IMPACT Severe mental illness physical comorbidity and COVID19 Dr Jan R Boehnke on behalf of the NIHR Global Health Research Group IMPACT in South Asia 1 University of the Year for Student Experience ID: 1044453
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1. ISSR Panel:The Pandemic: Where are we now?IMPACT:Severe mental illness, physical comorbidity and COVID-19Dr Jan R. Boehnke on behalf of the NIHR Global Health Research Group IMPACT in South Asia1University of the Year for Student Experience (The Times/Sunday Times Good University Guide 2020)@jrboehnke@IMPACT_NIHR
2. Improving Outcomes in Mental and Physical Multimorbidity and Developing Research Capacity (IMPACT) in South Asia.www.impactsouthasia.com
3. Acknowledgement / DisclaimerThis research was funded by the National Institute for Health Research(NIHR) (17/63/130) using UK aid from the UK Government to supportglobal health research. The views expressed in this presentation/ publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care. 3
4. Hosted by the University of York.Our goals are to:Improve health and reduce deaths associated with diabetes, heart and lung diseases in people living with severe mental illnessesReduce depression and anxiety in people with chronic physical health conditions.4
5. www.impactsouthasia.com5
6. BackgroundSevere mental illness: psychotic disorders, bipolar affective disorder, severe depression with psychotic symptomsMortality gap of ~20 years compared to general population 1 2Around 80% of deaths in people with SMI are due to preventable physical illnesses (cardio-metabolic, respiratory disorders, infectious diseases) 3 4Majority of evidence for these health inequalities has been generated in high-income countriesLMIC: even shorter life expectancy, and larger mortality gap 4LMIC: physical comorbidity in SMI is at least as prevalent as in HIC 161. Liu et al., World psychiatry 2017;16(1):30-40.2. Walker et al., JAMA psychiatry 2015;72(4):334-41.3. Laursen, Schizophrenia research 2011;131(1-3):101-4.4. Fekadu et al., The British journal of psychiatry 2015;206(4):289-96.
7. Baseline surveyCross-sectional survey among patients with a clinical diagnosis of SMI:Bangladesh: National Institute of Mental Health and Hospital, Dhaka; offers 200 beds for in-patient care; 400 out-patients attend every day.India: National Institute of Mental Health and Neurosciences, Bengaluru; 650 beds for in-patient care; 400 out-patients attend every day.Pakistan: Institute of Psychiatry, Rawalpindi Medical University, a WHO collaborating centre for the Eastern Mediterranean (EMRO); offers 60 beds for in-patient care; 400 out-patients attend every day. Sample before lockdown measures came in force:2506 participants have been recruited, of whom 2157 have consented to be contacted for future research and have provided a telephone contact.7Zavala et al. – protocol accepted for publication at BMJOpen.
8. Data CollectionFollow-up survey from baseline populationWave 1Wave 2Bangladesh09.05. – 07.06.11.07. – 05.08.India12.05. – 11.06.21.07. – 07.08.Pakistan16.05. – 15.06.16.07. – 08.08.Demographics, urban-rural, access to green spaceMental health, access to mental healthcare, health-related quality of lifeWorries and concerns about COVID-19Personal and household experience during the COVID-19 epidemicKnowledge and attitude and practice towards COVID-19Information sources about COVID-19 Health risk behavioursFamily support and isolation Financial and housing related issues Access to food8Goal:To investigate the IMPACT of COVID-19 and the societal response in people with SMI in South Asia
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