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 journalArticlepeer-review

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 languageEnglish
Article numbere462
Number of pages10
JournalHealth Science Reports
Volume4
Issue number4
Early online date14 Dec 2021
DOIs
Publication statusPublished - 14 Dec 2021

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