Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders

Int J Environ Res Public Health. 2022 May 2;19(9):5533. doi: 10.3390/ijerph19095533.

Abstract

People living with mental health conditions experience a significantly reduced life expectancy compared to people without, largely linked to health risk behaviours and associated chronic disease. Community managed organisations (CMOs) represent an important setting in which to address health risk behaviours among people with mental health conditions. However, little is known about how these behaviours (smoking, poor nutrition, alcohol consumption, inadequate physical activity, poor sleep: SNAPS) are being addressed in this setting. One-on-one, semi-structured telephone interviews were conducted with a sample of 12 senior staff, representing 12 CMOs in New South Wales, Australia to: (1) explore types of support provided by CMOs to address the SNAPS behaviours of consumers living with a mental health condition; and (2) assess perceived organisational and staff level barriers and facilitators to providing such support. Transcribed interviews were analysed using inductive thematic analysis. This study found there was a range of supports offered by CMOs, and these differed by health risk behaviour. Findings suggest CMOs are well-placed to embed SNAPS supports as a part of their service provision; however, available funding, consistency of supports, workplace policies and culture, collaboration with other available supports, staff training and education, all impacted capacity.

Keywords: barriers and facilitators; care provision; community managed organisations; health risk behaviours; mental health conditions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Disease
  • Health Risk Behaviors
  • Humans
  • Mental Disorders* / epidemiology
  • Mental Disorders* / psychology
  • Mental Disorders* / therapy
  • Mental Health*
  • Qualitative Research

Grants and funding

Funding for this research has been provided by The Australian Prevention Partnership Centre (G1800671) as part of the Boosting Preventive Health Research Program (Medical Research Future Fund (MRFF)). Kate Bartlem is supported by a National Health and Medical Research Council Early Career Fellowship (#1142272).