Abstract
Physical health care has been a frequently neglected yet essential component of the holistic care ofpeople with schizophrenia or bipolar illness. The rates of diabetes and cardiovascular disease areincreased 2- to 3 fold compared with the general population. This, coupled with lower rates of diag-nosis, has led to calls for screening for diabetes and cardiovascular disease in individuals with seriousmental illness. The UK national screening committee has produced criteria for appraising the viabil-ity, effectiveness and appropriateness of a screening programme. Most of these criteria are met forscreening for diabetes and cardiovascular disease risk factors. As there are no formal screening pro-grammes, some criteria are not satisfied. There is a clear imperative to introduce screening for diabetes and CVD risk factors but at the same time, further research is needed to evaluate theseinterventions.
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