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International mental health experts call for policy changes to the "human rights scandal"


Findings published Tuesday by an international commission on health inequalities for people with mental illness reveal the dramatic problems in addressing the physical health of these patients and recommend changes in health policies and innovations. treatment to address the "human rights scandal".

The publication, which appears on Tuesday in the Lancet Psychiatric Commission, contains a plan to protect physical health in people with mental illness, culminating in more than 12 months of research conducted by a working group of more than 30 international experts from the University of New South Wales, the University of Western Sydney University of Health Research Institute, and the National Center for Excellence in Youth Mental Health in Origen, Australia, and the University of Manchester and the Royal College of London UK.

The pioneering report of researchers has four main objectives: to establish the extent of physical health inequalities in people with mental illness; identifying the key variables that lead to poor health; to present health policy initiatives and clinical services to address these issues and to identify promising areas for future research in new solutions.

The Lancet Psychiatric Commission has found that a wide range of mental illnesses are associated with a lifetime burden of obesity, diabetes and cardiovascular disease, which contributes to the difference in life expectancy by about 20 years less for people with mental illness.

Major risk factors include higher levels of smoking, sleep disturbances, physical inactivity, unhealthy diet, side effects of many psychiatric drugs and lack of access to adequate medical care.

Recommendations include adopting an early intervention approach to protecting physical health in the early stages of the disease and providing multidisciplinary lifestyle therapies aimed at a variety of healthy behaviors such as physical activity and physical activity. healthy eating

Additionally, recommendations have been made for better integration of physical and mental health as well as evidence-based use of both psychiatric and cardioprotective drugs for people with mental illness.

Commission President Joseph Fert, senior researcher at the University of Western Sydney's Translators Health Research Institute and an honorary researcher at Manchester University, said the study was an important step in coping with deep and profound inequalities in physical health of people with mental illness.

"Differences in physical health outcomes for people with mental illness are now considered a human rights scandal – Rapid Alert – Patients with severe mental illness are two to three times more likely to suffer from obesity, diabetes and cardiovascular disease, which affect quality of life and recovery, while contributing to the 20-year difference in life expectancy currently observed by this under-population.

"These concomitant illnesses have begun to emerge from the very beginning and affect people with mental illness all their lives." It is clear that the protection of the physical health of people with mental illness must be seen as an international priority for reducing the personal, social and economic burden. these conditions, "warns the leader of the Commission's life section and Sydney academician in the GCC, Dr. Simon Rosenbaum, who adds that lifestyle interventions to improve physical health should become a central component of the psycho- health care since the start of treatment.

"Our committee found that although more attention is being paid to lifestyle risk factors for mental illness, there is still a widespread lack of evidence-based lifestyle intervention for these populations," he said. We need to take action from effective interventions to improve physical activity, diet and cardiovascular system in the general population and find innovative and cost-effective ways to make these interventions a standard part of the care for those receiving mental health treatment. ,

Dr. Brendan Stubbs, lead author of the commission and clinical professor of the National Institute of Health Studies at King's College London, added that "high levels of preventable physical health conditions in people with mental illness should yes In the committee we have set ambitious goals to provide opportunities and guidance to help people with mental illness improve their physical health and not only add years to their lives but also their lives to the years.

Professor Jerome Saris of the Translating Health Research Institute at the University of West Sydney said that the great differences in physical health experienced by people with mental illness are a permanent health problem that may worsen in some areas and may need them by urgent measures to protect this vulnerable population.

"The link between physical and mental health is now more recognizable than ever, although this inequality gains ever more attention, more investment, interventions and research are urgently needed to overcome premature mortality and ill health. physics related to mental illness, "Professor Saris concludes.

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