Increasing US health plan coverage for exercise programming in community mental health settings for people with serious mental illness: a position statement from the Society of Behavior Medicine and the American College of Sports Medicine
- 316 Downloads
Adults with serious mental illness die more than 10 years earlier than the average American. Premature mortality is due to the high prevalence of preventable diseases including cardiovascular disease and diabetes. Poor lifestyle behaviors including lack of exercise and physical inactivity contribute to the epidemic levels of obesity, diabetes, and cardiovascular disease observed among adults with serious mental illness. Not surprisingly, people with serious mental illness are among the most costly consumers of health services due to increased visits for poorly managed mental and physical health. Recent studies have demonstrated that exercise interventions based on community mental health settings can significantly improve physical and mental health in people with serious mental illness. However, current funding regulations limit the ability of community mental health settings to offer exercise programming services to people with serious mental illness. Policy efforts are needed to improve the dissemination and sustainability of exercise programs for people with serious mental illness.
KeywordsExercise Physical activity Serious mental illness Bipolar disorder Schizophrenia Health policy
The authors wish to acknowledge the expert review provided by the Society of Behavioral Medicine’s (SBM) Integrated Primary Care and Physical Activity Special Interest Groups, the SBM Scientific and Professional Liaison Council, and the American College of Sports Medicine’s Health and Science Policy Committee. This work was supported by the National Institute of Mental Health grant R34MH086678-01 (KS) and is a product of the Yale Health Promotion and Disease Prevention Research Center supported by Cooperative Agreement Number U48DP005018 from the Centers for Disease Control and Prevention (SB, SP). The findings and conclusions in this statement are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention, the Veterans Health Administration, or the In-SHAPE Implementation study (R01MH102325, Bartels, PI).
Compliance with ethical standards
Conflict of interest
Mark Stoutenberg is a consultant to Exercise is Medicine®, a program of the American College of Sports Medicine, which receives funding from The Coca-Cola Company and Technogym. The remaining authors declare that they have no conflict of interest.
- 11.Bartels S, Desilets R. Health Promotion Programs for People with Serious Mental Illness (Prepared by the Dartmouth Health Promotion Research Team). Washington: SAMHSA-HRSA Center for Integrated Health Solutions; 2012.Google Scholar
- 26.Prost SG, Ai AL, Ainsworth SE, Ayers J. Mental health professionals and behavioral interventions for obesity: a systematic literature review. J Evid Inf Soc Work. 2015: 1–26.Google Scholar
- 29.Nguyen HQ, Ackermann RT, Maciejewski ML, et al. Managed-medicare health club benefit and reduced health care costs among older adults. Prev Chronic Dis. 2008; 5. http://www.cdc.gov/pcd/issues/2008/jan/07_0148.htm. Accessed 03/23/16.
- 31.Beals, R. K. Employees get paid to exercise, while some pay to sit out. US News and World Report. Feb. 14, 2012.Google Scholar
- 33.Frean ME. What is the optimal subsidy for exercise? Informing health insurance companies’ fitness reimbursement programs. Honors Projects. Paper 43. 2012. http://digitalcommons.macalester.edu/economics_honors_projects/43.
- 34.Substance Abuse and Mental Health Services Administration (SAMHSA): 2012 CMHS uniform reporting system output tables. http://www.samhsa.gov/dataoutcomes/urs/urs2012.aspx.