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Access to physical health care for people with serious mental illness: a nursing perspective and a human rights perspective-common ground?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nankivell, Janette Platania-Phung, Chris Happell, Brenda Scott, David
Spatial Coverage	Victoria
Description	Country affiliation: Australia Author Affiliation: Nankivell J ( Central Queensland University, Institute for Health and Social Science Research, Centre for Mental Health Nursing Innovation, Melbourne, Australia.)
Abstract	Relative to the general population, people with serious mental illness (SMI) experience elevated risks of physical disease and illness and live shorter lives. A human rights perspective argues that people with serious mental illness have a right to equal access to physical health care. Nurses in mental health services can contribute to improving the availability and accessibility of physical health care. This study, involving focus group interviews with nurses in a large regional and rural mental health care district of Queensland, Australia, revealed significant problems in access to physical health care for service users. The current article reports on our exploratory analysis of nurses' views and perceptions to identify (1) orientation of nurses to human rights, and (2) access of consumers with SMI to general practitioner services. It was rare for nurses to raise the topic of human rights, and when raised, it was not as a strategy for improving access to physical health care services that they felt consumers with SMI greatly needed. Two main themes were identified as causes of poor access: clinical barriers to physical care and attitudinal barriers to physical care. In light of these results, the authors explore a human rights perspective on access and how this provides an inclusive lobbying umbrella under which nurses and other groups can pursue access to physical health services that are adequate, accessible, and non-discriminatory. The article then discusses the implications for these findings for the value of human rights as a perspective and means of increasing physical health of people with SMI.
File Format	HTM / HTML
ISSN	01612840
Issue Number	6
Volume Number	34
e-ISSN	10964673
Journal	Issues in Mental Health Nursing
Language	English
Publisher	Taylor & Francis
Publisher Date	2013-06-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nursing Discipline Psychology Attitude Of Health Personnel Chronic Disease Nursing Health Services Accessibility Legislation & Jurisprudence Human Rights Psychology Nurse's Role Psychotic Disorders Adult Antipsychotic Agents Adverse Effects Therapeutic Use Community Mental Health Centers Comorbidity Female Focus Groups General Practice Health Promotion Humans Life Style Male Prejudice Victoria Weight Gain Journal Article
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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