Psychological support within tier 2 adult weight management services, are we doing enough for people with mental health needs? A mixed-methods survey

Jordan Marwood, Tamara Brown*, Mariana Kaiseler, Kenneth Clare, Alison Feeley, Jamie Blackshaw, Louisa Jane Ells

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Depression and obesity are two of the most highly prevalent global public health concerns. Obesity and poor mental health are strongly associated, and it is likely that mental health needs are common in people seeking weight management services. The aim was to identify what psychological support is provided and required in tier 2 adult weight management services (T2 WMS). Online survey was conducted: quantitative data were summarized, and open-ended free-text questions were coded and thematically analysed. Participants were current or recent service users with self-reported mental health needs (n = 27), commissioners (n = 9) or providers (n = 17). Over half of service users did not feel their mental health needs were met and 60% said they would like additional psychological support within T2 WMS. Findings highlight the lack of psychological and emotional support. Psychological support and behaviour change techniques are conflated, with a lack of clear understanding or definition of what psychological support is, either between or within service users, providers, and commissioners. Moving towards more person-centred care, better identification and triaging of those living with mental health issues, together with improved resources and training of providers, is crucial to improve outcomes for people living with obesity and poor mental health.

Original languageEnglish
Article numbere12580
JournalClinical obesity
Volume13
Issue number4
DOIs
Publication statusPublished - Aug 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

Keywords

  • mental health
  • psychological support
  • weight management

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