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Palliative Care in Severe and Persistent Mental Illness: A Systematic Review
Summary
Palliative care is underutilized in patients with severe and persistent mental illnesses, despite its benefits. This review synthesizes current knowledge to guide better integration of palliative care for improved quality of life.
Area of Science:
- Psychiatry
- Palliative Care
- Health Services Research
Background:
- Severe and persistent mental illnesses (SPMI) cause significant dysfunction and reduced quality of life.
- SPMI patients experience complex symptomatology and medical disparities, complicating care.
- Palliative care, focused on symptom and stress reduction, is underutilized in this population.
Purpose of the Study:
- To systematically review the literature on palliative care utilization in individuals with SPMI.
- To synthesize current information on this developing topic.
- To inform clinical integration of palliative care for SPMI patients.
Main Methods:
- Systematic literature search of PubMed, CINAHL, PsycINFO, and MEDLINE.
- Keywords included "palliative care," "end-of-life care," and "severe and persistent mental illness."
- Literature review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Main Results:
- Identified current knowledge gaps regarding palliative care utilization in SPMI.
- Synthesized available information on the topic.
- Highlighted the need for improved palliative care integration.
Conclusions:
- Palliative care is appropriate and needed for SPMI patients.
- Further research and clinical strategies are required to enhance palliative care access and delivery.
- Optimizing palliative care can improve the quality of life for individuals with SPMI.
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