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Title: Metabolic screen and intervene: improving mental health inpatient metabolic monitoring
Authors: Viglione, Luke ;Short, Brooke 
Affliation: Central Coast Local Health District
Gosford Hospital
The University of Newcastle
Issue Date: Jul-2020
Source: 29(3):289-293
Journal title: Australasian Psychiatry
Department: Psychiatry
Abstract: OBJECTIVE: To assess rates of metabolic monitoring in patients prescribed antipsychotic medications in the psychiatric inpatient setting and the impact education can have regarding monitoring compliance. METHOD: Two identical audits were undertaken at a NSW mental health inpatient service before and after a campaign designed to educate mental health workers about the importance of metabolic monitoring. Results from both audits were compared for statistically significant improvements in monitoring rates. RESULTS: Rates of monitoring plasma lipids increased from 21.7% to 78.8% (p < 0.01) and rates for plasma glucose increased from 20.8% to 73.7% (p < 0.01). There were no statistically significant changes in rates of monitoring body mass index (83.0% and 77.1%, respectively), waist circumference (36.8% and 43.2%, respectively) and blood pressure (99.1% and 100%, respectively). CONCLUSION: This study has shown that rates of metabolic monitoring in the inpatient setting can be improved with a relatively low-cost education intervention. While absolute rates remain low, outcomes suggest that it may be worthwhile trialling further modes of education and repeating this education in cycles.
DOI: 10.1177/1039856220936147
ISSN: 1039-8562
Publicaton type: Journal Article
Keywords: Mental Health
Appears in Collections:Mental Health

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