RESPIRATORY PROBLEMS: Edited by Magnus Ekström and Morag FarquharSupportive and palliative care for people with respiratory problems and preexisting serious mental illnessPeryer, Guy; Barnes, Sylvia; Farquhar, MoragAuthor Information Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK Correspondence to Guy Peryer, University of East Anglia, Norwich, NR4 7TJ, UK. Tel: +1603 592568; e-mail: [email protected] Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.supportiveandpalliativecare.com). Current Opinion in Supportive and Palliative Care: September 2020 - Volume 14 - Issue 3 - p 190-196 doi: 10.1097/SPC.0000000000000510 Buy SDC Metrics Abstract Purpose of review People living with serious mental illness are at a higher risk of developing respiratory problems that can lead to increased morbidity and early mortality. This review aimed to identify recent advances in care provision for people with respiratory problems and preexisting serious mental illness to ease symptom burden and reduce the risk of premature mortality. Recent findings Intervention-based studies in this area are scarce. The evidence reviewed originated from observational studies. Concluding comments from the synthesis suggest there are specific needs for proactive screening of respiratory function as part of routine physical health checks across care settings for people living with serious mental illness, more stringent monitoring of comorbid chronic lung conditions and increased attention in reducing the frequency respiratory infections. Integrated services across care settings are needed to support people with serious mental illness to limit the impact of modifiable lifestyle factors known to be detrimental to respiratory health, such as smoking. Summary Key priorities are identified to improve accessibility and inclusivity of respiratory care pathways for people living with serious mental illness to support early detection and proactive monitoring of respiratory problems to help reduce the risk of early mortality. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.