Abstract

Authors: K Moss¹,², E Heffernan²,³, C Meurk²,³, M Steele²,³

Affiliations:

1. West Moreton Hospital and Health Service, Brisbane, Australia
2. Faculty of Medicine, University of Queensland, Brisbane, Australia
3. Queensland Centre for Mental Health Research, Brisbane, Australia

Background:
Addressing the physical health needs of forensic patients in high-security settings is complex. The physical health of patients is often compromised by the requirement of long term inpatient stays, limited access to physical activity and a high prevalence of psychotic illness and anti-psychotic treatment. It is important to consider diverse treatments, learn from previous research findings and address whether specific treatments will fit within the culture of an organisation.

Objectives:
This presentation will explore: (1) the current physical health status and health risk factors (2) current physical activity and (3) patient activation measures of patients at the High Secure Unit of The Park, Centre for Mental Health.

Methods:
This study is a descriptive study using a mixed methods approach. Both quantitative and qualitative date will be reported on.

Findings:
The following data will be reported on:

• Metabolic factors (height, weight, waist circumference, blood pressure, fasting glucose, triglycerides/cholesterol, HDL/LDL), weight change since admission, rates of metabolic syndrome/type 2 diabetes
• Medical history, family history of cardiovascular risk factors
• IPAQ – SF (International Physical Activity Questionnaires Short Form)
• PAM (Patient Activation Measure)

Conclusions:
This study will demonstrate the ongoing poor physical health status of long-stay psychiatric patients. By considering diverse treatments and taking into consideration the culture of an organization, it is anticipated that improved treatment options can be devised.