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  1. Prevalence of Medical Co-morbidities among Adults Recovering from Serious Mental IllnessesDennis D. Grey, BA, Judith A. Cook, PhD, Lisa A. Razzano, PhD, CPRP, Peggy Swarbrick, PhD, Jessica A. Jonikas, MA, Larisa Burke, BA, Chantelle Yost, BA, Tina Carter, BA, & Marie M. Hamilton, LCSW, MPHUIC National Research & Training Center on Co-Occurring Medical Conditions, Center on Mental Health Services Research & Policy Background Results Discussion Study Sample (N=349*) Prevalence of medical co-morbidities among adults with serious mental illnesses was assessed via community health fairs at which peer health educators reviewed results with participants post-screening. It was hypothesized that co-morbidities would be more prevalent than in the general population. Significant post-test improvement in health attitudes, abilities, and efficacy also was predicted. Overall, a higher proportion of participants screened positive for health risks compared to rates among those in the U.S. adult general population. In some cases, rates of health risk were commensurate with general population estimates due to the higher number of individuals in recovery diagnosed with chronic health conditions, but who also are managing them both with pharmacological interventions and services supports. Results also support that health fairs can affect change in specific health attitudes and self-rated health abilities as measured with standard indicators. Methods Three hundred forty nine (N=349) community mental health program clients in NJ, MD and IL attended health fairs run collaboratively by university researchers and peer wellness staff. Conditions tested included: diabetes; BMI/obesity; hyperlipidemia; hypertension; smoking and nicotine dependence; drug/alcohol abuse; and heart attack risk. Participants also completed pre/post assessments of multidimensional health locus of control (MHLOC) and wellness attitudes/behaviors. Random regression examined improvement controlling for age, gender, race/ethnicity, education, and site. *Reflects valid percent/excludes missing data **Values do not add to 100% as participants could report multiple sources Conclusions A higher prevalence of most but not all medical conditions was found, and participants' health efficacy improved following fair participation. Health risk screening can help address epidemiologic, education, and prevention goals for this vulnerable population. This research is funded by NIDRR & SAMHSA; H133G100028, J.A. Cook, PI

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