What is it about?

Hypertension, obesity, diabetes, and related problems cause increased illness and early death for people with mental illness and intellectual/developmental disability. We implemented a risk-management system in Minnesota using straightforward data tools which can be easily utilized by direct care staff. Initial results are positive, showing reduction of metabolic risk across several measures. This is a system which could be adapted easily for use in a variety of clinical settings. We encourage other clinical groups to try this or a similar approach in the effort to help people have healthier and happier lives.

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Why is it important?

Too often, care in psychiatric and developmental disability settings can be focused on controlling "behaviors," with less attention paid to physical and metabolic health. We designed this system to simplify data collection, analysis, and sharing, so that front-line direct care staff can understand and begin to address metabolic problems-- especially for those at high risk. It also encourages local solutions rather than top-down programs. In the early stages, the system shows promise of actually helping to reduce metabolic risk-- which in the long run has the potential to significantly improve lives.

Perspectives

As we were implementing this program and system, I saw numerous examples where direct care staff and consultant RN's came up with creative ideas to encourage better diets, improve exercise, and just to get engagement with individuals who previously were not inclined to make these changes. And some of the improvements in weight loss, reduced hypertension, and even reversal of diabetes, were deeply impressive. Maybe the most powerful was to see the pride that individuals took in their own life changes. It was a clear reminder of the importance of treating the "whole person."

Peter Miller

Read the Original

This page is a summary of: Improving Metabolic Health in Group Homes With a Data-Driven Risk Management System, Psychiatric Services, November 2025, American Psychiatric Association,
DOI: 10.1176/appi.ps.20240554.
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