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Updated: Apr 13, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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SOMA: SCREENING AND SOMATIC HEALTH INTERVENTION PROGRAM FOR PEOPLE WITH SEVERE MENTAL ILLNESS.

Michaela Zahrádka-Köhlerová1, Marek Páv1, Jan Gojda2

  • 1Bohnice Psychiatric Hospital, Praha, Czech Republic.

Psychiatria Danubina
|December 26, 2024
PubMed
Summary

The SOMA program improves health for severe mental illness (SMI) patients by screening and intervening in cardiovascular disease risk factors. This intervention system shows promise in increasing physical activity and promoting healthier behaviors in SMI populations.

Keywords:
Cardiovascular diseaseHealthy lifestyle educationNutritional carePhysiotherapySevere mental illness

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Area of Science:

  • Psychiatry
  • Public Health
  • Cardiovascular Disease Prevention

Background:

  • Patients with severe mental illness (SMI) experience significantly reduced life expectancy, primarily due to cardiovascular disease.
  • Somatic care delivery for individuals with mental illness requires specialized approaches.
  • The SOMA program was developed to address the specific healthcare needs of this vulnerable population.

Purpose of the Study:

  • To evaluate the effectiveness of the SOMA program, a complex somatic health intervention system, for patients with SMI.
  • To screen for and intervene in cardiovascular risk factors within the SMI population.
  • To assess the impact of interventions on lifestyle behaviors and patient outcomes.

Main Methods:

  • The SOMA program integrates automated risk screening with interventions including dietary changes, healthy lifestyle education (HSE), physiotherapy, kinesiotherapy, and occupational therapy (KOP).
  • A pilot study monitored outcomes in a sub-grouped population.
  • Cardiovascular risk factor prevalence was assessed in 5481 patients.

Main Results:

  • Hypertension (56.6%) and smoking (55.7%) were the most prevalent cardiovascular risk factors, with 27% identified as high-risk.
  • Patients in the HSE program (n=40) showed improvements in body weight.
  • While 53% of patients engaged in no physical activity during hospitalization, the program demonstrated potential to increase motivation for physical activity and adoption of health-promoting behaviors, with cognitive improvements comparable to the general population.

Conclusions:

  • The SOMA program's design is usable and effective in screening and intervening in cardiovascular health for patients with SMI.
  • The program shows potential to enhance motivation for physical activity, promote health behaviors, and support patient recovery.
  • Further research with larger sample sizes and longer observation periods is recommended to validate these findings.