PDF(Pubmed)
Abstract：
The term severe mental illness (SMI) is often used in academic work, primary care practice, and policy, acknowledging the health disparities experienced by, and need for improved support for, this population. However, here we draw from the varied experiences of our authorship team to reflect on some problematic operationalisations of the term SMI and its usage, specifically in policy, primary care practice, and academic discourses in England and the UK. Benefits of the SMI label in accessing specialised services are evident but, in this commentary, we start a discussion on its necessity and unintended consequences for wider health support. We focus on physical health support specifically. We hope that this commentary encourages dialogue among practitioners, researchers, stakeholders and commissioners concerning wider uses of the term SMI.
摘要：
严重精神疾病（SMI）一词在学术工作中经常使用，初级保健实践，和政策,承认所经历的健康差异，需要改进的支持，这个人口。然而,在这里，我们从作者团队的各种经验中汲取经验，以反思SMI一词及其用法的一些有问题的操作，特别是在政策上，初级保健实践，以及英国和英国的学术话语。SMI标签在访问专业服务方面的好处是显而易见的，但是，在这篇评论中，我们开始讨论它对更广泛的健康支持的必要性和意想不到的后果。我们特别关注身体健康支持。我们希望这篇评论鼓励从业者之间的对话，研究人员,利益相关者和专员关于SMI一词的更广泛使用。
