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

Walker, T., Edmondson, A. ORCID: 0000-0002-0224-1997, Riley, F., Harper, M., Lucock, M. and Wright, N., 2021. Using mixed methods to explore diabetes care in a medium‐secure setting in England: a case study. Health Science Reports, 4 (4): e462. ISSN 2398-8835

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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.

Item Type: Journal article
Publication Title: Health Science Reports
Creators: Walker, T., Edmondson, A., Riley, F., Harper, M., Lucock, M. and Wright, N.
Publisher: Wiley
Date: December 2021
Volume: 4
Number: 4
ISSN: 2398-8835
Rights: © 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Divisions: Schools > School of Social Sciences
Record created by: Linda Sullivan
Date Added: 15 Dec 2021 16:04
Last Modified: 15 Dec 2021 16:04

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