DMF (different, missed, forgotten): oral health inequalities experienced by people with severe mental illness

Abstract

In England, there are over half a million people living with severe mental illness (SMI) such as schizophrenia and bipolar disorder. These people die on average up to 20 years earlier than the general population and 2 in 3 deaths are from physical illnesses that can be prevented. Recent government publications such as the NHS Long Term Plan and NHS England's mental health implementation plan have highlighted the need to address the physical health needs of people with SMI in order to reduce the serious inequality of health outcomes experienced. Disappointingly, however, neither document mentions the poor oral health experienced by this cohort of the population, nor do they recognise the link between poor oral health and poor general health. This article examines the available literature and results from a recent survey that explored the oral health behaviours of service users at a secure mental health facility to raise awareness of the oral health needs of this population. Oral health is an integral aspect of general health and can positively influence wellbeing. A healthy mouth ensures individuals can eat, speak and interact socially, free from pain and embarrassment. Poor oral health can therefore not only have a profound impact on a person's quality of life (QoL) but it can also have wider implications for systemic disease.