Advocates for policy changes to increase US health plan coverage for exercise programming in community mental health settings to address premature mortality and preventable diseases in adults with serious mental illness.
Integrate tailored lifestyle interventions into routine care for adults with serious mental illness; reinforces guideline-directed CV risk reduction in this high-mortality population.
Adults with serious mental illness die more than 10 years earlier than the average American. Premature mortality is due to the high prevalence of preventable diseases including cardiovascular disease and diabetes. Poor lifestyle behaviors including lack of exercise and physical inactivity contribute to the epidemic levels of obesity, diabetes, and cardiovascular disease observed among adults with serious mental illness. Not surprisingly, people with serious mental illness are among the most costly consumers of health services due to increased visits for poorly managed mental and physical health. Recent studies have demonstrated that exercise interventions based on community mental health settings can significantly improve physical and mental health in people with serious mental illness. However, current funding regulations limit the ability of community mental health settings to offer exercise programming services to people with serious mental illness. Policy efforts are needed to improve the dissemination and sustainability of exercise programs for people with serious mental illness.
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Pratt et al. (2016) studied Serious mental illness. Exercise programming in community mental health settings was evaluated. Exercise programming in community mental health settings requires policy efforts to improve dissemination and sustainability for adults with serious mental illness.
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