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

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 healt...

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Published in:Community Mental Health Journal Vol. 61; no. 8; pp. 1617 - 1625
Main Authors: Lau, Geoffrey, Chapman, Justin, Bennett, Sally, Meredith, Pamela, Sewell, Jeanette, Johnston, Donni, Butler, Cassandra, Parker, Andrea, Wyder, Marianne
Format: Article
Published: Springer Nature Nov2025
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Nov2025
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      pub: Springer Nature
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        10.1007/s10597-025-01497-2
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        atl: Impact of the Therapy Capability Framework on the Provision of Physical Health Care in a Large Publicly Funded Mental Health Service.
      aug:
        au:
          Lau, Geoffrey
          Chapman, Justin
          Bennett, Sally
          Meredith, Pamela
          Sewell, Jeanette
          Johnston, Donni
          Butler, Cassandra
          Parker, Andrea
          Wyder, Marianne
        affil:
          https://ror.org/016gd3115 Metro South Health, Woolloongabba, Australia
          https://ror.org/00rqy9422 University of Queensland, Brisbane, Australia
          https://ror.org/02sc3r913 Griffith University, Brisbane, Australia
          https://ror.org/016gb9e15 University of the Sunshine Coast, Sunshine Coast, Australia
      su:
        Australia
        Mental health services
        Patient care
        Retrospective studies
        Psychosocial factors
        Data analysis
        Research funding
        Chi-squared test
        Mann Whitney U Test
        Medical records
        Acquisition of data
        Friedman test (Statistics)
        Statistics
        Mental health personnel
        National competency-based educational tests
        Data analysis software
        Professional competence
      sug:
        subj:
          Mental health services
          Patient care
          Retrospective studies
          Psychosocial factors
          Australia
          Offices of Mental Health Practitioners (except Physicians)
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Data analysis
          Research funding
          Chi-squared test
          Mann Whitney U Test
          Medical records
          Acquisition of data
          Friedman test (Statistics)
          Statistics
          Mental health personnel
          National competency-based educational tests
          Data analysis software
          Professional competence
      keyword:
        Medical and Health Sciences Public Health and Health Services
        Mental health
        Physical health
        Therapy capability
        Medical and Health Sciences Public Health and Health Services
        Mental health
        Physical health
        Therapy capability
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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