{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:31:37Z","timestamp":1782937897171,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,2,24]],"date-time":"2017-02-24T00:00:00Z","timestamp":1487894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Central Coast Partners in Recovery Consortium"},{"name":"Central Coast Partners in Recovery Consumer Advisory Committee"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The present study is a review of a cardiometabolic clinic for consumers taking clozapine. This clinic was recently established and co\u2010located with the clozapine clinic at a regional hospital in New South Wales, Australia, to enhance engagement and improve the physical health outcomes of consumers taking antipsychotic medication. A descriptive analysis of clients\u2019 (<jats:italic>n<\/jats:italic>\u00a0=\u00a073) information collected during routine care for the first 6\u00a0months of the clinic's operation, from January 2016 to July 2016, was conducted. First\u2010visit data were analysed to establish a client profile, consisting of weight, height, blood pressure, pulse, a range of blood measurements, smoking status, alcohol consumption, and eating and exercise habits. Data collected for clients who had three or more visits with the general practitioner (<jats:italic>n<\/jats:italic>\u00a0=\u00a040) were analysed separately for outcomes. Two case studies are used to depict the service received and client profile. At the first appointment, the majority of clients had metabolic syndrome that was mostly left untreated; many of these clients were commenced on metformin. The outcomes are positive, and show that the majority of clients lost weight (82.5%) and had a reduction in body mass index (84.6%); nearly half (44.4%) had a reduction in waist circumference. The majority of clients self\u2010reported increased physical activity (72.5%, <jats:italic>n<\/jats:italic>\u00a0=\u00a029) and positive dietary changes (77.5%, <jats:italic>n<\/jats:italic>\u00a0=\u00a031) since their first appointment. The model trialled by the cardiometabolic clinic integrated a specialist mental health and primary care service, and demonstrates success in engaging clients with severe mental illness in physical health care. Co\u2010location is conceptualized as critical for positive patient outcomes and high levels of engagement.<\/jats:p>","DOI":"10.1111\/inm.12321","type":"journal-article","created":{"date-parts":[[2017,2,24]],"date-time":"2017-02-24T05:52:43Z","timestamp":1487915563000},"page":"303-310","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Evaluation of a general practitioner\u2010led cardiometabolic clinic: Physical health profile and\u00a0treatment outcomes for clients on clozapine"],"prefix":"10.1111","volume":"27","author":[{"given":"Dominiek","family":"Coates","sequence":"first","affiliation":[{"name":"Central Coast Local Health District Central Coast Mental Health Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Woodford","sequence":"additional","affiliation":[{"name":"Central Coast Local Health District Central Coast Mental Health Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Higgins","sequence":"additional","affiliation":[{"name":"Central Coast Local Health District Central Coast Mental Health Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Grover","sequence":"additional","affiliation":[{"name":"Central Coast Local Health District Central Coast Mental Health Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,24]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Improving the Integration of Mental Health Services in Primary Health Care at the Macro Level. 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