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<p>People with mental illness have poor physical health outcomes. While clinical staff recognise the value of physical health in mental healthcare, they report low confidence and a lack of resources and training. As a result, physical health needs are often unaddressed in routine care. A physical healthcare therapies capability framework (PHC TCF) was developed to support staff in developing capability in addressing the physical health needs of consumers of a large public mental health service. The aims of the current study were to evaluate: (i) staff capability in physical healthcare and the association with provision of service; (ii) changes in capability and service provision. Self-rated PHC TCF level and Provision of Service (POS) statistics for physical health assessment and intervention over 12-months were analysed. The nursing profession was associated with higher PHC TCF level than Allied Health (<i>p</i> &lt;.01). While there was no significant change in PHC TCF levels, POS significantly increased over 12 months (<i>z</i> = -2.69, <i>p</i> =.007). This study demonstrated that a PHC TCF may be a useful tool to reinforce and implement physical health interventions in public mental health services.</p>

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Impact of the Therapy Capability Framework on the Provision of Physical Health Care in a Large Publicly Funded Mental Health Service

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月1日

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  • Geoffrey Lau,
  • Justin Chapman,
  • Sally Bennett,
  • Pamela Meredith,
  • Jeanette Sewell,
  • Donni Johnston,
  • Cassandra Butler,
  • Andrea Parker,
  • Marianne Wyder

摘要

People with mental illness have poor physical health outcomes. While clinical staff recognise the value of physical health in mental healthcare, they report low confidence and a lack of resources and training. As a result, physical health needs are often unaddressed in routine care. A physical healthcare therapies capability framework (PHC TCF) was developed to support staff in developing capability in addressing the physical health needs of consumers of a large public mental health service. The aims of the current study were to evaluate: (i) staff capability in physical healthcare and the association with provision of service; (ii) changes in capability and service provision. Self-rated PHC TCF level and Provision of Service (POS) statistics for physical health assessment and intervention over 12-months were analysed. The nursing profession was associated with higher PHC TCF level than Allied Health (p <.01). While there was no significant change in PHC TCF levels, POS significantly increased over 12 months (z = -2.69, p =.007). This study demonstrated that a PHC TCF may be a useful tool to reinforce and implement physical health interventions in public mental health services.