226 Chapter 7 leadership roles, which currently might be only partially influenced by adherence to the medical model. Oral health and lifestyle in psychiatry According to Koomen et al. [6], lifestyle psychiatry involves scientifically supported interventions like healthy eating, physical activity, adequate sleep, substance use avoidance, stress management, and positive social connections under professional guidance to prevent and treat psychiatric disorders. Patients with FEP exhibit significantly more risk factors that negatively affect their oral health and OHRQoL, with an almost tenfold higher impact compared to the general population [7]. Despite the growing emphasis on lifestyle in both the general society and psychiatric care in the Netherlands, oral health is notably underemphasized. Specific guidelines addressing lifestyle or oral health for patients with FEP are lacking. Research is limited and focuses predominantly on nutrition and diet [8], exercise [9], cardiovascular fitness [10], and increasing awareness [11]. Some patients with FEP belong to the SMI group, in which various lifestyle interventions have been shown to be effective in hospital settings [12–14]. The multidisciplinary guidelines for somatic screening in individuals with SMI [15] and the multidisciplinary guidelines on lifestyle for individuals with SMI [16] report that patients with SMI experience dental issues as a consequence of medication side effects (e.g., dry mouth). Hence, it is crucial to conduct somatic screening and dental examinations, and to inquire about oral hygiene during a lifestyle assessment. We know that lifestyle and oral health outcomes for patients with SMI are poorer, which highlights the importance of early screening in patients’ with FEP. A new initiative in the Netherlands, “Healthy in Body and Lifestyle” (Gezond in Lichaam en Leefstijl (GILL)), includes a nurse-led digital application that facilitates somatic screening and promotes a healthy lifestyle among SMI patients. This nurse-led intervention aims to detect, treat, and promote healthy living, including through the management of cardiometabolic risks [17]. In GILL, oral health is assessed by two questions: When was the last time you went to the dentist? How many days a week do you brush your teeth? Based on the responses, recommendations are made for both the patient and the MHN. Thus, research on lifestyle interventions in outpatient settings for patients with FEP is scarce, although these patients could benefit greatly from early preventive
RkJQdWJsaXNoZXIy MTk4NDMw