146 Chapter 5 out three months after the patient’s admission. Nobody does anything about this” (Participant 2). “Today, I had a 28-year-old boy who came to me because he had gum problems. He had not brushed his teeth for a long time. He did not have any materials with him, but we have them. We must show more initiative in an earlier stage because he had already been on admission with us for 9 days” (Participant 18). Participants stated that short videos should be added to the interventions in the persona of Julia. Short, 2 min videos would be useful. If I must do something at home (e.g., adjust a derailleur for a bicycle), I quickly look at YouTube, then you can see what needs to be done. And it is relevant to quickly see an example (Participant 1). Current Oral Care and the Future of Oral Care in Mental Health Care All participants indicated that they currently do nothing to improve or maintain oral health in patients with a psychotic disorder. When oral health is discussed with patients, participants perform these activities on an individual basis, but follow-up is lacking. When looking at the future of oral care, the participants mentioned educating students in nursing and mental health professionals in knowledge and skills to raise awareness, integrating screening into the anamnesis so that the dialogue can also be about oral health, ensuring there is a follow-up in treatment plans, and that organizations should facilitate oral care by ensuring that materials are available. Maintaining and increasing oral health should be a topic of conversation within MHN teams. Discussion The current study aimed to gain insight into the attitudes and needs of MHNs regarding support for maintaining and increasing oral health in patients with a psychotic disorder to guide the development of interventions for this population. Our main findings were as follows: (1) there was diversity in attitudes and perspectives on oral health from MHNs; (2) there were differences in barriers, needs, and suggestions for interventions from MHNs; (3) in contrast with the fact that almost no attention was given to oral health in daily practice, MHNs recognized themselves
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