Adult Vaccination Rates in the Mentally Ill Population: An Outpatient Improvement Project.

Authors:
Nathalia Williams
Nathalia Williams
Brigham Young University
Karlen E Luthy
Karlen E Luthy
Brigham Young University
United States
Lacey Eden
Lacey Eden
Brigham Young University
London | United Kingdom

J Am Psychiatr Nurses Assoc 2019 Mar 13:1078390319831763. Epub 2019 Mar 13.

4 Lacey Eden, MS, FNP, Brigham Young University, Provo, UT, USA.

Background: Adults who suffer with severe and persistent mental illness (SPMI) rarely access medical care to receive preventive vaccines.

Aims: To increase the rate of vaccines among the SPMI population in an outpatient community mental health center (CMHC).

Methods: A review of the literature identified a gap between the general population and SPMI clients in receiving preventive vaccinations. An initial mixed-method convenience survey of SPMI clients ( n = 392) provided information on current vaccination status, demographics, beliefs, and interest in receiving vaccines. A vaccination program was developed to address identified barriers and increase vaccination rates. Postintervention data were collected through a mixed-method convenience survey of SPMI clients ( n = 60) who participated in immunizations clinics to evaluate client satisfaction. A partnership between the health department and CMHC was developed to deliver vaccines in a nontraditional site. Vaccines administered included annual influenza; hepatitis A; hepatitis B; herpes zoster; measles, mumps, and rubella; pneumococcal; and tetanus, diphtheria, and pertussis (Tdap).

Results: More than 1,000 vaccines were administered in the first 8 months, with a significant increase in vaccination rates over baseline for individual vaccines ranging from 18.75% to 83%. Postintervention survey results found a 95% satisfaction rate.

Conclusions: Implementation of a vaccination program in a nontraditional site that facilitates access for SPMI clients can promote an overwhelming increase in the vaccination rates for this underserved population. Results suggest that the integration of mental health and CMHC services can have a profound positive effect on SPMI population health.

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Source
http://journals.sagepub.com/doi/10.1177/1078390319831763
Publisher Site
http://dx.doi.org/10.1177/1078390319831763DOI Listing
March 2019
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(Supplied by CrossRef)
Article in Morbidity & Mortality Weekly Report
Bridges C. B. et al.
Morbidity & Mortality Weekly Report 2014
Article in Journal of American Medical Association
Iitis A. et al.
Journal of American Medical Association 2013

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