Dont Just Screen, Intervene! Positive Cardiometabolic Health: An Early Intervention Framework For Patients On Psychotropic Medication.

Presentation First Author: 
Jackie Curtis

The relationship between weight gain and the treatment of first episode psychosis (FEP) with psychotropic medication has been well established, with obesity and metabolic syndrome common sequelae. Such metabolic abnormalities create further disease burden on a population already dealing with mental illness, whose life expectancy is approximately 20 years less than the general population, primarily due to cardiovascular complications. Antipsychotic-induced weight gain has been shown to commence within the first months of initiating treatment in drug naïve youth, thus early intervention is necessary in order to prevent or slow the progression of metabolic abnormalities. A clinical algorithm for mental health clinicians and primary care has been developed and utilised by an early intervention programme in Bondi, Sydney with support from HETI (Health Education & Training Institute, NSW Health, 2011), disseminated across New South Wales, and is being adapted for use in the UK. The practical use of this algorithm will be described for youth FEP populations, including targeted lifestyle interventions, as well as specific pharmacological strategies. The plans for evaluation of the clinical algorithm will be highlighted.

Conference Name: 
Presentation Date: 
January, 2013
Additional Authors: 
Jackie Curtis, Hannah Newall, Katherine Samaras, David Shiers
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