TY - JOUR
T1 - Improving kidney care for people with severe mental health difficulties
T2 - A thematic analysis of personal and family members’ perspectives
AU - Cogley, Clodagh
AU - Bramham, Jessica
AU - Bramham, Kate
AU - Lynch, Julie
AU - MacHale, Siobhan
AU - Holian, John
AU - Smith, Aoife
AU - Carswell, Claire
AU - Conlon, Peter
AU - D'Alton, Paul
N1 - © The Author(s) 2024
PY - 2024/6/19
Y1 - 2024/6/19
N2 - People with severe mental health difficulties (SMHDs) often have poorer access to kidney healthcare. To better understand the barriers and facilitators to kidney healthcare for this population, we conducted interviews with nine individuals with SMHDs and four family members. Through reflexive thematic analysis, we generated three themes: (1) ‘One size doesn’t fit all’ describes the need for individualised kidney healthcare, adapted to meet the specific needs of each person with a SMHD. (2) ‘You just can’t say, “I’m only dealing with your kidney here”’ describes how fragmentation of physical and mental healthcare services can lead to poorer outcomes for people with SMHDs, underscoring the need for coordinated care. (3) ‘Just treat me with respect’ describes the impact of healthcare provider attitudes. Overall, participants praised the dedication and kindness of renal clinicians. However, some participants also described experiences of stigma and discrimination, and called for additional education for healthcare providers regarding SMHDs.
AB - People with severe mental health difficulties (SMHDs) often have poorer access to kidney healthcare. To better understand the barriers and facilitators to kidney healthcare for this population, we conducted interviews with nine individuals with SMHDs and four family members. Through reflexive thematic analysis, we generated three themes: (1) ‘One size doesn’t fit all’ describes the need for individualised kidney healthcare, adapted to meet the specific needs of each person with a SMHD. (2) ‘You just can’t say, “I’m only dealing with your kidney here”’ describes how fragmentation of physical and mental healthcare services can lead to poorer outcomes for people with SMHDs, underscoring the need for coordinated care. (3) ‘Just treat me with respect’ describes the impact of healthcare provider attitudes. Overall, participants praised the dedication and kindness of renal clinicians. However, some participants also described experiences of stigma and discrimination, and called for additional education for healthcare providers regarding SMHDs.
KW - kidney disease
KW - mental health
KW - severe mental illness
U2 - 10.1177/13591053241254715
DO - 10.1177/13591053241254715
M3 - Article
SN - 1359-1053
JO - Journal of Health Psychology
JF - Journal of Health Psychology
ER -