title: Health workers' views of a program to facilitate physical health care in mental health settings: implications for implementation and training.
abstract: 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.
  
  
  METHODS
  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 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.
  
  
  CONCLUSIONS
  While staff training is required, practice change for care which takes account of both mental and physical health also requires changes in organisational frameworks.
authors.affiliation: School of Medicine, Flinders University, Adelaide, SA, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Baker
authors.affiliation: Research Manager, Flinders Human Behaviour and Health Research Unit, School of Medicine, Flinders University, Adelaide, SA, Australia melanie.harris@flinders.edu.au.
authors.forename: Melanie
authors.initials: M
authors.lastname: Harris
authors.affiliation: Director, Flinders Human Behaviour and Health Research Unit, School of Medicine, Flinders University, Adelaide, SA, Australia.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Battersby
mesh_terms: D001291:Attitude of Health Personnel; D015438:Health Behavior; D006801:Humans; D008605:Mental Health Services; D016730:Program Development; D012648:Self Care
keywords: implementation; physical health; self-management; severe mental illness