Psychotropics, Weight Gain, and Metabolic Risk: What Clinicians Need to Know

Professor David Osborn: The cardiovascular health of people with severe mental illness. Evidence from data science and from implementing interventions in real life setting

Professor Osborn's research has focused on the interface between mental health and physical health for over twenty years. His main research interests are the interface between physical and mental health and the provision of effective and safe interventions for people with Severe Mental illnesses including psychosis.

He leads an ongoing NIHR-funded national programme, PRIMROSE. The projects evaluate the best ways to assess and manage cardiovascular risk and physical health in people with severe mental illnesses.

He also has a particular interest in harnessing large scale national, international and regional health data to answer big research questions in mental health.

Professor Osborn trained in medicine and social/political sciences at Cambridge University and then UCL. He completed clinical psychiatry training in North London and was awarded an MRC clinical training fellowship to train as an academic in mental health research. This included a PhD in psychosis and physical health at UCL and an MSc in epidemiology (London School of Hygiene and Tropical Medicine).

Presentation overview

He will briefly review the evidence about cardiovascular risk in people with severe mental illness. He will then discuss results from studies implementing new pathways to address physical health in people with SMI

Key Learning Objectives

• To understand the main physical health challenges with people with severe mental illness.
• To update the evidence regarding interventions to address cardiovascular risk factors in SMI
• To understand the challenges and opportunities to deliver effective physical health services for people with SMI in the health care system

Dr Ed Beveridge: Integrated Physical and Mental Health Care

Dr Beveridge is from London. He trained in medicine at Fitzwilliam College, Cambridge and Magdalen College, Oxford. He undertook psychiatric training in North London and has worked as a consultant general adult psychiatrist in inpatient and community settings in London since 2008. Ed is clinical director for hospital services in Barnet, Enfield and Haringey, North London Mental Health Partnership.

Ed has worked on improving the physical health of people living with mental illness for over 10 years. He has led improvement initiatives at local, trust, ICS and regional levels. He was trust lead for physical health in mental health services at CNWL NHS foundation trust. He is co-chair of the pan-London physical health leads’ network and previously led a regional improvement collaborative with Healthy London Partnership. He is clinical lead for mental health at UCLPartners academic health science network and honorary associate professor at UCL. He has taught and presented widely on the subject of improving physical health in people with severe mental illness.

His key objective is to reduce premature mortality among those living with mental illness, by addressing health inequity and inequality, promoting better access to health and care and improving parity of esteem between physical and mental health care across the health and care system. He is passionate about the power of coproduction with experts by experience as a driver of better care.

Ed is a qualified psychosomatic therapist, having trained at the Institut Psychosomatique Pierre Marty, Paris and is a member of the International Psychosomatic Association Pierre Marty (AIPPM).

Dr Arutchelvam Vijayaraman: Obesity and Mental Health

Dr Arutchelvam Vijayaraman trained in endocrinology and diabetes at Newcastle, starting as a consultant in James Cook University Hospital in 2009. He developed a large multidisciplinary specialist weight management service at the James Cook University Hospital for around 1400 patients every year. Dr Arutchelvam Vijayaraman is passionate about finding ways to help people with weight related problems and works regionally and nationally to help develop services. Dr Arutchelvam Vijayaraman works closely with bariatric surgeons and has been appointed as the clinical lead for healthy weight and treating obesity work stream for the NENC ICB since November 2021. Dr Arutchelvam Vijayaraman has been championing to get 'Obesity' recognised as a chronic multi-system disease involving a person's physical, mental and social wellbeing and to develop holistic lifestyle, medical and surgical pathways.

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