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Table 3 Policy categories for the CRANIUM collaborative care model

From: Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness

Intervention function Policy category Candidate policies to support the delivery of the intervention functions
Education Guidelines Treatment protocols for management of metabolic disorders were distributed (on-line and laminated).
Persuasion Communication/marketing Mugs and birthday cards with logo for clinic staff; logo on algorithms
Incentivization Fiscal measures Treats (e.g., cookies) were provided to the team with the highest metabolic screening rates.
Coercion Service provision Treatment teams knew which teams were the “best” and might be coerced to compete
Training Guidelines A primary care physician reviewed guidelines and protocols for management of metabolic disorders.
Service provision Established a support service of a primary care consultant for psychiatrists to access on-line
Environmental restructuring Environmental/social planning Restructuring the clinic to include in pre-completed lab slips in all interview rooms.
Stepped care approach where peer navigators could assist patients in going to phlebotomy services.
Modeling Service provision Medical Director adopts behavior change and becomes the champion and role model for other staff.
Enablement Environmental/social planning Changing roles where psychiatrist can safely initiate treatment of common metabolic abnormalities.