Somatic comorbidities

Fight against somatic comorbidities related to mental health disorders 
 
Given the estimated loss of life expectancy between 15 and 20 years for people with a mental health disorder, the WHOCC wanted to set up research aimed at promoting good physical and mental health for people with a mental health problem. Within the framework of the Health Cooperation Group for Research and Training in Mental Health, a working group on the fight against somatic comorbidities was set up in early 2016. 7 hospitals participate in this working group on somatic comorbidities associated with psychological disorders (Guillaume Régnier - Rennes ; La Chartreuse - Dijon ; EPSM Lille Métropole - Armentières ; CESAME - Angers ; CH de Rouffach ; MGEN - Lille ; CASH - Nanterre). 
 
Conclusions of the working group
The consequences of increased cardiovascular risk represent the majority of somatic comorbidities of mental health disorders. This problem is multifactorial and includes risk factors related to: Population; Psychotropic drugs; Lifestyle; Access to care.
The methods of care are already known: the objective is therefore to place people diagnosed in the care circuit via information and training of professionals and via information and empowerment of people.
 
Action
The main objective is to reduce the cardiovascular risk. This involves the development of a programme to promote physical health among people suffering from mental disorders, aimed at users and/or professionals; Co-constructed by: Users; Caregivers; Primary health care professionals; Psychiatric professionals.
 
The conduct of focus groups is planned 
Objectives :
▪ Collect information from the 4 sub-populations of the study allowing the creation of a medium and long term intervention strategy.
▪ Methodological bias to distinguish focus groups
   ▪ minimizes speech bias
   ▪ avoids hierarchical logic
Study Sub-populations
   ▪ Users
   ▪ Caregivers
   ▪ Primary health professionals (general practitioners, private nurses, city pharmacists)
   ▪ Psychiatric professionals (nurses, mental health peer support workers, psychiatrists, psychologists...)
 
This research project has received PREPS funding of €200,000.