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. 2023 Oct;36(5):1771-1781.
doi: 10.1111/jhn.13203. Epub 2023 Jul 12.

Exploring the role of dietitians in mental health services and the perceived barriers and enablers to service delivery: A cross-sectional study

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Exploring the role of dietitians in mental health services and the perceived barriers and enablers to service delivery: A cross-sectional study

Scott B Teasdale et al. J Hum Nutr Diet. 2023 Oct.

Erratum in

Abstract

Background: Mental health is a rapidly evolving area of practice for dietitians. The role of dietitians in supporting the physical health of consumers experiencing mental illness is becoming more widely recognised given the importance of lifestyle interventions for physical health. The present study aimed to explore the dietitian role in mental health services as well as identify barriers and enablers to service delivery.

Methods: This was a cross-sectional survey of dietitians currently employed in any capacity in public and private mental health services. An online survey comprised of questions pertaining to four domains, including demographics, role and service provision, experience and supervision, barriers/challenges and drivers/enablers was completed and included closed and open-ended responses.

Results: In total, 48 responses were included. The mean ± SD age of respondents was 36.1 ± 10.9 years (range 23-67 years) with the majority working in inpatient settings. The top three tasks respondents reported conducting were individual consultations (n = 47; 98%), group programs (n = 23; 48%) and multidisciplinary team meetings. Barriers included a lack of awareness from others regarding a dietitian's role in mental health, and a lack of specific tools for nutrition screening. More training, resources and increased evidence base to guide practice would enable better service provision.

Conclusions: The present study provides insights regarding the possible drivers and barriers to effective service provision for dietitians working in mental health services focusing on the local contexts of respondents. The findings highlight the importance and value of working collaboratively within a multidisciplinary team.

Keywords: barriers; dietitian; enablers; mental health; mental illness; service provision.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Mental health diagnoses of individuals that dietitian‐respondents (n = 48 respondents) provide dietetic care to within their respective inpatient (n = 36 workplaces) and outpatient (n = 22 workplaces) workplace settings. Respondents were asked ‘What are the common mental health diagnoses of the people you work with?’. Respondents could select more than one response. *Disorders specifically associated with stress, for example, post‐traumatic stress disorder, adjustment disorder, grief disorder.
Figure 2
Figure 2
Tasks that dietitian‐respondents (n = 48 respondents) complete in their current mental health roles within their respective inpatient (n = 36 workplaces) and outpatient (n = 23 workplaces) workplace settings. Respondents could select more than one response. NDIS, National Disability Insurance Scheme. *‘Other’ tasks reported by respondents included student supervision and ‘nutrition therapy’.

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