“…Practice guidelines on the management of psychotic disorders (Weiss et al, 2006) recommend that clinicians can play an important role in the screening for CVD risk factors, and that attention should be paid to these 'secondary' conditions as well as to treatment for mental health problems (McDermott et al, 2005). Unfortunately, clinical practice has not kept pace with these recommendations, and CVD risk factors remain poorly detected and treated among people with severe mental disorders (Kumar, 2004), in part at least due to the professional separation of mental and physical health care (Kilbourne et al, 2008). Lifestyle-type interventions with this group have typically not been as aggressively addressed as their complex psychiatric problems, despite the enormous impact of these factors on health and wellbeing, long-term morbidity/ mortality and treatment compliance (McDermott et al, 2005).…”