Health workers’ views of a program to facilitate physical health care in mental health settings: implications for implementation and training
Battersby, Malcolm Wayne
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Objective Physical co morbidities shorten the lifespans of people with severe mental illness. Mental health clinicians need to support service users in risk factor-related behaviour change. We investigated mental health care workers’ views of a physical health self-management support program to identify implementation requirements. Method Qualitative interviews were conducted with workers who had differing levels of experience with a self-management support program. Themes were identified using interpretive descriptive analysis and then matched against domains used in implementation models to draw implications for successful practice change. Results Three main themes related to (i) understandings of disease management within job roles (ii) requirements for putting self-management support into practice and (iii) challenges of coordination in disease management. Priority domains from implementation models were inner and outer health service settings. Conclusion While staff training is required, practice change for care which takes account of both mental and physical health also requires changes in organisational frameworks.