"MenPhys: Intervention Protocol for Physical Wellness in Mental Health"

The primary aim of this project is to establish the acceptability of the PAI (physical activity intervention) to service users by evaluating if participants can be recruited into the study and if they complete the intervention. Secondary aims are to estimate if, compared with treatment as usual (TAU), the PAI intervention (1) positively impacts on subjects' psychiatric symptoms (2) succeeds in improving cardiovascular fitness performance. In addition, will be considered the impact of the PAI versus TAU on sleep behavior, quality of life, drug consumption, reduces sedentary behaviour and unscheduled readmissions to the department within 30 days and within 7 days after their dismission.

Participants assigned to the PAI arm will receive brief information on the benefits of being more active and will be given information about the best way to training. They will receive conventional medical treatment. They will also participate in 2 weeks of training (12 sessions), plus telematic assistance of a specialized practitioner who will follow them during the post-discharge training sessions for a period of 12 weeks, with 3 workouts per week.

Participants assigned to the TAU arm will receive brief information on the benefits of being more active and will be given information about the best way to training. They will also receive conventional medical treatment.

Inclusion Criteria: Diagnosis of any SMI Meeting any one of the following criteria as determined by a care co-ordinator: Overweight At risk for or have type 2 diabetes mellitus In the clinician's view, have a sedentary lifestyle Smoke tobacco Ability to provide informed consent Ability to understand Italian Exclusion Criteria: under the age of 18 not having a diagnosis of SMI be unable to do exercises be unable to give informed consent