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Lookup NU author(s): Rachel Perry, Emma AdamsORCiD, Jill Harland, Dr Grant McGeechan, Professor Amy O'DonnellORCiD, Professor Sheena Ramsay
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© Objective To explore the perceived reasons underlying high mortality rates among people with multiple and complex needs. Design Qualitative study using peer research. Setting North East of England. Participants Three focus group discussions were held involving (1) people with lived experience of multiple and complex needs (n=5); (2) front-line staff from health, social care and voluntary organisations that support multiple and complex needs groups (n=7); and (3) managers and commissioners of these organisations (n=9). Results Findings from this study provide valuable perspectives of people with multiple complex needs and those that provide them with support on what may be perceived factors underlying premature mortality. Mental ill health and substance misuse (often co-occurring dual diagnosis) were perceived as influencing premature mortality among multiple and complex needs groups. Perceptions of opportunities to identify people at risk included critical life events (eg, bereavement, relationship breakdown) and transitions (eg, release from prison, completion of drug treatment). Early prevention, particularly supporting young people experiencing adverse childhood experiences, was also highlighted as a priority. Conclusion High mortality in multiple and complex needs groups may be reduced by addressing dual diagnosis, providing more support at critical life events and investing in early prevention efforts. Future interventions could take into consideration the intricate nature of multiple and complex needs and improve service access and navigation.
Author(s): Perry R, Adams EA, Harland J, Broadbridge A, Giles EL, McGeechan GJ, O'Donnell A, Ramsay SE
Publication type: Article
Publication status: Published
Journal: BMJ Open
Year: 2021
Volume: 11
Issue: 6
Online publication date: 03/06/2021
Acceptance date: 20/05/2021
Date deposited: 10/08/2021
ISSN (print): 2044-6055
ISSN (electronic): 2044-6055
Publisher: BMJ Publishing Group
URL: https://doi.org/10.1136/bmjopen-2020-044634
DOI: 10.1136/bmjopen-2020-044634
PubMed id: 34083333
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