Collaborative Centre for Cardiometabolic Health in Psychosis and
Living Well Living Longer Program have been officially launched
by The Hon. ​​Tanya Davies - The Minister of Mental Health
Read more »

Prof Tim Lambert and his colleagues have received national recognition
for their outstanding contributions to student learning.
Read more »

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There is no mental health

There is no physical health

There is ...

Health

Psychotic disorders and diabetes:
Going beyond screening - time for integrated care.

Schizophrenia and other psychotic disorders affect up to 3.5% of persons during their lifetime. The National Mental Health Commission in 2012 identified
the poor physical health of people with mental illness as one of the major issues for the Australian health care system as well as being
"a national disgrace ...an injustice that runs contrary to the United Nations' Principles for the Protection of Persons with Mental Illness".
Read the Article >>>

Our information booklets on Blood Pressure, Diabetes, Cholesterol,
Metabolic Clinic, Sleep Hygiene, Nutrition, Physical Activity and Constipation
are available for download.

PLEASE READ – COVID-19 NEWS – August 2020

 

In late July 2020 The Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) was able to recommence clinics at Concord Hospital and the Charles Perkins Centre (Royal Prince Alfred Hospital).

However to ensure the ongoing safety of patients and staff, we have recommenced at a reduced capacity. It is likely that we will operate at this reduced capacity for some time.
As of today 22 September 2020 only the CRGH clinics will function. CPC/RPA clinics may re-commence by the end of September. Community health centre clinics may re-start by mid-October. These dates are updated regularly but of course are subject to the vagaries of the ebbs and flows of the epidemic.

As a result of the above we have made changes to our referral criteria.

  • Any person residing within the catchment area of Sydney Local Health District can be referred by their mental health team and/or general practitioner using an eReferral pathway.
  • The patient must be aged between 18-65 years of age and
  • be receiving treatment for a severe and enduring psychosis or affective disorder.

All referrals will still undergo triage – priority will be given to anyone with a known diagnosis of diabetes, an established history of cardiovascular disease or past high or very high risk for cardiovascular disease using the CVD risk algorithms. Patients without these risk indicators may therefore not be seen by ccCHiP until 2021.

IMPORTANT! Referrals MUST be by the eReferral system. Paper, fax, email referrals will not be accepted.

Unfortunately, we cannot currently accept referrals for patients residing outside the Sydney Local Health District. We would encourage you to check our website in late January 2021 for further updates regarding our capacity and adjusted referral criteria.

If you have any questions in relation to a referral please contact ccCHiP on 02 9767 6027

Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP)

Welcome to the Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) website. This site is designed for mental health clinicians, and those responsible for the care of people with persistent psychotic disorders. Its aim is to provide information on how to deliver cardiometabolic and lifestyle services to improve the global health outcomes for those with SMI, assuming that such services will need to be developed and run ‘on the whiff of an oily rag’ .

ccCHiP is a cooperative venture partly funded by NSW Health, supported by Sydney University and Concord Hospital. The centre was established by Professor Tim Lambert, Dr Jeff Snars and Associate Professor Roger Chen in 2009. Our clinic – an integrated service for screening, detection, management and follow up of metabolic disorders among patients with severe mental illness – provides a model for a replicable, scalable clinical service. Our clinics aim to improve the physical health of people with mental illness. Metabolic disorders are the fastest growing chronic health issue in the world, and they disproportionately affect people living with a serious mental illness.

Life Expectancy Graph

Three multi-disciplinary clinics

The ccCHiP provides:

  1. an outpatient clinic at the Medical Centre of Concord Repatriation General Hospital (CRGH), specifically within the Sydney Local Health District (SLHD) catchment
  2. an outpatient clinic at Charles Perkins Centre (cpcCHiP);
  3. a peripatetic clinic rotating through the community health centres within the SLHD catchment area.

In addition, a limited consultation service is provided to the Concord Centre for Mental Health (CCMH).

Outpatient Clinic
at Charles Perkins Centre

  • It is a multidisciplinary clinic that includes Psychiatry, Cardiology, Endocrinology, Dietetics, Exercise Physiology, Dentistry, and Nursing.
  • It takes place once every month on Wednesday afternoons between 1:00-16.30pm
  • The service cares for the needs of the mentally ill in the community; specifically within the Sydney Local Health District (SLDH) catchment.

Outpatient Clinic
at the CRGH Medical Centre

  • It is a multidisciplinary clinic that includes Psychiatry, Cardiology, Endocrinology, Dietetics, Exercise Physiology, Dentistry, and Nursing.
  • It takes place every Monday afternoon between 1:00-16.30pm
  • The service cares for the needs of the mentally ill in the community; specifically within the Sydney Local Health District (SLDH) catchment.

Community Outpatient Clinics

  • It is a multidisciplinary clinic that includes Psychiatry, Cardiology, Endocrinology, Dietetics, Exercise Physiology, and Nursing.
  • It takes place every Friday afternoon alternating between Community Health Centres in the SLHD catchment from 1:00-16.30pm
  • The service cares for the needs of the mentally ill in the community; specifically within the Sydney Local Health District (SLDH) catchment.

Various Educational Activities and Resources

cccCHiP is actively engaged in educational activities targeted for both students and practitioners. Many educational resources are available on this website.

Research Activities

ccCHiP performs various research activities including supervision of HDR students, publishing articles, and design-led investigations of medical co-morbidities in severe mental illness.

Research Projects

  • Coenzyme Q10 levels in those with chronic psychotic disorders and chronic mood disorders
  • Single Channel Nasal Flow Measurement As A Screening Tool For OSA In Mental Illness: A Feasibility Study
  • Impact of a health literacy intervention on cardiometabolic health
  • Hypersalivation and drooling

Selected Articles

  • Are the cardiometabolic complications of schizophrenia still neglected? Barriers to Care
  • Metabolic differences between asian and caucasian patients on clozapine treatment
  • Editorial: The medical care of people with psychosis

Design-led Investigations

  • ccCHiP Database App and Minimal Dataset
  • Role of visualisation of patient data in adherence

Recent News about ccCHiP

All the recents news about Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHIP) can be viewed here. You can also follow our latest updates on Twitter and Facebook.

ccCHiP's Twitter avatar
ccCHiP
@ccchip_info

ccCHiP has been officially launched by The Hon. ​​Tanya Davies - The Minister of Mental Health:… t.co/aGIdmPTjUB

ccCHiP's Twitter avatar
ccCHiP
@ccchip_info

ccCHiP is looking for a new full-time Senior Research Officer: t.co/2fLMPvB58n

ccCHiP's Twitter avatar
ccCHiP
@ccchip_info

Poor heart health killing the mentally ill t.co/7c83gMsPkn

ccCHiP's Twitter avatar
ccCHiP
@ccchip_info

Physical health of people with schizophrenia needs action t.co/JJhmcqKRq4

Show Media
Tweet Media
ccCHiP's Twitter avatar
ccCHiP
@ccchip_info

Prof Tim Lambert and his colleagues received national recognition for their contributions to student learning.… t.co/JfPAEXDk0o

Recent Activities

      • Assoc Prof Roger Chen has recently made the following presentations:
        • Best Practices in Diabetes Centres (BPDC) Symposium at the National Association of Diabetes Centres (NADC)
        • Lectures on Mental Illness and Metabolic Disease in South Korea
        • Diabetes and Psychotropic Medications at the Australasian Custodial Health Medical Officer Conference
      • Prof Tim Lambert and his colleagues have received national recognition for their outstanding contributions to student learning. >>>
      • CRGH nursing and allied health workshop on diabetes: Diabetes Overview – October 2015 by Avinash Suryawanshi
      • AIGP conference: Diabetes Update: Individualising treatment- September 2015 by Avinash Suryawanshi
      • Sydney Uni course: Pharmacology of OHA/Insulin/glucagon – August 2015 by Avinash Suryawanshi
      • Invited Talk: Cardiometaboic Health in Psychosis in Chile – August 2015 by Prof Tim Lambert

About ccCHiP

Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHIP) is a cooperative venture partly funded by NSW Health and our clinical services are located within Sydney Local Health Network. We are supported by contributions in kind from the Sydney Local Health District (SLHD), Sydney University, Concord Hospital Department of Endocrinology and Metabolism, Concord Hospital Dietetics Department, and the Australian Diabetes Council.

The Roles of Each Discipline

Psychiatry

Professor Tim Lambert, Dr Kathy Smith, and Dr Rebecca Koncz apply their considerable expertise in mental health and psychopharmacology to obtain the optimum outcome for the patient. They understand which aspects of the mental illness itself can act as barriers to health-promoting behaviours. They advise the inpatient team and the patient’s General Practitioner on balancing the treatment of mental illness with management of cardiovascular risk factors.

Endocrinology

Dr Avinash Suryawanshi and Dr Tim Middleton are the clinic’s specialists in metabolic disease and diabetes which afflict a large proportion of our target population. The assessment and recommendations allow for optimised management of conditions such as blood pressure, cholesterol and blood glucose levels. This is of critical importance in reducing the risk of adverse cardiometabolic outcomes.

Exercise Physiology

ccCHIP is fortunate to have access to an experienced exercise physiologist. Ms Georgia Frydman combines his extensive knowledge of exercise physiology with a tailored individual approach to allow our patients to participate in a variety of physical activities.

Nursing

Mrs Angela Meaney fulfills many roles in the ccCHIP service. Through education and promotion of the physical health needs of our patients, Angela is a powerful advocate for change in the health system. Angela’s work ensures that our patients are the beneficiaries of streamlined care, from the time of their referral to their scheduling and follow up of further investigations.

Dietetics

Ms Erikka Hennessys and Ms Jessica Guidas’ experience as dietitians to people with mental illness is invaluable in our clinic. Their skillful assessment of dietary habits and focus on achievable and specific dietary goals have wrought major changes in the lives of our patients. This empowering approach means that our patients can take ownership of this aspect of their care.

Information Systems

Prof Tim Lambert and Daniel Farnan work together to support and improve the activities of cCCHiP using various information and multimedia technologies.

Dentistry

A/Prof Shilpi Ajwani, senior dentist, and the dental team apply their knowledge and expertise to assess, recommend and provide the dental treatment for ccCHIP patients. They liaise with other dental specialists and clinicians to improve patients’ access and facilitate their dental treatment. The goals are to achieve pain-free, disease -free dentition and to restore function and appearance.

Medical

Members of ccCHIP continue to form partnerships with our colleagues in other subspecialty areas, to enhance our own knowledge and to improve patients’ access to specialist care.

Health Education

Health education is any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes. Mrs Philippa Jane Boss conducts health literacy workshops with our consumers in the community.

Cardiology

Dr Vincent Chow is the centre’s cardiologist. With clinical and research interests in Psychiatric Cardiology, he is committed in improving the cardiometabolic outcomes in our undertreated population. In addition to his broad role in ccCHiP clinical service provision, he also runs a weekly dedicated Clozapine Cardiology Clinic at Concord Hospital.

Sleep

Our sleep researcher’s role include: i) Objective screening for potential Obstructive Sleep Apnoea by using Flow Wizard and Wristox; ii) Plan to use DXA for baseline and future monitoring of visceral fat levels; iii) Objective screening of lung function with spirometry; and, iv) Monitoring of CO levels in those who smoke, with particular focus on those who wish to quit.

ccCHiP Promotional Video