1. Mind and Body: Whole Person Care • Facilitated by: • Karen Johl • Consultant Psychiatrist, Clinical Director West

2. Mind and Body • The connection between physical and mental health • The consequences of not considering the whole person • What we can do?

3. How much do you know about the mental health needs of people with physical conditions?

4. 1 in 16 1 in 8 1 in 4 How many people with physical illness experience mental health problems?

5. 20% 40% 60% How many hospital patients over the age of 65 experience mental health problems?

6. A quarter Half Three quarters Approximately how many cases of depression in general hospital patients go undetected?

7. 5% 15% 25% How many people who experience an acute coronary episode (angina or myocardial infarction) will experience an anxiety disorder?

8. How much do you know about the physical health needs of people with mental health conditions?

9. Less likely than a non-depressed person to develop diabetes More likely Neither more or less likely If a person has depression, how likely are they to develop diabetes compared to the general population?

10. Diabetes High blood pressure Heart disease Breast cancer Stroke Bowel cancer People who have schizophrenia are more likely than other citizens to develop: (select as many as apply)

11. Seek medical help Have a lower pain threshold Adhere to treatment and health monitoring Be alive 5 years after his diagnosis Joe has a mental health problem and has been diagnosed with heart disease. Is he more or less likely to:

12. True False On average, people with mental illness die five to ten years younger than the general population.

13. Summary • The connection between physical and mental health • The consequences of not considering the whole person • What next?

14. No Health Without Mental Health • Royal college psychiatrists paper: ALERT • Awareness • Liaison Services in all general hospitals • Engaging Patients & Carers in improving services • Re-organisation, Commissioning & Quality Standards for Liaison mental health services   • Training & education for all healthcare professionals • http://www.rcpsych.ac.uk

15. Initiatives and opportunities • Primary care annual health checks for people with mental health problems • First step work with long term conditions • Peri-natal pathways • Mental health care pathways • Liaison services: to include training and education • Dementia care