Impact of the Therapy Capability Framework on the Provision of Physical Health Care in a Large Publicly Funded Mental Health Service
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Chapman, Justin
Bennett, Sally
Meredith, Pamela
Sewell, Jeanette
Johnston, Donni
Butler, Cassandra
Parker, Andrea
Wyder, Marianne
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Abstract
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.
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Community Mental Health Journal
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© The Author(s) 2025. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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Public health
Clinical and health psychology
Social and personality psychology
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Lau, G; Chapman, J; Bennett, S; Meredith, P; Sewell, J; Johnston, D; Butler, C; Parker, A; Wyder, M, Impact of the Therapy Capability Framework on the Provision of Physical Health Care in a Large Publicly Funded Mental Health Service, Community Mental Health Journal, 2025