Health workers' views of a program to facilitate physical health care in mental health settings: implications for implementation and training

Objective: Physical comorbidities shorten the lifespan of people with severe mental illness therefore 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 in order to identify implementation requirements. Method: Qualitative interviews were conducted with workers who had differing levels of experience with a selfmanagement 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 emerged related to: (1) understandings of disease management within job roles; (2) requirements for putting self-management support into practice; and (3) 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.