Health complexity: integrating psychological skills into exercise referral

Hilton, C. and Johnston, L. (2022) Health complexity: integrating psychological skills into exercise referral. In: Scott, A. and Broom, D. (eds.) Exercise Management for Referred Medical Conditions. Routledge. ISBN 9781138104006 (doi: 10.4324/9781315102399-9)

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This chapter demonstrates the complexity of the interplay between mental and physical illness. It explains contemporary issues regarding the complexity of disease within the context of current UK health-care systems and how this impacts exercise referral scheme (ERS). The vast majority of patients will be referred with physical and psychological co-morbidities. A common approach to the assessment and treatment of both mental and physical illness is known as the medical model. The quality and duration of motivational interviewing (MI) training and opportunities for skill development via ongoing coaching, for example, are important considerations for supporting people to develop proficiency in MI. Contextualism views the person-environment relationship as one rather than something residing within the individual. The health conditions with which individuals are referred for exercise reflect an interplay between mental and physical ill health, in which we cannot have physical wellness without mental wellness and vice versa.

Item Type:Book Sections
Additional Information:eISBN: 9781315102399.
Glasgow Author(s) Enlighten ID:Johnston, Dr Lynne
Authors: Hilton, C., and Johnston, L.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
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