Using mixed methods to explore diabetes care in a medium-secure setting in England: A case study

Tammi Walker; Amanda Edmondson; Fleur Riley; Mark  Harper; Mike Lucock; Nat Wright

doi:10.1002/hsr2.462

Using mixed methods to explore diabetes care in a medium-secure setting in England: A case study

Tammi Walker, Amanda Edmondson, Fleur Riley, Mark Harper, Mike Lucock, Nat Wright

Research output: Contribution to journal › Article › peer-review

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Abstract

Background and aims

Diabetes is highly prevalent among individuals with serious mental illness. Managing diabetes in forensic mental health settings presents unique challenges which are under-reported and poorly understood. This study aimed to explore diabetes care in a medium-secure setting and identify key areas for improvement.

Methods

A single case study design used a retrospective chart review. Qualitative interviews and a focus group were analyzed using thematic analysis.

Results

Prevalence of diabetes was over twice that of the general population and highest in female service users. Evidence suggests limited understanding and lack of diabetes education for staff and service users, and difficulties in accessing external diabetes recourses.

Conclusion

Constraints inherent to forensic mental health settings contribute to difficulties in accessing external resources and adequate diabetes education. Secure mental health services should adopt a collaborative approach to diabetes care and provide appropriate specialist training to both staff and service users.

Original language	English
Article number	e462
Number of pages	10
Journal	Health Science Reports
Volume	4
Issue number	4
Early online date	14 Dec 2021
DOIs	https://doi.org/10.1002/hsr2.462
Publication status	Published - 14 Dec 2021

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10.1002/hsr2.462Licence: CC BY-NC-ND

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title = "Using mixed methods to explore diabetes care in a medium-secure setting in England: A case study",

abstract = "Background and aimsDiabetes is highly prevalent among individuals with serious mental illness. Managing diabetes in forensic mental health settings presents unique challenges which are under-reported and poorly understood. This study aimed to explore diabetes care in a medium-secure setting and identify key areas for improvement.MethodsA single case study design used a retrospective chart review. Qualitative interviews and a focus group were analyzed using thematic analysis.ResultsPrevalence of diabetes was over twice that of the general population and highest in female service users. Evidence suggests limited understanding and lack of diabetes education for staff and service users, and difficulties in accessing external diabetes recourses.ConclusionConstraints inherent to forensic mental health settings contribute to difficulties in accessing external resources and adequate diabetes education. Secure mental health services should adopt a collaborative approach to diabetes care and provide appropriate specialist training to both staff and service users.",

keywords = "diabetes, forensic, secure setting, severe mental illness",

author = "Tammi Walker and Amanda Edmondson and Fleur Riley and Mark Harper and Mike Lucock and Nat Wright",

note = "Funding Information: We would like to thank all the people who facilitated the setup and delivery of the project; their support enabled us to collect valuable and interesting data that can be used to gauge and improve the delivery of diabetes care in medium-secure services. We would also like to express our appreciation to all those people who were willing to take part in the project. Your contribution will help us target specific areas for service improvement. It has been a real pleasure and a privilege to work with everyone involved. Publisher Copyright: {\textcopyright} 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

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doi = "10.1002/hsr2.462",

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T1 - Using mixed methods to explore diabetes care in a medium-secure setting in England

T2 - A case study

AU - Walker, Tammi

AU - Edmondson, Amanda

AU - Riley, Fleur

AU - Harper, Mark

AU - Lucock, Mike

AU - Wright, Nat

N1 - Funding Information: We would like to thank all the people who facilitated the setup and delivery of the project; their support enabled us to collect valuable and interesting data that can be used to gauge and improve the delivery of diabetes care in medium-secure services. We would also like to express our appreciation to all those people who were willing to take part in the project. Your contribution will help us target specific areas for service improvement. It has been a real pleasure and a privilege to work with everyone involved. Publisher Copyright: © 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/12/14

Y1 - 2021/12/14

N2 - Background and aimsDiabetes is highly prevalent among individuals with serious mental illness. Managing diabetes in forensic mental health settings presents unique challenges which are under-reported and poorly understood. This study aimed to explore diabetes care in a medium-secure setting and identify key areas for improvement.MethodsA single case study design used a retrospective chart review. Qualitative interviews and a focus group were analyzed using thematic analysis.ResultsPrevalence of diabetes was over twice that of the general population and highest in female service users. Evidence suggests limited understanding and lack of diabetes education for staff and service users, and difficulties in accessing external diabetes recourses.ConclusionConstraints inherent to forensic mental health settings contribute to difficulties in accessing external resources and adequate diabetes education. Secure mental health services should adopt a collaborative approach to diabetes care and provide appropriate specialist training to both staff and service users.

AB - Background and aimsDiabetes is highly prevalent among individuals with serious mental illness. Managing diabetes in forensic mental health settings presents unique challenges which are under-reported and poorly understood. This study aimed to explore diabetes care in a medium-secure setting and identify key areas for improvement.MethodsA single case study design used a retrospective chart review. Qualitative interviews and a focus group were analyzed using thematic analysis.ResultsPrevalence of diabetes was over twice that of the general population and highest in female service users. Evidence suggests limited understanding and lack of diabetes education for staff and service users, and difficulties in accessing external diabetes recourses.ConclusionConstraints inherent to forensic mental health settings contribute to difficulties in accessing external resources and adequate diabetes education. Secure mental health services should adopt a collaborative approach to diabetes care and provide appropriate specialist training to both staff and service users.

KW - diabetes

KW - forensic

KW - secure setting

KW - severe mental illness

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Using mixed methods to explore diabetes care in a medium-secure setting in England: A case study

Abstract

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