services to one UK-based mental health Trust.

Methods: Prospective, formative, pragmatic evaluation using both quantitative and qualitative techniques and driven by implementation science theoretical frameworks. The VPHC and CC are described along with the methodology being used to rapidly evaluate their implementation, effectiveness and potential economic impact in order to inform future roll out. We will assess the implementation process through quantitative data on uptake and reach and through self-reported data to be collected from interviews and the use of validated implementation outcome assessment measures. We will assess implementation strategies using the Expert Recommendations for Implementing Change (ERIC) strategies as a framework. We will assess the health economic impact of both services using established health economic methods including cost comparison scenarios and health service utilisation analyses.

Discussion: Supporting the physical health management of people in psychiatric inpatient units is important in improving the physical health of this population. Integration of mental and physical health can help this to happen effectively. This initiative provides one of the first service evaluation protocols of its kind to be reported in the UK at the time of the COVID-19 pandemic.

Keywords: Cost-effectiveness; Effectiveness; Evaluation; Implementation; Integration; Physical health; Serious mental illness.

PubMed Disclaimer

Conflict of interest statement

NS is the director of the London Safety and Training Solutions Ltd, which offers training in patient safety, implementation solutions and human factors to healthcare organisations. FG has received support or honoraria from, Lundbeck, Otsuka and Sunovion and has a family member with previous professional links to Lilly and GSK.

Figures

**Fig. 1**
Physical health management flow chart

**Fig. 2**
Virtual Physical Health clinic flowchart

See this image and copyright information in PMC

References

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Development and rapid evaluation of services to support the physical health of people using psychiatric inpatient units during the COVID-19 pandemic: study protocol

Collaborators

Affiliations

Development and rapid evaluation of services to support the physical health of people using psychiatric inpatient units during the COVID-19 pandemic: study protocol

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

Figures

References

LinkOut - more resources

Full Text Sources

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